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Filmed v. live social contact interventions to reduce stigma: randomised controlled trial
- Authors:
- CLEMENT Sarah, et al
- Journal article citation:
- British Journal of Psychiatry, 201(1), July 2012, pp.57-64.
- Publisher:
- Cambridge University Press
Direct social contact interventions are known to reduce mental health stigma. The authors suggest that filmed contact may be equally effective. They tested the hypotheses that: DVD and live interventions are equally effective; and interventions with social contact (DVD/live) are more effective than a lecture. Cost-effectiveness, process and acceptability were also assessed. Student nurses (n=216) were randomised to: watch a DVD of service users/informal carers talking about their experiences, watch a similar live presentation, or attend a lecture. Primary outcomes were changes in attitudes (using the Mental Illness: Clinicians Attitudes Scale, MICA), emotional reactions (using the Emotional Reactions to Mental Illness Scale, ERMIS), intended proximity (using the Reported and Intended Behaviour Scale, RIBS), and knowledge (using the Social Contact Intended Learning Outcomes, SCILO), immediately after the intervention and at 4-month follow-up. The results broadly confirmed the hypothesis. There were no differences between the DVD and live groups on MICA, ERMIS or RIBS scores. The DVD group had higher SCILO (knowledge) scores. The combined social contact group (DVD/live) had better MICA and RIBS scores than the lecture group, the latter difference maintained at 4 months. The DVD was the most cost-effective intervention, and the live session the most popular. The authors suggest that wider use of filmed social contact interventions could be a cost-effective way of reducing stigma about mental illness.