Effects of the Mental Health Supporter Training Program on mental health‐related public stigma among Japanese people: A pretest/posttest study

M. Iida, Utako Sawada, Kentaro Usuda, Megumi Hazumi, Emi Okazaki, Kanako Ogura, M. Kataoka, N. Sasaki, Yasutaka Ojio, Asami Matsunaga, Ikue Umemoto, Miyuki Makino, Ayako Nakashita, Chiaki Kamikawa, Naoaki Kuroda, Hironori Kuga, Chiyo Fujii, Daisuke Nishi
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Abstract

The Mental Health Supporter Training Program is a national project conducted in Japan. This study aimed to determine the effects on mental health‐related stigma, mental health literacy, and knowledge about mental health difficulties and support techniques among program participants.The target population was local residents of a wide range of generations in Japan. Outcomes were assessed at baseline (T1), immediately postintervention (T2), and at the 6‐month follow‐up (T3). A mixed model for repeated‐measures conditional growth model analyses were employed to examine the effects of the intervention over time (T1, T2, T3). We also calculated effect sizes using Cohen's d.The program had a significantly favorable pooled effect on the Japanese version of the Reported and Intended Behaviour Scale score after adjusting for covariates (reported behavior [t = 3.20, p = 0.001]; intended behavior [t = 8.04, p < 0.001]). However, when compared at each time point, only intended behavior from T1 to T2 showed a significant difference (t = 8.37, p < 0.001). Significant pooled effects were found for mental health literacy (knowledge: t = 19.85, p < 0.001; attitude: t = 15.02, p < 0.001), knowledge of mental health (t = 28.04, p < 0.001), and psychological distress (t = −2.41, p = 0.016).The results suggest that the program might be effective for improving intended, but not reported, behavior in the short term and for improving mental health literacy, knowledge of mental health, and psychological distress.
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心理健康支持者培训计划对日本人中与心理健康有关的公众耻辱感的影响:前测/后测研究
心理健康支持者培训计划是日本开展的一个全国性项目。本研究旨在确定该项目对心理健康相关污名化、心理健康素养、心理健康困难相关知识以及参与者支持技巧的影响。结果分别在基线(T1)、干预后(T2)和 6 个月随访(T3)时进行评估。我们采用了重复测量条件增长模型的混合模式分析干预在不同时期(T1、T2、T3)的效果。在对共变量进行调整后,该计划对日语版 "报告行为 "和 "意向行为 "量表得分产生了显著的有利影响(报告行为[t = 3.20,p = 0.001];意向行为[t = 8.04,p < 0.001])。然而,在每个时间点进行比较时,只有从 T1 到 T2 的预期行为显示出显著差异(t = 8.37,p < 0.001)。结果表明,该计划可能会在短期内有效改善预期行为(而非报告行为),并改善心理健康素养、心理健康知识和心理困扰。
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