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A Chinese culture-specific intervention to decrease nursing students' stigma towards schizophrenia: a pilot

Xi Chen1, Shanshan Wang1, Xiaoli Liao1

  • 1School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.

BMC Nursing
|August 29, 2025
PubMed
Summary
This summary is machine-generated.

A pilot study found that a culture-specific online intervention significantly reduced stigma among nursing students towards individuals with schizophrenia. The training improved knowledge, reduced negative attitudes, and enhanced empathy, showing feasibility and acceptability.

Keywords:
CultureNursing studentsRandomized controlled clinical trialSchizophreniaSocial stigma

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Area of Science:

  • Mental Health Nursing
  • Psychiatric Stigma Research
  • Healthcare Professional Education

Background:

  • Stigma surrounding mental illness is influenced by culture and empathy, yet interventions often overlook these factors.
  • Nursing students exhibit significant negative attitudes toward individuals with schizophrenia, impacting future care quality.
  • Addressing stigma among nursing students is crucial for improving care for schizophrenia patients.

Purpose of the Study:

  • To assess the feasibility and acceptability of a culture-specific online intervention to reduce schizophrenia stigma among nursing students.
  • To evaluate the intervention's efficacy in improving knowledge, attitudes, and empathy towards individuals with schizophrenia.

Main Methods:

  • A pilot randomized controlled trial involving 60 fourth-year nursing students.
  • An online 4-week intervention program versus a control group reading a book.
  • Utilized Knowledge about Schizophrenia Test (KAST), Mental Illness Clinicians' Attitudes Scale (MICA), Reported and Intended Behavior Scale (RIBS), and Jefferson Scale of Empathy (JSE).

Main Results:

  • The intervention was feasible and acceptable, with high attendance rates.
  • Significant improvements were observed in the experimental group for KAST, RIBS, MICA, and JSE scores post-intervention and at follow-up.
  • The control group showed no significant changes in MICA, RIBS, or JSE scores.

Conclusions:

  • A Chinese culture-specific online intervention is feasible and well-received for reducing schizophrenia stigma in nursing students.
  • The intervention effectively improved knowledge, reduced negative attitudes, and enhanced empathy.
  • This approach holds promise for improving future mental healthcare provision.