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Structural stigma in healthcare: A novel eLearning course.

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A new eLearning course effectively reduced structural stigma in healthcare settings for individuals with Mental Health and Substance Use (MHSU) challenges. The training improved participants' knowledge and skills, promoting more equitable care.

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Area of Science:

  • Healthcare Equity
  • Medical Education
  • Public Health Interventions

Background:

  • Discrimination against individuals with Mental Health and Substance Use (MHSU) challenges negatively impacts healthcare access and quality.
  • Existing anti-stigma interventions often fall short in addressing systemic issues within healthcare.
  • Structural stigma, embedded in policies and practices, perpetuates health disparities for MHSU populations.

Purpose of the Study:

  • To co-design, implement, and evaluate a novel eLearning course focused on dismantling structural stigma in healthcare.
  • To enhance healthcare professionals' and leaders' understanding and ability to address structural stigma.
  • To foster reflection and evidence-informed strategies for recognizing and mitigating stigma in healthcare contexts.

Main Methods:

  • A diverse group of healthcare system leaders, influencers, and professionals (n=528) participated in the co-designed eLearning course.
  • The course utilized interactive web-based modules to promote learning about structural stigma.
  • Pre- and post-evaluation data were collected and analyzed using descriptive statistics and paired t-tests.

Main Results:

  • The eLearning course was perceived as highly relevant and useful by participants.
  • Participants reported enhanced knowledge and skills related to identifying and addressing structural stigma.
  • The intervention demonstrated potential for sustained educational and practice-based improvements.

Conclusions:

  • A web-based interactive eLearning course is an accessible and effective tool for combating structural stigma in healthcare.
  • This educational approach can challenge learners' beliefs and assumptions, leading to improved attitudes and practices.
  • The intervention holds promise for improving health equity for individuals facing Mental Health and Substance Use challenges.