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 in | Psychiatric services (Washington, D.C.) Vol. 71; no. 7; pp. 735 - 737 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
United States
American Psychiatric Association
01.07.2020
American Psychiatric Publishing, Inc |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1075-2730 1557-9700 1557-9700 |
| DOI | 10.1176/appi.ps.201900587 |
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| Abstract | 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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| AbstractList | 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. 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.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. |
| Author | Jorm, Anthony F |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32188364$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.psychres.2017.01.008 10.1002/wps.20129 10.1177/070674371405901S05 10.1016/j.jad.2012.12.015 10.1016/j.jpsychires.2018.05.017 10.1016/j.cpr.2019.101749 10.1192/bjp.bp.114.151944 10.1136/bmj.e7586 10.1176/appi.ps.201400291 10.1002/ejsp.504 10.1016/S0140-6736(15)00298-6 10.1177/1745691617752324 10.1017/bpp.2018.25 10.1111/j.0006-341X.2000.00455.x 10.1176/appi.ps.201100529 10.1186/1471-244X-8-25 10.1097/NMD.0b013e31829480df 10.7326/M17-0046 |
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Meta-analytic tests of three mediators publication-title: Eur J Soc Psychol – volume: 63 start-page: 963 year: 2012 end-page: 973 article-title: Challenging the public stigma of mental illness: a meta-analysis of outcome studies publication-title: Psychiatr Serv – volume: 31 start-page: 19 year: 2018 end-page: 21 article-title: Preregistration becoming the norm in psychological science publication-title: Observer – volume: 72 year: 2019 article-title: Intergroup contact and mental health stigma: a comparative effectiveness meta-analysis publication-title: Clin Psychol Rev – volume: 103 start-page: 120 year: 2018 end-page: 133 article-title: Interventions to reduce stigma towards people with severe mental illness: systematic review and meta-analysis publication-title: J Psychiatr Res – volume: 103 start-page: 120 year: 2018 end-page: 133 article-title: Interventions to reduce stigma towards people with severe mental illness: systematic review and meta-analysis publication-title: J Psychiatr Res – volume: 66 start-page: 543 year: 2015 end-page: 546 article-title: Do the effects of antistigma programs persist over time? 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I. interventions among the general public publication-title: Psychiatry Res – volume: 66 start-page: 543 year: 2015 end-page: 546 article-title: Do the effects of antistigma programs persist over time? Findings from a meta-analysis publication-title: Psychiatr Serv – volume: 167 start-page: 40 year: 2017 end-page: 47 article-title: CONSORT statement for randomized trials of nonpharmacologic treatments: a 2017 update and a CONSORT extension for nonpharmacologic trial abstracts publication-title: Ann Intern Med – volume: 66 start-page: 543 year: 2015 end-page: 546 article-title: Do the effects of antistigma programs persist over time? Findings from a meta-analysis publication-title: Psychiatr Serv – volume: 59 start-page: S13 year: 2014 end-page: S18 article-title: Opening minds in Canada: targeting change publication-title: Can J Psychiatry – volume: 8 start-page: 25 year: 2008 article-title: Predictors of depression stigma publication-title: BMC Psychiatry – volume: 63 start-page: 963 year: 2012 end-page: 973 article-title: Challenging the public stigma of mental illness: a meta-analysis of outcome studies publication-title: Psychiatr Serv – volume: 201 start-page: 490 year: 2013 end-page: 503 article-title: Effects of short-term interventions to reduce mental health–related stigma in university or college students: a systematic review publication-title: J Nerv Ment Dis – volume: 13 start-page: 161 year: 2014 end-page: 175 article-title: Effectiveness of programs for reducing the stigma associated with mental disorders. a meta-analysis of randomized controlled trials publication-title: World Psychiatry – volume: 387 start-page: 1123 year: 2016 end-page: 1132 article-title: Evidence for effective interventions to reduce mental-health–related stigma and discrimination publication-title: Lancet – volume: 59 start-page: S13 year: 2014 end-page: S18 article-title: Opening minds in Canada: targeting change publication-title: Can J Psychiatry – volume: 207 start-page: 377 year: 2015 end-page: 384 article-title: Evidence for effective interventions to reduce mental health–related stigma and discrimination in the medium and long term: systematic review publication-title: Br J Psychiatry – volume: 201 start-page: 490 year: 2013 end-page: 503 article-title: Effects of short-term interventions to reduce mental health–related stigma in university or college students: a systematic review publication-title: J Nerv Ment Dis – volume: 38 start-page: 922 year: 2008 end-page: 934 article-title: How does intergroup contact reduce prejudice? Meta-analytic tests of three mediators publication-title: Eur J Soc Psychol – ident: B11 doi: 10.1016/j.psychres.2017.01.008 – ident: B8 doi: 10.1002/wps.20129 – volume-title: The Nature of Prejudice year: 1954 ident: B1 – ident: B4 doi: 10.1177/070674371405901S05 – ident: B3 doi: 10.1016/j.jad.2012.12.015 – ident: B12 doi: 10.1016/j.jpsychires.2018.05.017 – ident: B13 doi: 10.1016/j.cpr.2019.101749 – volume: 31 start-page: 19 year: 2018 ident: B16 publication-title: Observer – ident: B10 doi: 10.1192/bjp.bp.114.151944 – ident: B14 doi: 10.1136/bmj.e7586 – ident: B9 doi: 10.1176/appi.ps.201400291 – ident: B19 doi: 10.1002/ejsp.504 – ident: B5 doi: 10.1016/S0140-6736(15)00298-6 – ident: B18 doi: 10.1177/1745691617752324 – ident: B20 doi: 10.1017/bpp.2018.25 – ident: B17 doi: 10.1111/j.0006-341X.2000.00455.x – ident: B6 doi: 10.1176/appi.ps.201100529 – ident: B2 doi: 10.1186/1471-244X-8-25 – ident: B7 doi: 10.1097/NMD.0b013e31829480df – ident: B15 doi: 10.7326/M17-0046 – reference: 32605508 - Psychiatr Serv. 2020 Jul 1;71(7):738-739 – reference: 33256526 - Psychiatr Serv. 2020 Dec 1;71(12):1324-1325 |
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| SubjectTerms | 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 |
| Title | Effect of Contact-Based Interventions on Stigma and Discrimination: A Critical Examination of the Evidence |
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