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Responding to experienced and anticipated discrimination (READ): anti -stigma training for medical students towards patients with mental illness - study protocol for an international multisite non-randomised controlled study

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Title: Responding to experienced and anticipated discrimination (READ): anti -stigma training for medical students towards patients with mental illness - study protocol for an international multisite non-randomised controlled study
Authors: Deb, T
Lempp, H
Bakolis, I
Vince, T
Waugh, W
Henderson, C
Thornicroft, G
Ando, S
Yamaguchi, S
Matsunaga, A
Kondo, S
Ichihashi, K
Ojio, Y
Ogawa, M
Fujii, C
Kasai, K
Candelas, A
Martin, L
Jimenez, A
Castaneda, C
Hernandez, C
De la Higuera, J
Munoz-Negro, JE
Sola, M
Garcia, R
Miguel Gota, J
Francisco Mula, J
Lopez, A
Oria, A
Cervilla, JA
Bono, A
Franco, D
Gomez, J
Jimenez, C
Dorado, R
Ingunza, E
Marquez, I
De la Vega, D
Ga-Cubillana, P
Ouali, U
Jouini, L
Zgueb, Y
Jomli, R
Nacef, F
Campbell, M
Stein, D
Harangozo, J
Ojo, TM
Ogunwale, A
Sowunmi, AO
Awhangansi, SS
Ogundapo, D
Sodiya, OT
Fadipe, B
Olagunju, AT
Erinfolami, AR
Ogunnubi, PO
Tomas, CC
Krupchanka, D
Pascucci, M
Bacle, SV
Colliez, A
Sebbane, D
Mengin, A
Vidailhet, P
Cazals, C
Ucok, A
Fiorillo, A
Sampogna, G
Savorani, M
Del Vecchio, V
Luciano, M
Borriello, G
Pocai, B
Nwaubani, P
James, Y
Tocca, A
Pattnaik, R
Chilasagaram, S
Wufang, Z
Item Type: Journal Article
Abstract: Background Stigma and discrimination are a significant public health concern and cause great distress to people with mental illness. Healthcare professionals have been identified as one source of this discrimination. In this article we describe the protocol of an international, multisite controlled study, evaluating the effectiveness of READ, an anti-stigma training for medical students towards patients with mental illness. READ aims to improve students’ ability to minimise perceived discriminatory behaviours and increase opportunities for patients, therefore developing the ability of future doctors to address and challenge mental illness related discrimination. READ includes components that medical education research has shown to be effective at improving attitudes, beliefs and understanding. Methods/design READ training was developed using evidence based components associated with changes in stigma related outcomes. The study will take place in multiple international medical schools across high, middle and low income countries forming part of the INDIGO group network, with 25 sites in total. Students will be invited to participate via email from the lead researcher at each site during their psychiatry placement, and will be allocated to an intervention or a control arm according to their local teaching group at each site. READ training will be delivered solely to the intervention arm. Standardised measures will be used to assess students’ knowledge, attitudes and skills regarding discrimination in both the intervention and control groups, at baseline and at follow up immediately after the intervention. Statistical analyses of individual-level data will be conducted using random effects models accounting for clustering within sites to investigate changes in mean or percentages of each outcome, at baseline and immediately after the intervention. Discussion This is the first international study across high, middle and low income countries, which will evaluate the effectiveness of training for medical students to respond effectively to patients’ experiences and anticipation of discrimination. The results will promote implementation of manualised training that will help future doctors to reduce the impact of mental illness related discrimination on their patients. Limitations of the study are also discussed.
Issue Date: 31-Jan-2019
Date of Acceptance: 24-Jan-2019
URI: http://hdl.handle.net/10044/1/69714
DOI: https://dx.doi.org/10.1186/s12909-019-1472-7
ISSN: 1472-6920
Publisher: BioMed Central
Journal / Book Title: BMC Medical Education
Volume: 19
Copyright Statement: © 2019 The Author(s). Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Keywords: Social Sciences
Education & Educational Research
Education, Scientific Disciplines
Stigma
Discrimination
Medical education
HEALTH-RELATED STIGMA
DEPRESSIVE DISORDER
INTERGROUP CONTACT
REDUCE PREJUDICE
HOSPITAL-CARE
PEOPLE
INTERVENTIONS
EDUCATION
EMPATHY
SCALE
INDIGO READ study group
1302 Curriculum and Pedagogy
1117 Public Health and Health Services
Medical Informatics
Publication Status: Published
Article Number: 41
Online Publication Date: 2019-01-31
Appears in Collections:Epidemiology, Public Health and Primary Care



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