Impact, feasibility, and acceptability of CREATORS: An arts-based pilot intervention to reduce mental-health-related stigma among youth in Hyderabad, India

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2024-07-19 DOI:10.1016/j.ssmmh.2024.100339
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Abstract

Background

Mental-health-related stigma prevents youth from seeking help for mental health problems. Limited studies in low- and middle-income countries assess the effect of arts-based education in reducing such stigma among youth, thereby leaving a gap in evidence-based, age- and culturally-appropriate interventions.

Objective

To evaluate the impact, feasibility, and acceptability of CREATORS, an arts-based educational program on reducing mental-health-related stigma among youth in India.

Methods

We conducted a mixed-methods, pre-post control group study among college-going adolescents in Hyderabad, India. At baseline and post-intervention (after six weeks), we examined differences in intended behavior towards people with mental health problems.

Results

Our study involved 432 participants across three study groups: participants creating art on the theme of mental-health-related stigma over six weeks (n = 123), a student audience viewing 2-h arts show by participants (n = 244), and a control group (n = 65). Between baseline and post-test, participants creating art showed significantly lower stigma towards people with mental health problems compared to members of the control group (coefficient = 1.55, 95%CI 0.06–3.04, p = 0.041). Participants found the intervention useful and enjoyable (>95%; n = 773 across six weeks). Participants identified that collaborative creation of art made the subject of mental health interesting and relatable.

Conclusions

Participating in an arts-based educational program was associated with significantly lower mental-health-related stigma among youth compared to a control group in the short term. High acceptability of the program demonstrates the utility of arts-based education to address mental-health-related stigma. With community partners and artists as facilitators, our program may support mental health specialists in mental health promotion.

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CREATORS 的影响、可行性和可接受性:基于艺术的试点干预措施,减少印度海得拉巴青少年中与心理健康有关的污名化现象
背景与心理健康有关的耻辱感阻碍了青少年寻求心理健康问题的帮助。在低收入和中等收入国家,对基于艺术的教育在减少青少年心理健康相关污名方面的效果进行评估的研究非常有限,因此在基于证据的、适合不同年龄和文化的干预措施方面存在空白。结果我们的研究涉及三个研究小组的 432 名参与者:参与者在六周内创作以心理健康相关污名为主题的艺术作品(人数 = 123),学生观众观看参与者表演的 2 小时艺术表演(人数 = 244),以及对照组(人数 = 65)。在基线和后测期间,与对照组相比,艺术创作参与者对心理健康问题患者的成见明显减少(系数 = 1.55,95%CI 0.06-3.04,p = 0.041)。参与者认为干预有用且令人愉快(>95%; n = 773,为期六周)。结论与对照组相比,参加艺术教育项目能在短期内显著降低青少年与心理健康相关的耻辱感。该计划的高接受度证明了艺术教育在解决心理健康相关污名化问题上的实用性。有了社区合作伙伴和艺术家的协助,我们的项目可以支持心理健康专家促进心理健康。
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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
118 days
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