'Tell Your Story': a randomized controlled trial of an online intervention to reduce mental health stigma and increase help-seeking in refugee men with posttraumatic stress
| العنوان: | 'Tell Your Story': a randomized controlled trial of an online intervention to reduce mental health stigma and increase help-seeking in refugee men with posttraumatic stress |
|---|---|
| المؤلفون: | Yulisha Byrow, Helen Christensen, Richard A. Bryant, Tadgh McMahon, Rosanna Pajak, Angela Nickerson, Belinda J. Liddell |
| المصدر: | Psychological medicine. 50(5) |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, Refugee, Social Stigma, Psychological intervention, Intention, law.invention, Stress Disorders, Post-Traumatic, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Randomized controlled trial, law, Online intervention, Humans, 030212 general & internal medicine, Applied Psychology, Refugees, Mental health stigma, Middle Aged, Patient Acceptance of Health Care, Mental health, Help-seeking, 030227 psychiatry, Psychiatry and Mental health, Posttraumatic stress, Mental Health, New South Wales, Psychology, Internet-Based Intervention, Clinical psychology |
| الوصف: | BackgroundRefugees report elevated rates of posttraumatic stress disorder (PTSD), but are relatively unlikely to seek help for their symptoms. Mental health stigma is a key barrier to help-seeking amongst refugees. We evaluated the efficacy of an online intervention in reducing self-stigma and increasing help-seeking in refugee men.MethodsParticipants were 103 refugee men with PTSD symptoms from Arabic, Farsi or Tamil-speaking backgrounds who were randomly assigned to either receive an 11-module online stigma reduction intervention specifically designed for refugees (‘Tell Your Story’, TYS) or to a wait-list control (WLC) group. Participants completed online assessments of self-stigma for PTSD and help-seeking, and help-seeking intentions and behaviors at baseline, post-intervention, and at a 1 month follow-up.ResultsIntent-to-treat analyses indicated that, compared to the WLC, TYS resulted in significantly smaller increases in self-stigma for seeking help from post-treatment to follow-up (d = 0.42, p = 0.008). Further, participants in the TYS conditions showed greater help-seeking behavior from new sources at follow-up (B = 0.69, 95% CI 0.19–1.18, p = 0.007) than those in the WLC. The WLC showed significantly greater increases in help-seeking intentions from post-intervention to follow-up (d = 0.27, p = 0.027), relative to the TYS group.ConclusionsThis is the first investigation of a mental health stigma reduction program specifically designed for refugees. Findings suggest that evidence-based stigma reduction strategies are beneficial in targeting self-stigma related to help-seeking and increasing help-seeking amongst refugees. These results indicate that online interventions focusing on social contact may be a promising avenue for removing barriers to accessing help for mental health symptoms in traumatized refugees. |
| تدمد: | 1469-8978 0033-2917 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b17ec00831bd2d8f209d6eae4bfbaa38 https://pubmed.ncbi.nlm.nih.gov/30973115 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....b17ec00831bd2d8f209d6eae4bfbaa38 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14698978 00332917 |
|---|