Reducing depression‐related stigma and increasing treatment seeking among adolescents: randomized controlled trial of a brief video intervention

D Amsalem, A Martin - Journal of Child Psychology and …, 2022 - Wiley Online Library
D Amsalem, A Martin
Journal of Child Psychology and Psychiatry, 2022Wiley Online Library
Background Confronting stigma early in life could enhance receptivity to seeking treatment.
We evaluated the efficacy of social contact interventions to reduce stigma toward depression
and to enhance treatment‐seeking intentions among adolescents. We hypothesized that the
brief video‐based interventions would be more effective than their matched controls. Method
Using crowdsourcing, we recruited and randomly assigned 1,183 participants aged 14–18
to one of four video‐based stimuli on a 4: 4: 1: 1 ratio:(a) adolescent girl with depression;(b) …
Background
Confronting stigma early in life could enhance receptivity to seeking treatment. We evaluated the efficacy of social contact interventions to reduce stigma toward depression and to enhance treatment‐seeking intentions among adolescents. We hypothesized that the brief video‐based interventions would be more effective than their matched controls.
Method
Using crowdsourcing, we recruited and randomly assigned 1,183 participants aged 14–18 to one of four video‐based stimuli on a 4:4:1:1 ratio: (a) adolescent girl with depression; (b) adolescent boy with depression; (c) same girl, without depression; or (d) same boy, without depression. In each of the ~100‐second‐long videos, two simulated patients (SPs) depicted empowered presenters sharing their personal stories. In the depression conditions, SPs described how social support from family, friends, and professionals helped them overcome their symptoms and recover.
Results
We found a significant effect for the Depression Stigma Scale (DSS) between active and control groups (F = 27.4, p < .001). We found a significant increase in treatment‐seeking intentions, as measured by the General Help‐Seeking Questionnaire (GHSQ; p < .001). Secondary analyses revealed that racial (but not gender) congruence between protagonists and participants resulted in greater stigma reduction and treatment seeking, as compared to racially incongruent pairings (t = 2.9, p = .004).
Conclusion
A brief video‐based intervention effectively reduced stigma toward depression and increased treatment seeking among adolescents. Favorable changes were greater when race (but not gender) was congruent between protagonists and participants. Future studies should explore how to optimize brief contact‐based interventions according to adolescents’ race and ethnicity and how to scale such interventions to novel online platforms of dissemination.
Wiley Online Library
以上显示的是最相近的搜索结果。 查看全部搜索结果