Skip to main content
×
×
Home

Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach

  • P. K. Maulik (a1) (a2), S. Devarapalli (a1), S. Kallakuri (a1), A. Tewari (a1), S. Chilappagari (a1), M. Koschorke (a3) and G. Thornicroft (a3)...
Abstract
Background

Stigma related to mental health is a major barrier to help-seeking resulting in a large treatment gap in low- and middle-income countries (LMIC). This study assessed changes in knowledge, attitude and behaviour, and stigma related to help-seeking among participants exposed to an anti-stigma campaign.

Method

The campaign, using multi-media interventions, was part of the SMART Mental Health Project, conducted for 3 months, across 42 villages in rural Andhra Pradesh, in South India. Mixed-methods evaluation was conducted in two villages using a pre-post design.

Results

A total of 1576 and 2100 participants were interviewed, at pre- and post-intervention phases of the campaign. Knowledge was not increased. Attitudes and behaviours improved significantly (p < 0.01). Stigma related to help-seeking reduced significantly (p < 0.05). Social contact and drama were the most beneficial interventions identified during qualitative interviews.

Conclusion

The results showed that the campaign was beneficial and led to improvement of attitude and behaviours related to mental health and reduction in stigma related to help-seeking. Social contact was the most effective intervention. The study had implications for future research in LMIC.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach
      Available formats
      ×
Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
*Address for correspondence: Dr P. K. Maulik George Institute for Global Health India, 219–221 Splendor Forum, Jasola, New Delhi 110025, India. (Email: pmaulik@georgeinstitute.org.in)
References
Hide All
Bulanda, JJ, Bruhn, C, Byro-Johnson, T, Zentmyer, M (2014). Addressing mental health stigma among young adolescents: evaluation of a youth-led approach. Health & Social Work 39, 7380.
Clement, S, Brohan, E, Jeffery, D, Henderson, C, Hatch, SL, Thornicroft, G (2012). Development and psychometric properties the Barriers to Access to Care Evaluation scale (BACE) related to people with mental ill health. BMC Psychiatry 12, 36.
Clement, S, Schauman, O, Graham, T, Maggioni, F, Evans-Lacko, S, Bezborodovs, N, Morgan, C, Rüsch, N, Brown, JS, Thornicroft, G (2015). What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine 45, 1127.
Corrigan, PW, Morris, SB, Michaels, PJ, Rafacz, JD, Rüsch, N (2012). Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services 63, 963973.
Goffman, E (1963). Stigma: Notes on the Management of Spoiled Identity. Prentice-Hall: New York.
Hanson, WE, Creswell, JW, Clark, VLP, Petska, KS, Creswell, JD (2005). Mixed methods research designs in counseling psychology. Journal of Counseling Psychology 52, 224235.
Hashimoto, N, Fujisawa, D, Giasuddin, NA, Kenchaiah, BK, Narmandakh, A, Dugerragchaa, K, Tamrakar, SM, Adhikari, SR, Sartorius, N (2015). Pathways to mental health care in Bangladesh, India, Japan, Mongolia, and Nepal. Asia Pacific Journal of Public Health 27, NP1847–57.
Institute of Psychiatry, King's College London (2011). Barriers to Access to Care Evaluation – Treatment Stigma Subscale (BACE-TS version 3). Institute of Psychiatry: London.
Lund, C, Tomlinson, M, De Silva, M, Fekadu, A, Shidhaye, R, Jordans, M, Petersen, I, Bhana, A, Kigozi, F, Prince, M, Thornicroft, G, Hanlon, C, Kakuma, R, McDaid, D, Saxena, S, Chisholm, D, Raja, S, Kippen-Wood, S, Honikman, S, Fairall, L, Patel, V (2012). PRIME: a programme to reduce the treatment gap for mental disorders in five low- and middle-income countries. PLoS Medicine 9, e1001359.
Maulik, PK, Devarapalli, S, Kallakuri, S, Praveen, D, Jha, V, Patel, A (2015). Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health Programme for providing innovative mental health care in rural communities in India. Global Mental Health 2, e13.
Maulik, PK, Tewari, A, Devarapalli, S, Kallakuri, S, Patel, A (2016). The Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health Project: development and testing of electronic decision support system and formative research to understand perceptions about mental health in rural India. PLoS ONE 11: e0164404.
Ministry of Tribal Affairs, Government of India (2014). Report of the High Level Committee on Socio-economic, Health and Educational Status of Tribal Communities of India. Government of India: New Delhi.
NVivo (2010). NVivo qualitative data analysis Software, Version 9, QSR International Pty Ltd.
SAS (2016) SAS/STAT Version 9.04. SAS Institute Inc., Cary, NC, USA.
Semrau, M, Evans-Lacko, S, Koschorke, M, Ashenafi, L, Thornicroft, G (2015). Stigma and discrimination related to mental illness in low- and middle-income countries. Epidemiology and Psychiatric Sciences 24, 382394.
Thornicroft, G (2008). Stigma and discrimination limit access to mental health care. Epidemiologia e Psichiatria Sociale 17, 1419.
Thornicroft, G, Mehta, N, Clement, S, Evans-Lacko, S, Doherty, M, Rose, D, Koschorke, M, Shidhaye, R, O'Reilly, C, Henderson, C (2016). Evidence for effective interventions to reduce mental-health-related stigma and discrimination. Lancet 387, 11231132.
Thornicroft, G, Rose, D, Kassam, A, Sartorius, N (2007). Stigma: ignorance, prejudice or discrimination? British Journal of Psychiatry 190, 192193.
von Elm, E, Altman, DG, Egger, M, Pocock, SJ, Gotzsche, PC, Vandenbroucke, JP (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. PLoS Medicine 4, e296.
WHO (2001). The World Health Report 2001- Mental Health: New Understanding, New Hope. World Health Organization: Geneva, Switzerland.
WHO (2013). Mental Health Action Plan 2013–2020. World Health Organization: Geneva, Switzerland. 2013. (http://apps.who.int/iris/bitstream/10665/89966/1/9789241506021_eng.pdf?ua=1). Accessed 22 May 2016.
WHO World Mental Health Survey Consortium (2004). Prevalence, Severity, and Unmet Need for Treatment of Mental Disorders in the World Health Organization World Mental Health Surveys. Journal of American Medical Association 291, 25812590.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Type Description Title
WORD
Supplementary materials

Maulik supplementary material
Tables S1-S5

 Word (29 KB)
29 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed