Adapting and piloting a social contact-based intervention to reduce mental health stigma among primary care providers: Protocol for a multi-site feasibility study

Stigma among primary care providers (PCPs) is a barrier to successful integration of mental health services in primary healthcare settings globally. Therefore, cross-culturally adaptable and feasible strategies are needed to reduce stigma among PCPs. This protocol is for a multi-site pilot study tha...

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Main Authors: Dristy Gurung (Author), Brandon A. Kohrt (Author), Syed Shabab Wahid (Author), Kalpana Bhattarai (Author), Binita Acharya (Author), Feryel Askri (Author), Bethel Ayele (Author), Ioannis Bakolis (Author), Anish Cherian (Author), Mercian Daniel (Author), Kamal Gautam (Author), Eshetu Girma (Author), Petra C. Gronholm (Author), Charlotte Hanlon (Author), Sudha Kallakuri (Author), Bezawit Ketema (Author), Heidi Lempp (Author), Jie Li (Author), Santosh Loganathan (Author), Ning Ma (Author), Jananee Magar (Author), Pallab K. Maulik (Author), Gurucharan Mendon (Author), Amani Metsahel (Author), Fethi Nacef (Author), Mani Neupane (Author), Uta Ouali (Author), Yosra Zgueb (Author), Wufang Zhang (Author), Graham Thornicroft (Author)
Format: Book
Published: Elsevier, 2023-12-01T00:00:00Z.
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100 1 0 |a Dristy Gurung  |e author 
700 1 0 |a Brandon A. Kohrt  |e author 
700 1 0 |a Syed Shabab Wahid  |e author 
700 1 0 |a Kalpana Bhattarai  |e author 
700 1 0 |a Binita Acharya  |e author 
700 1 0 |a Feryel Askri  |e author 
700 1 0 |a Bethel Ayele  |e author 
700 1 0 |a Ioannis Bakolis  |e author 
700 1 0 |a Anish Cherian  |e author 
700 1 0 |a Mercian Daniel  |e author 
700 1 0 |a Kamal Gautam  |e author 
700 1 0 |a Eshetu Girma  |e author 
700 1 0 |a Petra C. Gronholm  |e author 
700 1 0 |a Charlotte Hanlon  |e author 
700 1 0 |a Sudha Kallakuri  |e author 
700 1 0 |a Bezawit Ketema  |e author 
700 1 0 |a Heidi Lempp  |e author 
700 1 0 |a Jie Li  |e author 
700 1 0 |a Santosh Loganathan  |e author 
700 1 0 |a Ning Ma  |e author 
700 1 0 |a Jananee Magar  |e author 
700 1 0 |a Pallab K. Maulik  |e author 
700 1 0 |a Gurucharan Mendon  |e author 
700 1 0 |a Amani Metsahel  |e author 
700 1 0 |a Fethi Nacef  |e author 
700 1 0 |a Mani Neupane  |e author 
700 1 0 |a Uta Ouali  |e author 
700 1 0 |a Yosra Zgueb  |e author 
700 1 0 |a Wufang Zhang  |e author 
700 1 0 |a Graham Thornicroft  |e author 
245 0 0 |a Adapting and piloting a social contact-based intervention to reduce mental health stigma among primary care providers: Protocol for a multi-site feasibility study 
260 |b Elsevier,   |c 2023-12-01T00:00:00Z. 
500 |a 2666-5603 
500 |a 10.1016/j.ssmmh.2023.100253 
520 |a Stigma among primary care providers (PCPs) is a barrier to successful integration of mental health services in primary healthcare settings globally. Therefore, cross-culturally adaptable and feasible strategies are needed to reduce stigma among PCPs. This protocol is for a multi-site pilot study that aims to adapt and evaluate cross-cultural feasibility and acceptability of a social contact-based primary healthcare intervention in 7 sites in 5 low-and-middle-income countries. A mixed methods pilot study using an uncontrolled before-after study design will be conducted in China (Beijing, Guangzhou), Ethiopia (Sodo), India (Bengaluru, Delhi), Nepal (Syangja), and Tunisia (Testour). The intervention, entitled REducing Stigma among HealthcAre ProvidErs (RESHAPE), is a collaboration with people with lived experience of mental health conditions (PWLE), their family members, and aspirational figures (who are PCPs who have demonstrated high motivation to integrate mental health services). PWLE and their family members are trained in a participatory technique, PhotoVoice, to visually depict and narrate recovery stories. Aspirational figures conduct myth busting exercises and share their experiences treating PWLE. Outcomes among PCPs will include stigma knowledge, explicit and implicit attitudes, and mental healthcare competencies. To understand the feasibility, and acceptability of the intervention, qualitative interviews will be carried out with PWLE, family members, and aspirational figures, PhotoVoice trainers, mental health specialists co-leading the primary care trainings, and PCPs receiving mental health training. The sites will also generate evidence regarding feasibility, acceptability, recruitment, retention, fidelity, safety, and usefulness of the intervention to make further adaptations and modifications. The results will inform cross-cultural guidelines for collaboration with PWLE when conducting mental health training of primary healthcare workers. The results will be used to design future multi-site hybrid trials focusing on effectiveness and implementation. 
546 |a EN 
690 |a Developing countries 
690 |a Primary healthcare workers 
690 |a Mental health 
690 |a Stigma 
690 |a Training 
690 |a Mental healing 
690 |a RZ400-408 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n SSM - Mental Health, Vol 4, Iss , Pp 100253- (2023) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2666560323000683 
787 0 |n https://doaj.org/toc/2666-5603 
856 4 1 |u https://doaj.org/article/09d029731d2b446589c2b5f8a7dd43d4  |z Connect to this object online.