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Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review
AIMS: This systematic review compiled evidence on interventions to reduce mental health-related stigma among medical and nursing students in low- and middle-income countries (LMICs). Primary outcomes were stigmatising attitudes and discriminatory behaviours. METHODS: Data collection included two str...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848770/ https://www.ncbi.nlm.nih.gov/pubmed/30929650 http://dx.doi.org/10.1017/S2045796019000167 |
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author | Heim, E. Henderson, C. Kohrt, B. A. Koschorke, M. Milenova, M. Thornicroft, G. |
author_facet | Heim, E. Henderson, C. Kohrt, B. A. Koschorke, M. Milenova, M. Thornicroft, G. |
author_sort | Heim, E. |
collection | PubMed |
description | AIMS: This systematic review compiled evidence on interventions to reduce mental health-related stigma among medical and nursing students in low- and middle-income countries (LMICs). Primary outcomes were stigmatising attitudes and discriminatory behaviours. METHODS: Data collection included two strategies. First, previous systematic reviews were searched for studies that met the inclusion criteria of the current review. Second, a new search was done, covering the time since the previous reviews, i.e. January 2013 to May 2017. Five search concepts were combined in order to capture relevant literature: stigma, mental health, intervention, professional students in medicine and nursing, and LMICs. A qualitative analysis of all included full texts was done with the software MAXQDA. Full texts were analysed with regard to the content of interventions, didactic methods, mental disorders, cultural adaptation, type of outcome measure and primary outcomes. Furthermore, a methodological quality assessment was undertaken. RESULTS: A total of nine studies from six countries (Brazil, China, Malaysia, Nigeria, Somaliland and Turkey) were included. All studies reported significant results in at least one outcome measure. However, from the available literature, it is difficult to draw conclusions on the most effective interventions. No meta-analysis could be calculated due to the large heterogeneity of intervention content, evaluation design and outcome measures. Studies with contact interventions (either face-to-face or video) demonstrated attitudinal change. There was a clear lack of studies focusing on discriminatory behaviours. Accordingly, training of specific communication and clinical skills was lacking in most studies, with the exception of one study that showed a positive effect of training interview skills on attitudes. Methods for cultural adaptation of interventions were rarely documented. The methodological quality of most studies was relatively low, with the exception of two studies. CONCLUSIONS: There is an increase in studies on anti-stigma interventions among professional students in LMICs. Some of these studies used contact interventions and showed positive effects. A stronger focus on clinical and communication skills and behaviour-related outcomes is needed in future studies. |
format | Online Article Text |
id | pubmed-6848770 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-68487702019-12-12 Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review Heim, E. Henderson, C. Kohrt, B. A. Koschorke, M. Milenova, M. Thornicroft, G. Epidemiol Psychiatr Sci Original Articles AIMS: This systematic review compiled evidence on interventions to reduce mental health-related stigma among medical and nursing students in low- and middle-income countries (LMICs). Primary outcomes were stigmatising attitudes and discriminatory behaviours. METHODS: Data collection included two strategies. First, previous systematic reviews were searched for studies that met the inclusion criteria of the current review. Second, a new search was done, covering the time since the previous reviews, i.e. January 2013 to May 2017. Five search concepts were combined in order to capture relevant literature: stigma, mental health, intervention, professional students in medicine and nursing, and LMICs. A qualitative analysis of all included full texts was done with the software MAXQDA. Full texts were analysed with regard to the content of interventions, didactic methods, mental disorders, cultural adaptation, type of outcome measure and primary outcomes. Furthermore, a methodological quality assessment was undertaken. RESULTS: A total of nine studies from six countries (Brazil, China, Malaysia, Nigeria, Somaliland and Turkey) were included. All studies reported significant results in at least one outcome measure. However, from the available literature, it is difficult to draw conclusions on the most effective interventions. No meta-analysis could be calculated due to the large heterogeneity of intervention content, evaluation design and outcome measures. Studies with contact interventions (either face-to-face or video) demonstrated attitudinal change. There was a clear lack of studies focusing on discriminatory behaviours. Accordingly, training of specific communication and clinical skills was lacking in most studies, with the exception of one study that showed a positive effect of training interview skills on attitudes. Methods for cultural adaptation of interventions were rarely documented. The methodological quality of most studies was relatively low, with the exception of two studies. CONCLUSIONS: There is an increase in studies on anti-stigma interventions among professional students in LMICs. Some of these studies used contact interventions and showed positive effects. A stronger focus on clinical and communication skills and behaviour-related outcomes is needed in future studies. Cambridge University Press 2019-04-01 /pmc/articles/PMC6848770/ /pubmed/30929650 http://dx.doi.org/10.1017/S2045796019000167 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles Heim, E. Henderson, C. Kohrt, B. A. Koschorke, M. Milenova, M. Thornicroft, G. Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
title | Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
title_full | Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
title_fullStr | Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
title_full_unstemmed | Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
title_short | Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
title_sort | reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848770/ https://www.ncbi.nlm.nih.gov/pubmed/30929650 http://dx.doi.org/10.1017/S2045796019000167 |
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