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Comparing brief video interventions to reduce public and self-stigma: Randomized control trial
Doron Amsalem1, Samantha E Jankowski1, John C Markowitz1
1New York State Psychiatric Institute and Department of Psychiatry, Columbia University Vagelos College of Physicians & Surgeons, New York, New York, USA.
Early Intervention in Psychiatry
|April 2, 2024
Summary
Brief videos effectively reduced public stigma towards individuals with psychosis. Both intervention types showed similar results, with greater impact on those unfamiliar with serious mental illness (SMI).
Area of Science:
- Psychiatry and Mental Health
- Social Psychology
- Public Health Interventions
Background:
- Public stigma against individuals with psychosis is a significant barrier to mental healthcare access and recovery.
- Brief video interventions utilizing personal narratives show promise in mitigating mental health stigma.
Purpose of the Study:
- To compare the efficacy of two brief video interventions (targeting self-stigma vs. public stigma) in reducing public stigma towards people living with psychosis.
- To investigate the influence of familiarity with serious mental illness (SMI) on the effectiveness of these interventions.
Main Methods:
- A crowdsourced sample of 1215 participants (aged 18-35) received either a self-stigma or public stigma video intervention.
- Assessments of public stigma (social distance, stereotyping, separateness, social restriction, perceived recovery) were conducted pre-intervention, post-intervention, and at 30-day follow-up.
- Statistical analyses included ANOVA and linear mixed modelling to evaluate intervention effects and the impact of familiarity with SMI.
Main Results:
- Both video interventions significantly reduced public stigma across all measured domains (p < .001), with moderate effect sizes.
- No significant difference was found between the efficacy of the self-stigma and public stigma video interventions.
- Participants unfamiliar with individuals living with SMI experienced greater stigma reduction from the public stigma video intervention.
Conclusions:
- Brief, social contact-based video interventions are effective in improving public perceptions of mental health among youth.
- Familiarity with serious mental illness (SMI) may moderate the impact of stigma reduction interventions, suggesting tailored approaches might be beneficial.
- Further research is needed to validate these findings in diverse populations and explore the interplay between self- and public stigma.
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