Effectiveness of a structured short intervention against stigmatisation in chronic visible skin diseases: Results of a controlled trial in future educators

Health Expectations

Sven M. John¹  Matthias Augustin²  Rachel Sommer²  Ulrich Mrowietz³  Regina vonSpreckelsen³  Natascha‐Alexandra Weinberger⁴  Claudia Luck‐Sikorski⁴  Sonja Mrowietz⁵ 

[1] Department of Dermatology, Environmental Medicine, Health Theory, Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) University of Osnabrueck Osnabrueck Germany;Institute for Health Services Research in Dermatology and Nursing (IVDP), German Center for Health Services Research in Dermatology (CVderm) University Medical Center Hamburg‐Eppendorf (UKE) Hamburg Germany;Psoriasis‐Center at the Department of Dermatology University Medical Center Schleswig‐Holstein, Campus Kiel Kiel Germany;Research Group: Chronic Diseases and Psychological Health (COPE) University of Applied Health Sciences SRH Gera Gera Germany;Vocational College for Social Pedagogy RBZ Koenigsweg Kiel Germany;

关键词: adults;    dermatology;    intervention;    psoriasis;    stigmatisation;   

DOI  :  10.1111/hex.13319

来源: DOAJ

【 摘 要 】

Abstract Background Chronic visible skin diseases are highly prevalent, and patients affected frequently report feeling stigmatised. Interventions to reduce stigmatisation are rare. Objectives This study aimed to evaluate the effectiveness of a structured short intervention in reducing stigmatising attitudes towards psoriasis in future educators. Methods The intervention consisted of four components: (1) self‐reflection, (2) education on skin diseases, (3) contact between participants and a person with psoriasis and (4) practising of knowledge via case studies. A quasi‐experimental, pre–post study design was chosen with a nonrandomized contemporaneous control group that attended regular lessons. The main outcomes were participants' desire for social distance, stereotype endorsement, illness‐related misconceptions and intended behaviour. Intervention effects were analysed using mixed repeated‐measures analysis of variance, with Bonferroni post‐hoc tests for pairwise comparisons. Results The sample consisted of 221 students attending vocational training as educators (n = 118 intervention group, n = 103 control group). While no effect of the intervention was found in social distance, small to large effect sizes were observed for intended behaviour (r = .14), illness‐related misconceptions (r = .28) and stereotype endorsement (r = .42). The intervention group reported significantly higher satisfaction with the seminar compared to the control group. Conclusions Overall, the short intervention was effective at reducing stigmatising attitudes in future educators. In perspective, revised versions could help in reducing stigmatisation in various demographics and promote patient empowerment by acknowledging and including them as experts on their own behalf. Patient or Public Contribution Patient advocate groups were consulted and involved in the superordinate destigmatization research programme and intervention.

【 授权许可】

Unknown