Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study
Abstract Background Mental 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 equ...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Pilot and Feasibility Studies |
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| Online Access: | https://doi.org/10.1186/s40814-022-01208-8 |
| _version_ | 1797980247732256768 |
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| author | Claire Henderson Uta Ouali Ioannis Bakolis Nada Berbeche Kalpana Bhattarai Elaine Brohan Anish Cherian Eshetu Girma Petra C. Gronholm Dristy Gurung Charlotte Hanlon Sudha Kallakuri Amanpreet Kaur Bezawit Ketema Heidi Lempp Jie Li Santosh Loganathan Pallab K. Maulik Gurucharan Mendon Tesfahun Mulatu Ning Ma Renee Romeo Rahul Kodihalli Venkatesh Yosra Zgueb Wufang Zhang Graham Thornicroft |
| author_facet | Claire Henderson Uta Ouali Ioannis Bakolis Nada Berbeche Kalpana Bhattarai Elaine Brohan Anish Cherian Eshetu Girma Petra C. Gronholm Dristy Gurung Charlotte Hanlon Sudha Kallakuri Amanpreet Kaur Bezawit Ketema Heidi Lempp Jie Li Santosh Loganathan Pallab K. Maulik Gurucharan Mendon Tesfahun Mulatu Ning Ma Renee Romeo Rahul Kodihalli Venkatesh Yosra Zgueb Wufang Zhang Graham Thornicroft |
| author_sort | Claire Henderson |
| collection | DOAJ |
| description | Abstract Background Mental 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). Methods This 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. Conclusions The 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. |
| first_indexed | 2024-04-11T05:51:31Z |
| format | Article |
| id | doaj.art-cf414d03dbf344b28d3f47bdc3f5fa2a |
| institution | Directory Open Access Journal |
| issn | 2055-5784 |
| language | English |
| last_indexed | 2024-04-11T05:51:31Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Pilot and Feasibility Studies |
| spelling | doaj.art-cf414d03dbf344b28d3f47bdc3f5fa2a2022-12-22T04:42:03ZengBMCPilot and Feasibility Studies2055-57842022-12-018111110.1186/s40814-022-01208-8Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility studyClaire Henderson0Uta Ouali1Ioannis Bakolis2Nada Berbeche3Kalpana Bhattarai4Elaine Brohan5Anish Cherian6Eshetu Girma7Petra C. Gronholm8Dristy Gurung9Charlotte Hanlon10Sudha Kallakuri11Amanpreet Kaur12Bezawit Ketema13Heidi Lempp14Jie Li15Santosh Loganathan16Pallab K. Maulik17Gurucharan Mendon18Tesfahun Mulatu19Ning Ma20Renee Romeo21Rahul Kodihalli Venkatesh22Yosra Zgueb23Wufang Zhang24Graham Thornicroft25Centre for Implementation Science, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonDepartment Psychiatry A, Razi University Hospital, Cité des OrangersDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonDepartment of Psychology, Laboratory of Clinical Psychology: Intersubjectivity and Culture, University of TunisTranscultural Psychosocial Organization (TPO)Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonNational Institute of Mental Health and Neurosciences (NIMHANS)Department of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa UniversityCentre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonTranscultural Psychosocial Organization (TPO)Centre for Global Mental Health, Health Services and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonGeorge Institute for Global HealthGeorge Institute for Global HealthDepartment of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa UniversityCentre for Rheumatic Diseases, Department of Inflammation Biology, School of Immunology and Microbial Sciences, Faculty of Life Sciences & MedicineThe Affiliated Brain Hospital of Guangzhou Medical UniversityNational Institute of Mental Health and Neurosciences (NIMHANS)George Institute for Global HealthNational Institute of Mental Health and Neurosciences (NIMHANS)Department of Preventive Medicine, School of Public Health, College of Health Sciences, Addis Ababa UniversityPeking University Sixth Hospital (Institute of Mental Health), National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Ministry of Health (Peking UniversityKing’s Health Economics, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonNational Institute of Mental Health and Neurosciences (NIMHANS)Faculty of Medicine of Tunis, University of Tunis El ManarPeking University Sixth Hospital (Institute of Mental Health), National Clinical Research Center for Mental Disorders & Key Laboratory of Mental Health, Ministry of Health (Peking UniversityCentre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonAbstract Background Mental 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). Methods This 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. Conclusions The 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.https://doi.org/10.1186/s40814-022-01208-8StigmaDiscriminationTrainingHealth professionalsMental health careObjective structured Clinical examination |
| spellingShingle | Claire Henderson Uta Ouali Ioannis Bakolis Nada Berbeche Kalpana Bhattarai Elaine Brohan Anish Cherian Eshetu Girma Petra C. Gronholm Dristy Gurung Charlotte Hanlon Sudha Kallakuri Amanpreet Kaur Bezawit Ketema Heidi Lempp Jie Li Santosh Loganathan Pallab K. Maulik Gurucharan Mendon Tesfahun Mulatu Ning Ma Renee Romeo Rahul Kodihalli Venkatesh Yosra Zgueb Wufang Zhang Graham Thornicroft 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 Stigma Discrimination Training Health professionals Mental health care Objective structured Clinical examination |
| title | Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study |
| title_full | Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study |
| title_fullStr | Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study |
| title_full_unstemmed | Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study |
| title_short | Training for mental health professionals in responding to experienced and anticipated mental health-related discrimination (READ-MH): protocol for an international multisite feasibility study |
| title_sort | training for mental health professionals in responding to experienced and anticipated mental health related discrimination read mh protocol for an international multisite feasibility study |
| topic | Stigma Discrimination Training Health professionals Mental health care Objective structured Clinical examination |
| url | https://doi.org/10.1186/s40814-022-01208-8 |
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