Effectiveness of a mental health literacy module on stigma related mental health knowledge and behaviour among youth in two educational settings in Chennai, South India: A quasi-experimental study.

Behaviour Knowledge MAKS Mental health literacy RIBS Stigma

Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
23 May 2024
Historique:
received: 31 12 2023
revised: 13 05 2024
accepted: 16 05 2024
medline: 5 6 2024
pubmed: 5 6 2024
entrez: 4 6 2024
Statut: aheadofprint

Résumé

Improving mental health literacy (MHL) can reduce stigma towards mental illness, decreasing delays in help-seeking for mental disorders such as psychosis. We aimed to develop and assess the impact of an interactive MHL intervention on stigma related mental health knowledge and behaviour (SRMHKB) among youth in two urban colleges in South India. Incorporating input from stakeholders (students, teachers, and mental health professionals), we developed a mental health literacy module to address SRMHKB. The module was delivered as an interactive session lasting 90 min. We recruited 600 (300 males; 300 females; mean age 19.6) participants from two city colleges in Chennai from Jan-Dec 2019 to test the MHL module. We assessed SRMHKB before the delivery of the MHL intervention, immediately after, and at 3 and 6 months after the intervention using the Mental Health Knowledge Schedule (MAKS) and Reported and Intended Behaviour Scale (RIBS). We used generalised estimating equations (GEE) to assess the impact of the intervention over time. Compared to baseline, there was a statistically significant increase in stigma related knowledge and behaviour immediately after the intervention (coefficient=3.8; 95% CI: 3.5,4.1) and during the 3-month (coefficient=3.4; 95% CI: 3.0,3.7) and 6-month (coefficient=2.4; 95% CI: 2.0,2.7) follow-up. Preliminary findings suggest that a single 90-minute MHL interactive session could lead to improvements in SRMHKB among youth in India. Future research might utilise randomised controlled trials to corroborate findings, and explore how improvements can be sustained over the longer-term.

Sections du résumé

BACKGROUND BACKGROUND
Improving mental health literacy (MHL) can reduce stigma towards mental illness, decreasing delays in help-seeking for mental disorders such as psychosis. We aimed to develop and assess the impact of an interactive MHL intervention on stigma related mental health knowledge and behaviour (SRMHKB) among youth in two urban colleges in South India.
METHODS METHODS
Incorporating input from stakeholders (students, teachers, and mental health professionals), we developed a mental health literacy module to address SRMHKB. The module was delivered as an interactive session lasting 90 min. We recruited 600 (300 males; 300 females; mean age 19.6) participants from two city colleges in Chennai from Jan-Dec 2019 to test the MHL module. We assessed SRMHKB before the delivery of the MHL intervention, immediately after, and at 3 and 6 months after the intervention using the Mental Health Knowledge Schedule (MAKS) and Reported and Intended Behaviour Scale (RIBS). We used generalised estimating equations (GEE) to assess the impact of the intervention over time.
RESULTS RESULTS
Compared to baseline, there was a statistically significant increase in stigma related knowledge and behaviour immediately after the intervention (coefficient=3.8; 95% CI: 3.5,4.1) and during the 3-month (coefficient=3.4; 95% CI: 3.0,3.7) and 6-month (coefficient=2.4; 95% CI: 2.0,2.7) follow-up.
CONCLUSION CONCLUSIONS
Preliminary findings suggest that a single 90-minute MHL interactive session could lead to improvements in SRMHKB among youth in India. Future research might utilise randomised controlled trials to corroborate findings, and explore how improvements can be sustained over the longer-term.

Identifiants

DOI: 10.1016/j.ajp.2024.104074 PMID: 38833898
pubmed: 38833898
pii: S1876-2018(24)00167-9
doi: 10.1016/j.ajp.2024.104074
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104074

Informations de copyright

Copyright © 2024 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare no potential conflict of interest.

Auteurs

Vijaya Raghavan (V)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India. Electronic address: vijayaraghavan@scarfindia.org.

Sangeetha Chandrasekaran (S)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Vimala Paul (V)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Ramakrishnan Pattabiraman (R)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Greeshma Mohan (G)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Jothilakshmi Durairaj (J)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Graeme Currie (G)

Warwick Business School, University of Warwick, Coventry, UK.

Richard Lilford (R)

Institute of Applied Health Research, University of Brimingham, Brimingham, UK.

Vivek Furtado (V)

Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.

Jason Madan (J)

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Maximilian Birchwood (M)

Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK.

Caroline Meyer (C)

WMG and Warwick Medical School, University of Warwick, Coventry, UK.

Mamta Sood (M)

Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.

Rakesh Chadda (R)

Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.

Mohapradeep Mohan (M)

Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK.

Jai Shah (J)

Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute, McGill University, Montreal, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.

Sujit John (S)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

R Padmavati (R)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Srividya Iyer (S)

Prevention and Early Intervention Program for Psychosis, Douglas Mental Health University Institute, McGill University, Montreal, Canada; Department of Psychiatry, McGill University, Montreal, Quebec, Canada.

R Thara (R)

Schizophrenia Research Foundation, R/7 A, North Main Road, Anna Nagar West Extension, Chennai, India.

Swaran Singh (S)

Division of Mental Health and Wellbeing, Warwick Medical School, University of Warwick, Coventry, UK; Coventry and Warwickshire Partnership Trust, Coventry, UK.

Classifications MeSH