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Impact of Service User Video Presentations on Explicit and Implicit Stigma toward Mental Illness among Medical Students in Nepal: A Randomized Controlled Trial

Author

Listed:
  • Cori L. Tergesen

    (Department of Psychology, DePaul University, Chicago, IL 60604, USA
    Duke Global Health Institute, Duke University, Durham, NC 27708, USA)

  • Dristy Gurung

    (Transcultural Psychosocial Organization Nepal, Baluwatar, Kathmandu, Nepal
    Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, London SE5 8AF, UK)

  • Saraswati Dhungana

    (Institute of Medicine, Tribhuvan University, Kathmandu, Nepal)

  • Ajay Risal

    (Department of Psychiatry, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal)

  • Prem Basel

    (Institute of Medicine, Tribhuvan University, Kathmandu, Nepal)

  • Dipesh Tamrakar

    (Department of Psychiatry, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal)

  • Archana Amatya

    (Save the Children, Kathmandu, Nepal)

  • Lawrence P. Park

    (Duke Global Health Institute, Duke University, Durham, NC 27708, USA
    Infectious Disease Division, Department of Medicine, Duke University Medical Center, Durham, NC 27708, USA)

  • Brandon A. Kohrt

    (Duke Global Health Institute, Duke University, Durham, NC 27708, USA
    Transcultural Psychosocial Organization Nepal, Baluwatar, Kathmandu, Nepal
    Division of Global Mental Health, Department of Psychiatry, George Washington University, Washington, DC 20037, USA)

Abstract

This study evaluated the impact of didactic videos and service user testimonial videos on mental illness stigma among medical students. Two randomized controlled trials were conducted in Nepal. Study 1 examined stigma reduction for depression. Study 2 examined depression and psychosis. Participants were Nepali medical students (Study 1: n = 94, Study 2: n = 213) randomized to three conditions: a didactic video based on the mental health Gap Action Programme (mhGAP), a service user video about living with mental illness, or a control condition with no videos. In Study 1, videos only addressed depression. In Study 2, videos addressed depression and psychosis. In Study 1, both didactic and service user videos reduced stigma compared to the control. In Study 2 (depression and psychosis), there were no differences among the three arms. When comparing Study 1 and 2, there was greater stigma reduction in the service user video arm with only depression versus service user videos describing depression and psychosis. In summary, didactic and service user videos were associated with decreased stigma when content addressed only depression. However, no stigma reduction was seen when including depression and psychosis. This calls for considering different strategies to address stigma based on types of mental illnesses. ClinicalTrials.gov identifier: NCT03231761.

Suggested Citation

  • Cori L. Tergesen & Dristy Gurung & Saraswati Dhungana & Ajay Risal & Prem Basel & Dipesh Tamrakar & Archana Amatya & Lawrence P. Park & Brandon A. Kohrt, 2021. "Impact of Service User Video Presentations on Explicit and Implicit Stigma toward Mental Illness among Medical Students in Nepal: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(4), pages 1-23, February.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:4:p:2143-:d:503838
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    References listed on IDEAS

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    1. Noor Ahmed Giasuddin & Itzhak Levav & Gilad Gal, 2015. "Mental health stigma and attitudes to psychiatry among Bangladeshi medical students," International Journal of Social Psychiatry, , vol. 61(2), pages 137-147, March.
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    5. Kohrt, Brandon A. & Turner, Elizabeth L. & Rai, Sauharda & Bhardwaj, Anvita & Sikkema, Kathleen J. & Adelekun, Adesewa & Dhakal, Manoj & Luitel, Nagendra P. & Lund, Crick & Patel, Vikram & Jordans, Ma, 2020. "Reducing mental illness stigma in healthcare settings: Proof of concept for a social contact intervention to address what matters most for primary care providers," Social Science & Medicine, Elsevier, vol. 250(C).
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    Cited by:

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    2. Eiichi Nakanishi & Masahiro Tamachi & Takeshi Hashimoto, 2022. "Effectiveness of a Co-Production with Dialogue Program for Reducing Stigma against Mental Illness: A Quasi-Experimental Study with a Pre- and Post-Test Design," IJERPH, MDPI, vol. 19(21), pages 1-12, November.
    3. Anvita Bhardwaj & Dristy Gurung & Sauharda Rai & Bonnie N. Kaiser & Cori L. Cafaro & Kathleen J. Sikkema & Crick Lund & Nagendra P. Luitel & Brandon A. Kohrt, 2022. "Treatment Preferences for Pharmacological versus Psychological Interventions among Primary Care Providers in Nepal: Mixed Methods Analysis of a Pilot Cluster Randomized Controlled Trial," IJERPH, MDPI, vol. 19(4), pages 1-17, February.

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