Designing mental health promotion campaigns: segmenting U.S. Veteran audiences to address public stigma

Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to targe...

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Published inJournal of mental health (Abingdon, England) Vol. ahead-of-print; no. ahead-of-print; pp. 1 - 7
Main Authors Karras, Elizabeth, Stokes, Cara M., Warfield, Sara C., Bossarte, Robert M.
Format Journal Article
LanguageEnglish
Published England Routledge 01.06.2024
Taylor & Francis Ltd
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Abstract Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages. This article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans. Telephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (N = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions. A final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments. This research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.
AbstractList Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages. This article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans. Telephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (  = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions. A final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments. This research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.
Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages. This article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans. Telephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (N = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions. A final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments. This research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.
BackgroundPublic stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages.AimsThis article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans.MethodsTelephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (N = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions.ResultsA final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments.ConclusionsThis research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.
Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages.BACKGROUNDPublic stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and actions. Segmentation is an evidence-based practice for their effective use; however, little data has been published on veteran segments to target with anti-stigma messages.This article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans.AIMSThis article aims to identify and describe initial typologies of stigmatizing attitudes within a group of U.S. military veterans.Telephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (N = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions.METHODSTelephone-based cross-sectional surveys were conducted with a national random sample of veterans from 2014 to 2016 (N = 2142). Stigma outcomes were measured using a brief, validated instrument used in population-based surveys of public perceptions toward people with mental illness. Cluster analysis was conducted to identify specific groupings along multiple dimensions.A final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments.RESULTSA final four-cluster solution was identified among veterans with distinct patterns of attitudes toward mental illness and include: 1) the undecided, 2) the influencer, 3) the ambivalent, and 4) the potential ally. Several strategies were also identified for designing anti-stigma messaging toward these segments.This research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.CONCLUSIONSThis research demonstrates veterans can be segmented by attitudes to target with anti-stigma campaign messages.
Author Karras, Elizabeth
Warfield, Sara C.
Stokes, Cara M.
Bossarte, Robert M.
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  surname: Bossarte
  fullname: Bossarte, Robert M.
  organization: Department of Behavioral Medicine and Psychiatry, School of Medicine, West Virginia University
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This work was authored as part of the Contributor's official duties as an Employee of the United States Government and is therefore a work of the United States Government. In accordance with 17 USC. 105, no copyright protection is available for such works under US Law..
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Snippet Public stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing beliefs and...
BackgroundPublic stigma is a significant deterrent to mental health service use for U.S. veterans. Media campaigns are often used to dispel stigmatizing...
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SubjectTerms Ambivalence
Attitudes
Campaigns
Cluster analysis
Evidence-based practice
Health services utilization
Mental disorders
Mental health
Mental health promotion
military
Polls & surveys
Public opinion
public stigma
Segmentation
Stigma
Telephone service
Veterans
Title Designing mental health promotion campaigns: segmenting U.S. Veteran audiences to address public stigma
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