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

Cori L. Tergesen, Dristy Gurung, Saraswati Dhungana, Ajay Risal, Prem Basel, Dipesh Tamrakar, Archana Amatya, Lawrence P. Park and Brandon A. Kohrt
Additional contact information
Cori L. Tergesen: Department of Psychology, DePaul University, Chicago, IL 60604, USA
Dristy Gurung: Transcultural Psychosocial Organization Nepal, Baluwatar, Kathmandu, Nepal
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
Brandon A. Kohrt: Duke Global Health Institute, Duke University, Durham, NC 27708, USA

IJERPH, 2021, vol. 18, issue 4, 1-23

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.

Keywords: attitudes; depression; developing countries; medical education; mental health; psychosis; service users; stigma (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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