Effect of Contact-Based Interventions on Stigma and Discrimination: A Critical Examination of the Evidence

Contact-based interventions are commonly regarded as best practice in stigma reduction. In this Open Forum, the author used the findings from eight systematic reviews to critically evaluate the quality of the evidence for the effectiveness of such interventions. He found that trials of contact-based...

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Published inPsychiatric services (Washington, D.C.) Vol. 71; no. 7; pp. 735 - 737
Main Author Jorm, Anthony F
Format Journal Article
LanguageEnglish
Published United States American Psychiatric Association 01.07.2020
American Psychiatric Publishing, Inc
Subjects
Clinical trials
Discrimination
Humans
Intervention
Mental Disorders - therapy
Mental Health
Prejudice - prevention & control
Randomized Controlled Trials as Topic
Social Discrimination - prevention & control
Social Stigma
Stigma
Systematic review
attitudes toward mental illness
stigma
discrimination
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ISSN1075-2730
1557-9700
1557-9700
DOI10.1176/appi.ps.201900587

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Summary:Contact-based interventions are commonly regarded as best practice in stigma reduction. In this Open Forum, the author used the findings from eight systematic reviews to critically evaluate the quality of the evidence for the effectiveness of such interventions. He found that trials of contact-based interventions lacked methodological rigor, reporting was biased toward positive results, the trials were subject to demand characteristics, no dose effects were observed, effects did not last, and no evidence supported behavior change. Standards for future trials are proposed and implications for reducing stigma and discrimination are discussed.
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ISSN:1075-2730
1557-9700
1557-9700
DOI:10.1176/appi.ps.201900587