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Short video interventions to reduce mental health stigma: a multi-centre randomised controlled trial in nursing high schools

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Social Psychiatry and Psychiatric Epidemiology Aims and scope Submit manuscript

Abstract

Background

We aimed to assess whether short video interventions could reduce stigma among nursing students.

Methods

A multi-centre, randomised controlled trial was conducted. Participating schools were randomly selected and randomly assigned to receive: (1) an informational leaflet, (2) a short video intervention or (3) a seminar involving direct contact with a service user. The Community Attitudes towards Mental Illness (CAMI) and Reported and Intended Behaviour Scale (RIBS) were selected as primary outcome measures. SPANOVA models were built and Cohen’s d calculated to assess the overall effects in each of the trial arms.

Results

Compared to the baseline, effect sizes immediately after the intervention were small in the flyer arm (CAMI: d = 0.25; RIBS: d = 0.07), medium in the seminar arm (CAMI: d = 0.61; RIBS: d = 0.58), and medium in the video arm (CAMI: d = 0.49 RIBS: d = 0.26; n = 237). Effect sizes at the follow-up were vanishing in the flyer arm (CAMI: d = 0.05; RIBS: d = 0.04), medium in the seminar arm (CAMI: d = 0.43; RIBS: d = 0.26; n = 254), and small in the video arm (CAMI: d = 0.22 RIBS: d = 0.21; n = 237).

Conclusion

Seminar had the strongest and relatively stable effect on students’ attitudes and intended behaviour, but the effect of short video interventions was also considerable and stable over time. Since short effective video interventions are relatively cheap, conveniently accessible and easy to disseminate globally, we recommend them for further research and development.

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Acknowledgements

We would like to express gratitude to all schools that participated in the study; to Michaela Zrnečková, Klára Čapková, Marie Galatíková and Nicola Kociánová for their help with the data collection; and to Anna Kågström for proof-reading and language corrections.

Author information

Author notes

  1. Petr Winkler and Miroslava Janoušková contributed equally.

Authors and Affiliations

  1. Department of Social Psychiatry, National Institute of Mental Health, Topolová 748, Klecany, 250 67, Czech Republic

    Petr Winkler, Miroslava Janoušková, Jiří Kožený, Jiří Pasz, Karolína Mladá, Aneta Weissová & Eva Tušková

  2. Institute of Psychiatry, Psychology and Neuroscience, King’s College London, 16 De Crespigny Park, London, SE5 8AF, UK

    Petr Winkler & Sara Evans-Lacko

  3. Personal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK

    Sara Evans-Lacko

  4. The 3rd Faculty of Medicine, Charles University, Ruská 2411/87, 100 00, Prague, Czech Republic

    Jiří Kožený

  5. Department of Social Geography and Regional Development, Faculty of Science, Charles University, Albertov 6, Prague, 128 43, Czech Republic

    Petr Winkler & Jiří Pasz

Authors
  1. Petr Winkler
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Contributions

PW and MJ led the study, contributed to its design, conducted literature search, and also wrote a substantial part of the manuscript. JK and KM conducted statistical analyses. JP, AW and ET contributed to the literature search and participated in writing the manuscript. SEL supervised the study and contributed to writing the manuscript. All authors revised previous drafts of the manuscript.

Corresponding author

Correspondence to Petr Winkler.

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Funding

This work was supported by the project number LO1611 with financial support from the Ministry of Education, Youth, and Sport under the National Program of Sustainability 1 program; and by the Norwegian Grants, project ‘Mindset: Destigmatization workshop for medical high schools’, grant number CZ.11/MGS/058.

Ethical standards

The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional guides on the care and use of laboratory animals. The study was assessed as complying with the ethical standards of the National Institute of Mental Health, Czech Republic (decision nr. 144/16).

Conflict of interest

None of the authors has a conflict of interest related to the present study.

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Winkler, P., Janoušková, M., Kožený, J. et al. Short video interventions to reduce mental health stigma: a multi-centre randomised controlled trial in nursing high schools. Soc Psychiatry Psychiatr Epidemiol 52, 1549–1557 (2017). https://doi.org/10.1007/s00127-017-1449-y

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