Measuring Beliefs and Norms About Persons With Mental Illness in Rural Uganda: A Randomized Survey Experiment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,782
- 试验地点
- 1
- 主要终点
- Social Distance
研究概览
简要总结
Survey experiment to estimate drivers of mental illness stigma
详细描述
Despite significant advances in scientific understanding of brain and substance use disorders accompanied by significant advances in treatment and improvements in prognosis, mental illness remains highly stigmatized throughout the world. Previous studies suggest that portraying mental illness as treatable can reduce negative attitudes toward persons with mental illness. This randomized controlled trial compares the effects of exposing study participants to vignettes portraying persons with untreated and symptomatic mental illness vs. treated mental illness with complete response vs. treated mental illness with relapse. It is hypothesized, based on prior work, that study participants exposed to vignettes depicting treated mental illness with completed response would have the greatest effect on reducing negative attitudes toward persons with mental illness, followed by treated mental illness with relapse and untreated and symptomatic mental illness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •all persons who considered Nyakabare Parish their primary place of residence and who were capable of providing consent
排除标准
- •minors younger than 18 years of age, with the exception of emancipated minors
- •persons who did not consider Nyakabare their primary place of residence, e.g., persons who happened to be visiting Nyakabare at the time of the survey or who owned a home in Nyakabare but spent most of their time outside the parish
- •persons with whom research staff could not communicate, e.g., due to deafness, mutism, or aphasia
- •persons with psychosis, neurological damage, acute intoxication, or other cognitive impairment (all of which were determined informally in the field by non-clinical research staff in consultation with a supervisor)
研究组 & 干预措施
V1: Control
This version of the survey questionnaire depicts a young woman with no symptoms of mental illness.
V2: Schizophrenia
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with untreated and symptomatic schizophrenia.
干预措施: Survey questionnaire (Other)
V3: Schizophrenia + Tx with Response
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with schizophrenia, successfully treated with complete response.
干预措施: Survey questionnaire (Other)
V4: Schizophrenia + Tx with Relapse
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with schizophrenia, successfully treated with partial relapse.
干预措施: Survey questionnaire (Other)
Version 5: Bipolar
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with untreated and symptomatic bipolar disorder.
干预措施: Survey questionnaire (Other)
V6: Bipolar + Tx with Response
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with bipolar disorder, successfully treated with complete response.
干预措施: Survey questionnaire (Other)
V7: Bipolar + Tx with Relapse
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with bipolar disorder, successfully treated with partial relapse.
干预措施: Survey questionnaire (Other)
V8: Depression
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with untreated and symptomatic major depressive disorder.
干预措施: Survey questionnaire (Other)
V9: Depression + Tx with Response
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with major depressive disorder, successfully treated with complete response.
干预措施: Survey questionnaire (Other)
V10: Depression + Tx with Relapse
As this is a survey experiment, the "intervention" involves random assignment to a survey questionnaire with specific wording. This version of the survey questionnaire depicts a young woman with major depressive disorder, successfully treated with partial relapse.
干预措施: Survey questionnaire (Other)
结局指标
主要结局
Social Distance
时间窗: Immediate (assessed with respect to the study participant's beliefs at a single time point, which is the time at which the survey is administered)
Willingness to have the woman portrayed in the vignette to marry into the study participant's family (single item culturally adapted instrument developed specifically for this study)
Perceived Norms about Social Distance
时间窗: Immediate (assessed with respect to the study participant's beliefs at a single time point, which is the time at which the survey is administered)
Study participant's perception of the extent to which other people would be willing to have the woman portrayed in the vignette to marry into their families (single item culturally adapted instrument developed specifically for this study)
Negative Attitudes (Attribution)
时间窗: Immediate (assessed with respect to the study participant's beliefs at a single time point, which is the time at which the survey is administered)
Personal belief that the symptoms of the woman portrayed in the vignette represent divine punishment (single item culturally adapted instrument developed specifically for this study)
Perceived Norms about Negative Attitudes (Attribution)
时间窗: Immediate (assessed with respect to the study participant's beliefs at a single time point, which is the time at which the survey is administered)
Study participant's perception of the extent to which other people believe that the symptoms of the woman portrayed in the vignette represent divine punishment (single item culturally adapted instrument developed specifically for this study)
Negative Attitudes (Shame)
时间窗: Immediate (assessed with respect to the study participant's beliefs at a single time point, which is the time at which the survey is administered)
Personal belief that the symptoms of the woman portrayed in the vignette bring shame upon her family
Perceived Norms about Negative Attitudes (Shame)
时间窗: Immediate (assessed with respect to the study participant's beliefs at a single time point, which is the time at which the survey is administered)
Study participant's perception of the extent to which other people believe that the symptoms of the woman portrayed in the vignette bring shame upon her family (single item culturally adapted instrument developed specifically for this study)
次要结局
未报告次要终点
研究者
Alexander Tsai
Associate Professor of Psychiatry
Massachusetts General Hospital