Michelle Funk, Natalie Drew Bold, Charity Muturi, Ledia Lazeri, Olga Kalina, Carmen Martinez-Viciana, Debra Machando, Mauro Giovanni Carta, Gemma F Parojinog, Simon Njuguna Kahonge, Sebnem Avşar Kurnaz, Melita Murko, Celline Cole, Layal Al Hanna, Emily McLoughlin, Magdalena Casamitjana Aguilà, Akwasi Osei, Jacob Shamuyarira, Alessandra Perra, Guadalupe Morales Cano, Zvjezdana Stjepanović, Simon Vasseur Bacle, Slađana Štrkalj-Ivezić, Ivana Svobodová, Gerli Sirk, Maria Francesca Moro
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To achieve this, efforts must focus on changing the attitudes that perpetuate stigma and discrimination against individuals with mental health conditions, as well as psychosocial, intellectual and cognitive disabilities. The World Health Organization (WHO) QualityRights e-training on mental health, recovery and community inclusion is tackling these issues in several countries; however, its global impact has yet to be evaluated.</p><p><strong>Aims: </strong>This study aims to assess the changes in attitudes following the completion of the WHO QualityRights e-training in countries worldwide.</p><p><strong>Method: </strong>Data from 3026 participants were analysed in this pre-post intervention study. Changes in scores on the WHO QualityRights Attitudes questionnaire were evaluated with the paired <i>t</i>-test and Wilcoxon signed-rank test.</p><p><strong>Results: </strong>The mean differences from baseline to post-training on the WHO QualityRights Attitudes questionnaire were 9.91 (95% CI 9.58-10.24, <i>d</i> = 1.07) for the total sample, 8.95 (95% CI 8.59-9.31, <i>d</i> = 0.99) for the high-income countries sample; and 12.75 (95% CI 12.03-13.47, <i>d</i> = 1.33) for the low- and middle-income countries sample. 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引用次数: 0
摘要
背景：迫切需要解决精神卫生保健质量差和精神卫生系统和社区内侵犯人权的问题。为实现这一目标，必须努力改变对精神健康状况患者以及社会心理、智力和认知残疾患者的污名化和歧视态度。世界卫生组织（世卫组织）关于心理健康、康复和社区包容的质量权利电子培训正在若干国家解决这些问题；然而，其全球影响还有待评估。目的：本研究旨在评估在世界各国完成世卫组织质量权利电子培训后态度的变化。方法：在这项干预前后研究中，分析了来自3026名参与者的数据。采用配对t检验和Wilcoxon符号秩检验评估WHO质量权利态度问卷得分的变化。结果：世卫组织质量权利态度问卷从基线到培训后的平均差异为：总样本为9.91 (95% CI 9.58-10.24, d = 1.07)，高收入国家样本为8.95 (95% CI 8.59-9.31, d = 0.99)；低收入和中等收入国家的样本为12.75 （95% CI 12.03-13.47, d = 1.33）。这些发现表明，参与者在完成电子培训后，对有心理健康状况和社会心理、智力和认知障碍的个体的负面态度有所减少。结论：本研究表明，世卫组织质量权利电子培训在减少对精神健康状况和社会心理、智力和认知障碍患者的负面态度方面具有积极而重大的影响，并有助于减少污名化，并与基于权利的方法更加一致。这些发现支持扩大世卫组织质量权利电子培训规划。
Breaking stigma, discrimination and promoting rights: global evaluation of the World Health Organization QualityRights e-training on mental health, recovery and community inclusion.
Background: There is an urgent need to address the poor quality of mental healthcare and human rights violations within mental health systems and communities. To achieve this, efforts must focus on changing the attitudes that perpetuate stigma and discrimination against individuals with mental health conditions, as well as psychosocial, intellectual and cognitive disabilities. The World Health Organization (WHO) QualityRights e-training on mental health, recovery and community inclusion is tackling these issues in several countries; however, its global impact has yet to be evaluated.
Aims: This study aims to assess the changes in attitudes following the completion of the WHO QualityRights e-training in countries worldwide.
Method: Data from 3026 participants were analysed in this pre-post intervention study. Changes in scores on the WHO QualityRights Attitudes questionnaire were evaluated with the paired t-test and Wilcoxon signed-rank test.
Results: The mean differences from baseline to post-training on the WHO QualityRights Attitudes questionnaire were 9.91 (95% CI 9.58-10.24, d = 1.07) for the total sample, 8.95 (95% CI 8.59-9.31, d = 0.99) for the high-income countries sample; and 12.75 (95% CI 12.03-13.47, d = 1.33) for the low- and middle-income countries sample. These findings indicate that participants, after completing the e-training, showed a decrease in negative attitudes toward individuals with mental health conditions and psychosocial, intellectual and cognitive disabilities.
Conclusions: This study suggests that the WHO QualityRights e-training has a positive, large effect in reducing negative attitudes toward individuals with mental health conditions and psychosocial, intellectual and cognitive disabilities, and can contribute to reduced stigma and greater alignment with rights-based approaches. These findings support the scale-up of the WHO QualityRights e-training programme.
期刊介绍：
Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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