From: Stigma in health facilities: why it matters and how we can change it
First author, publication year, country, health condition | Intervention population, sample size | Stigma reduction approaches, duration | Brief intervention description | Stigma drivers targeted | Evaluation methods, quality score, effect on stigma |
---|---|---|---|---|---|
Aggarwal [103], 2013, USA, MI | Students, 250 | PL, C; 2 h | Panel presentation and discussion | Attitudes, knowledge of stigma | QE/NC, 14/27, decreased |
Bamgbade [104], 2017, USA, MI | Students, 120 | I, PL, C; 2.5 h over 2 days | Presentations, videos, discussion and active-learning exercises | Attitudes, fear, knowledge of condition, knowledge of stigma | QE/NC, 15/27, decreased |
Bamgbade [105], 2016, USA, MI | Students, 120 | I, PL, C; 2.5 h over 2 days | Presentations, videos, discussion and active-learning exercises | Attitudes, knowledge of condition, knowledge of stigma | QE/NC, 16/27, mixed |
Batey [74], 2016, USA, HIV | HCPs and PLHIV, 38 | I, SB, PL, C, E; 1.5 day | Workshop | HCPs: attitudes, fear, knowledge of stigmaPLHIV: coping | QE/NC and qualitative, 13/27, mixed |
Beaulieu [106], 2017, Canada, MI | HCPs, 111 | I, PL, C; 3 3.5-h sessions over 2 months | Training modules led by consumer | Unclear | RCT, 22/27, Mixed |
Bingham [107], 2018, New Zealand, MI | Students, 45 | SB, PL, C; 12 h over 3 weeks | Guided clinical practice and discussion focused on attitudes and beliefs | Attitudes, fear, ability to manage condition | QE/NC, 10/27, mixed |
Clarke [71], 2015, UK, MI | HCPs, 100 | I, SB; 2 days over 2 weeks | Workshop | Attitudes, knowledge of condition, ability to manage condition | RCT and qualitative, 18/27, mixed |
Economou [108], 2017, Greece, MI | Students, 678 | I, SB, C; 120 h over 4 weeks | Lectures and clinical placement | Knowledge of condition, ability to manage condition, unclear | QE/NC, 18/27, decreased |
Feeney [65], 2013, Ireland, substance abuse | Students, 119 | SB, PL, C; 6 weeks | Clinic posting, patient presentations, discussion, assignments | Knowledge of condition, ability to manage condition | RCT and qualitative, 20/27, decreased |
Fernandez [66], 2016, Malaysia, MI | Students, 102 | I, PL, C; 3 h | Lecture, video or face-to-face presentation, discussion | Fear, knowledge of condition, knowledge of stigma | RCT, 17/27, decreased |
Flanagan [67], 2016, USA, MI, substance abuse | HCPs, 27 | C, PL; 1 h | Multimedia in-person performance by people living with a mental disorder | Fear, knowledge of stigma | RCT, 20/27, decreased |
Friedrich [109], 2013, England, MI | Students, 1452 | I, SB, PL, C; n/a | Lecture, testimonials, discussion, role-play providing clinical care | Knowledge condition, knowledge of stigma, ability to manage condition | QE/C, 15/27, mixed |
Geibel [75], 2016, Bangladesh, HIV | HCPs, 300 | I, SB, PL; 3 days | Workshop with lectures, discussion, participatory activities, & role-play providing clinical care | Attitudes, fear, knowledge of condition, knowledge of stigma, ability to manage condition | QE/NC, 15/27, decreased |
Gulati [110], 2014, India, MI | Students, 135 | SB, C; 2 weeks | Clinic posting | Ability to manage condition | Post, with control; 16/27; mixed |
Happell [68], 2014, Australia, MI | Students, 201 | SB, C; 12 weeks | Lecture delivered by stigmatized individual | Ability to manage condition | QE/C, 14/27, decreased |
Hawke [89], 2014, Canada, MI | HCPs, students, clients, 137 | C, PL; 50 min | Video performance and discussion | Knowledge of the condition | QE/NC and qualitative, 15/27, decreased |
Iheanacho [111], 2014, Nigeria, MI | Students, 82 | I, SB, PL; 4 days | lLctures, discussions, role-play providing clinical care | Knowledge of the condition | QE/NC, 15/27, mixed |
Itzhaki [112], 2017, Israel, MI | Students, 101 | I, SB, PL, C; 70 h over academic semester | Lectures, contact w/people with mental health disorders, skill building exercised, video on coping | Fear, knowledge of condition, ability to manage condition | QE/NC, 14/27, decreased |
Jarvie [90], 2013, Canada, MI | Students, 49 | PL, C; 2.5 h | Comedy show and discussion | Unclear | QE/NC, 16/27, mixed |
Jaworsky [91], 2016, Canada, MI | Students, 67 | SB, C; 2 h | Observed provision of HIV testing with PLHIV and testimonies | Ability to manage condition | QE/NC and qualitative, 14/27, decreased |
Knaak [58], 2013, Canada, MI | HPCs and students, 58 | I, PL, C; 2 h | Pamphlet, video screening of a play, discussion | Knowledge of condition | QE/NC, 13/27, decreased |
Knaak [69], 2015, Canada, MI | HCPs, 230 | I, SB, PL, C; 1 day | Workshop with lectures, skills training and testimonials | Attitudes, knowledge of condition, ability to manage condition | QE/NC, 13/27, decreased |
Li [61], 2015, China, HIV | HCPs, 1760 | I, PL, S; 12 months | Participatory training of champions from each hospital and provided universal precaution materials | Attitudes, fear, knowledge of condition, knowledge of stigma, ability to manage condition | RCT, 21/27, decreased |
Li [62], 2013, China, HIV | HCPs, 1760 | I, PL, S; 12 months | Participatory training of champions from each hospital and provided universal precaution materials | Attitudes, fear, knowledge of condition, knowledge of stigma, ability to manage condition | RCT, 22/27, decreased |
Li [63], 2013, China, HIV | HCPs, 1760 | I, PL, S; 12 months | Participatory training of champions from each hospital and provision of universal precaution materials | Attitudes, fear, knowledge of condition, knowledge of stigma, ability to manage condition | RCT, 23/27, decreased |
Li [60], 2013, China, HIV | HCPs, 1760 | I, PL, S; 12 months | Participatory training of champions from each hospital and provided universal precaution materials | Attitudes, fear, knowledge of condition, knowledge of stigma, ability to manage condition | RCT, 24/27, decreased |
Li [63], 2013, China, HIV | HCPs, 1760 | I, PL, S; 12 months | Participatory training of champions from each hospital and provided universal precaution materials | Attitudes, fear, knowledge of condition, knowledge of stigma, ability to manage condition | RCT, 24/27, decreased |
Li [61], 2015, China, MI | HCPs, 77 | I, SB, C; 85 h | Lectures, clinical placement, | Knowledge of condition, knowledge of stigma, ability to manage condition | QE/C, 18/27, decreased |
Li [92], 2014, China, MI | HCPs, 99 | I, PL, C; 1 day | Discussion and activities | Knowledge of condition, knowledge of stigma | QE/NC, 14/27, decreased |
Lohiniva [93], 2016, Egypt, MI | HCPs, 347 | I, SB, PL, C; 25 h over 4 months | Lectures, discussions, activities, training on universal precautions | Knowledge of condition, fear, knowledge of stigma | QE/C, 15/27, decreased |
Lyons [113], 2015, Australia, MI | Students, 151 baseline, 161 follow-up | I, SB, C; 8 weeks | Lectures and clinical clerkship | Knowledge of condition, ability to manage condition | QE/NC, 15/27, decreased |
MacCarthy [114], 2013, Canada, MI | HCPs, n/a | I, SB, PL; 1 day | Live or video lectures, discussion, and role-play service provision | Knowledge of condition, ability to manage condition | QE/NC, 7/27, decreased |
Mak [72], 2015, Hong Kong, HIV | Students, 88 | I, PL, or C; 1.5 h | Lecture and interactive game or in-person sharing session lead by PLHIV | Attitudes, knowledge of condition, knowledge of stigma | QE/NC, 17/27, decreased |
Marzan-Rodriquez [115], 2016, Puerto Rico, HIV | Students, 20 | I, SB, PL; 9 h over 3 days | Lectures, discussion, activities | Attitudes, knowledge of condition, knowledge of stigma | Process and qualitative, n/a |
Michaels [116], 2014, USA, MI | HCPs, 131 | I, PL; 3 h | Discussion, activities, video performance | Knowledge of condition, knowledge of stigma | RCT, 16/27, decreased |
Morawska [117], 2013, Australia, MI, substance abuse | HPCs, educators, clients, 458 | I, SB; 2 days | Workshop | Knowledge of condition, ability to manage condition | QE/NC, 13/27, decreased |
Moxam [118], 2016, Australia, MI | Students, 79 | PL, C; 5 days | Immersive camp outside of clinical setting | Unclear | QE/C, 15/27, decreased |
Muzyk [119], 2017, USA, MI | Students, 74 | I, PL; 6 sessions over 2 weeks | Discussion-based lectures with small group activities | Attitudes, knowledge of condition, knowledge of stigma | QE/NC, 12/27, mixed |
Ng [27], 2017, Malaysia, MI | HCPs, 206 | I, C; 5 min | Video | Fear, knowledge of condition | QE/NC, 17/27, decreased |
Odeny [60], 2013, Kenya, HIV | PLHIV, 295 | S; 12 months | Integration of HIV care with primary health care services | Institutionalized procedures | Repeated cross-sectional surveys, 17/27, mixed |
Papish [70], 2013, Canada, MI | Students, 90 | I, SB, PL, C; 4 weeks | Lecture, discussion, observed clinical care provision, videos, presentations | Attitudes, knowledge of condition, ability to manage condition | RCT, 21/27, decreased |
Pulerwitz [64], 2015, Vietnam, HIV | Health facility staff, HCPs, 795 | I, SB, PL, C; 1.5–2 days | Discussion, participatory activities, universal precaution skills building, development of a code of practice | Attitudes, fear, knowledge of condition, knowledge of stigma | QE/NC, 20/27, decreased |
Shah [76], 2014, India, HIV | Students, 99 | I, PL, C; 2 h over 2 weeks | Lectures, discussion, testimony | Attitudes, fear, knowledge of condition, knowledge of stigma | QE/C and process, 17/27, decreased |
Shen [120], 2014, China, MI | Students, 325 | SB, C; 8 week | Clinical clerkship | Ability to manage condition | QE/C, 14/27, decreased |
Uebel [59], 2013, South Africa, HIV | HCPs and PLHIV, n/a | S; n/a | Integration of HIV care into primary health care | Institutionalized procedures | Process and Qualitative, n/a |
Wakeman [121], 2017, USA, substance abuse | HCPs, 149 | I, S; 1 year | Addition of services to improve care for substance abuse and an educational curriculum for providers | Knowledge about condition, unclear | QE/NC, 15/27, mixed |
Winkler [73], 2017, Czech Republic, MI | Students, 60 | I, PL, C; leaflet: n/a; in-person: 45 min; video: 7 min | Brochure, seminar discussion, or video | Attitudes, knowledge about condition, knowledge about stigma | RCT, 22/27, mixed |