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Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials

1
Section of Personality, Assessment and Psychological Treatment, Department of Clinical Psychology and Psychobiology, Faculty of Psychology, University of Barcelona, 08035 Barcelona, Spain
2
First-Person Research Group, Veus, Catalan Federation of 1st Person Mental Health Organisations, 08035 Barcelona, Spain
3
Obertament, Catalan Alliance against Stigma and Discrimination in Mental Health, 08010 Barcelona, Spain
*
Author to whom correspondence should be addressed.
Academic Editor: Huibert Burger
Int. J. Environ. Res. Public Health 2021, 18(3), 1214; https://doi.org/10.3390/ijerph18031214
Received: 20 December 2020 / Revised: 25 January 2021 / Accepted: 26 January 2021 / Published: 29 January 2021
(This article belongs to the Section Health Care Sciences & Services)
Although it may seem paradoxical, primary care and mental health professionals develop prejudices and discriminatory attitudes towards people with mental health problems in a very similar way to the rest of the population. The main objective of this project was to design, implement and evaluate two awareness-raising interventions respectively tailored to reduce stigmatising beliefs and attitudes towards persons with a mental health diagnosis among primary care (PC) and mental health (MH) professionals. These interventions were developed by Obertament, the Catalan alliance against stigma and discrimination in mental health. Activists from this organisation with lived experience of mental health diagnosis carried out awareness-raising interventions in PC and MH health centres. The Targeted, Local, Credible, Continuous Contact (TLC3) methodology was adapted to the Catalan healthcare context. The efficacy of these interventions was evaluated using two prospective double-blind cluster-randomised-controlled trials. Stigmatizing beliefs and behaviours were measured with the Opening Minds Stigma Scale for Health Care Providers in PC centres and with the Beliefs and Attitudes towards Mental Health Service users’ rights in MH centres. Reductions in both PC and MH professionals’ stigmatising beliefs and attitudes were found in the 1-month follow-up, although a ‘rebound effect’ at the 3-month follow up was detected. This emphasizes the importance of the continuity of the presence of anti-stigma activities and messages. Attrition rates were high, which can hamper the reliability of the results. Further follow-up studies should enquiry effects of long-term interventions aimed at reducing stigmatising beliefs and attitudes among primary care and mental health professionals using assessment systems that include the measurement of knowledge acquired and actual behavioural change. View Full-Text
Keywords: activism; discrimination; mental health; primary care; participation; stigma activism; discrimination; mental health; primary care; participation; stigma
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MDPI and ACS Style

Eiroa-Orosa, F.J.; Lomascolo, M.; Tosas-Fernández, A. Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials. Int. J. Environ. Res. Public Health 2021, 18, 1214. https://doi.org/10.3390/ijerph18031214

AMA Style

Eiroa-Orosa FJ, Lomascolo M, Tosas-Fernández A. Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials. International Journal of Environmental Research and Public Health. 2021; 18(3):1214. https://doi.org/10.3390/ijerph18031214

Chicago/Turabian Style

Eiroa-Orosa, Francisco José, María Lomascolo, and Anaïs Tosas-Fernández. 2021. "Efficacy of an Intervention to Reduce Stigma Beliefs and Attitudes among Primary Care and Mental Health Professionals: Two Cluster Randomised-Controlled Trials" International Journal of Environmental Research and Public Health 18, no. 3: 1214. https://doi.org/10.3390/ijerph18031214

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