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Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial

BACKGROUND: The stigma of mental illness among medical students is a prevalent concern that has far reaching negative consequences. Attempts to combat this stigma through educational initiatives have had mixed results. This study examined the impact of a one-time contact-based educational interventi...

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Autores principales: Papish, Andriyka, Kassam, Aliya, Modgill, Geeta, Vaz, Gina, Zanussi, Lauren, Patten, Scott
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3828029/
https://www.ncbi.nlm.nih.gov/pubmed/24156397
http://dx.doi.org/10.1186/1472-6920-13-141
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author Papish, Andriyka
Kassam, Aliya
Modgill, Geeta
Vaz, Gina
Zanussi, Lauren
Patten, Scott
author_facet Papish, Andriyka
Kassam, Aliya
Modgill, Geeta
Vaz, Gina
Zanussi, Lauren
Patten, Scott
author_sort Papish, Andriyka
collection PubMed
description BACKGROUND: The stigma of mental illness among medical students is a prevalent concern that has far reaching negative consequences. Attempts to combat this stigma through educational initiatives have had mixed results. This study examined the impact of a one-time contact-based educational intervention on the stigma of mental illness among medical students and compared this with a multimodal undergraduate psychiatry course at the University of Calgary, Canada that integrates contact-based educational strategies. Attitudes towards mental illness were compared with those towards type 2 diabetes mellitus (T2DM). METHOD: A cluster-randomized trial design was used to evaluate the impact of contact-based educational interventions delivered at two points in time. The impact was assessed by collecting data at 4 time points using the Opening Minds Scale for Health Care Providers (OMS-HC) to assess changes in stigma. RESULTS: Baseline surveys were completed by 62% (n=111) of students before the start of the course and post-intervention ratings were available from 90 of these. Stigma scores for both groups were significantly reduced upon course completion (p < 0.0001), but were not significantly changed following the one-time contact based educational intervention in the primary analysis. Student confidence in working with people with a mental illness and interest in a psychiatric career was increased at the end of the course. Stigma towards mental illness remained greater than for T2DM at all time points. CONCLUSIONS: Psychiatric education can decrease the stigma of mental illness and increase student confidence. However, one-time, contact-based educational interventions require further evaluation in this context. The key components are postulated to be contact, knowledge and attention to process, where attending to the student’s internal experience of working with people with mental illness is an integral factor in modulating perceptions of mental illness and a psychiatric career.
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spelling pubmed-38280292013-11-15 Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial Papish, Andriyka Kassam, Aliya Modgill, Geeta Vaz, Gina Zanussi, Lauren Patten, Scott BMC Med Educ Research Article BACKGROUND: The stigma of mental illness among medical students is a prevalent concern that has far reaching negative consequences. Attempts to combat this stigma through educational initiatives have had mixed results. This study examined the impact of a one-time contact-based educational intervention on the stigma of mental illness among medical students and compared this with a multimodal undergraduate psychiatry course at the University of Calgary, Canada that integrates contact-based educational strategies. Attitudes towards mental illness were compared with those towards type 2 diabetes mellitus (T2DM). METHOD: A cluster-randomized trial design was used to evaluate the impact of contact-based educational interventions delivered at two points in time. The impact was assessed by collecting data at 4 time points using the Opening Minds Scale for Health Care Providers (OMS-HC) to assess changes in stigma. RESULTS: Baseline surveys were completed by 62% (n=111) of students before the start of the course and post-intervention ratings were available from 90 of these. Stigma scores for both groups were significantly reduced upon course completion (p < 0.0001), but were not significantly changed following the one-time contact based educational intervention in the primary analysis. Student confidence in working with people with a mental illness and interest in a psychiatric career was increased at the end of the course. Stigma towards mental illness remained greater than for T2DM at all time points. CONCLUSIONS: Psychiatric education can decrease the stigma of mental illness and increase student confidence. However, one-time, contact-based educational interventions require further evaluation in this context. The key components are postulated to be contact, knowledge and attention to process, where attending to the student’s internal experience of working with people with mental illness is an integral factor in modulating perceptions of mental illness and a psychiatric career. BioMed Central 2013-10-24 /pmc/articles/PMC3828029/ /pubmed/24156397 http://dx.doi.org/10.1186/1472-6920-13-141 Text en Copyright © 2013 Papish et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Papish, Andriyka
Kassam, Aliya
Modgill, Geeta
Vaz, Gina
Zanussi, Lauren
Patten, Scott
Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
title Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
title_full Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
title_fullStr Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
title_full_unstemmed Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
title_short Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
title_sort reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3828029/
https://www.ncbi.nlm.nih.gov/pubmed/24156397
http://dx.doi.org/10.1186/1472-6920-13-141
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