Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study

Pilot and Feasibility Studies

Study Protocol

Petra C. Gronholm¹  Graham Thornicroft¹  Elaine Brohan²  Charlotte Hanlon³  Claire Henderson⁴  Heidi Lempp⁵  Uta Ouali⁶  Ioannis Bakolis⁷  Bezawit Ketema⁸  Tesfahun Mulatu⁸  Eshetu Girma⁸  Nada Berbeche⁹  Yosra Zgueb^1,10  Amanpreet Kaur^1,11  Sudha Kallakuri^1,11  Pallab K. Maulik^1,12  Renee Romeo^1,13  Gurucharan Mendon^1,14  Santosh Loganathan^1,14  Anish Cherian^1,14  Rahul Kodihalli Venkatesh^1,14  Ning Ma^1,15  Wufang Zhang^1,15  Jie Li^1,16  Dristy Gurung^1,17  Kalpana Bhattarai^1,17 

[1] Centre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park Box, SE5 8AF, London, UK;Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park, SE5 8AF, London, UK;Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park, SE5 8AF, London, UK;Department of Psychiatry, WHO Collaborating Centre for Mental Health Research and Capacity-building, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia;Centre for Implementation Science, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park Box, SE5 8AF, London, UK;South London and Maudsley NHS Foundation Trust, Denmark Hill, SE5 8AZ, London, UK;Centre for Rheumatic Diseases, Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences & Medicine, Weston Education Centre, 10, Cutcombe Rd, SE5 9RJ, London, UK;Department Psychiatry A, Razi University Hospital, Cité des Orangers, 2010, La Manouba, Tunisia;Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UK;Department of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia;Department of Psychology, Laboratory of Clinical Psychology: Intersubjectivity and Culture, University of Tunis, Tunis, Tunisia;Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia;George Institute for Global Health, 308 Elegance Tower, 110025, New Delhi, India;George Institute for Global Health, 308 Elegance Tower, 110025, New Delhi, India;Faculty of Medicine, University of New South Wales, Sydney, Australia;King’s Health Economics, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, De Crespigny Park Box, SE5 8AF, London, UK;National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India;Peking University Sixth Hospital (Institute of Mental Health), National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Ministry of Health (Peking University, No 51, Huayuanbei Road, Haidian District, 100191, Beijing, China;The Affiliated Brain Hospital of Guangzhou Medical University, No. 36 Mingxin Road, Liwan District, 510370, Guangzhou, China;Transcultural Psychosocial Organization (TPO), Kathmandu, Nepal;

关键词: Stigma;    Discrimination;    Training;    Health professionals;    Mental health care;    Objective structured Clinical examination;    Health advocacy;   

DOI  :  10.1186/s40814-022-01208-8

 received in 2022-03-18, accepted in 2022-10-13,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundMental health and other health professionals working in mental health care may contribute to the experiences of stigma and discrimination among mental health service users but can also help reduce the impact of stigma on service users. However, few studies of interventions to equip such professionals to be anti-stigma agents took place in high-income countries. This study assesses the feasibility, potential effectiveness and costs of Responding to Experienced and Anticipated Discrimination training for health professionals working in mental health care (READ-MH) across low- and middle-income countries (LMICs).MethodsThis is an uncontrolled pre-post mixed methods feasibility study of READ-MH training at seven sites across five LMICs (China, Ethiopia, India, Nepal and Tunisia). Outcome measures: knowledge based on course content, attitudes to working to address the impact of stigma on service users and skills in responding constructively to service users’ reports of discrimination. The training draws upon the evidence bases for stigma reduction, health advocacy and medical education and is tailored to sites through situational analyses. Its content, delivery methods and intensity were agreed upon through a consensus exercise with site research teams. READ-MH will be delivered to health professionals working in mental health care immediately after baseline data collection; outcome measures will be collected post-training and 3 months post-baseline, followed by qualitative data collection analysed using a combined deductive and inductive approach. Fidelity will be rated during the delivery of READ-MH, and data on training costs will be collected. Quantitative data will be assessed using generalised linear mixed models. Qualitative data will be evaluated by thematic analysis to identify feedback about the training methods and content, including the implementability of the knowledge and skills learned. Pooled and site-specific training costs per trainee and per session will be reported.ConclusionsThe training development used a participatory and contextualised approach. Evaluation design strengths include the diversity of settings, the use of mixed methods, the use of a skills-based measure and the knowledge and attitude measures aligned to the target population and training. Limitations are the uncertain generalisability of skills performance to routine care and the impact of COVID-19 restrictions at several sites limiting qualitative data collection for situational analyses.

【 授权许可】

CC BY   
© The Author(s) 2022