Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T13:59:08.316Z Has data issue: false hasContentIssue false

Impact of the mass media OBERTAMENT campaign on the levels of stigma among the population of Catalonia, Spain

Published online by Cambridge University Press:  23 March 2020

M. Rubio-Valera*
Affiliation:
Department of Teaching and Research, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain Department of Pharmacology and Therapeutic Chemistry, School of Pharmacy, University of Barcelona, Barcelona, Spain Spanish Network for Preventive Activities and Health Promotion in Primary Care (redIAPP), Spain
A. Fernández
Affiliation:
Department of Teaching and Research, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain Spanish Network for Preventive Activities and Health Promotion in Primary Care (redIAPP), Spain
S. Evans-Lacko
Affiliation:
Mental Health Policy Unit, The Brain and Mind Research Institute; and Centre for Disability Research and Policy. Faculty of Health Sciences, University of Sydney, Sydney, Australia
J.V. Luciano
Affiliation:
Department of Teaching and Research, Fundació Sant Joan de Déu, Esplugues de Llobregat, Spain Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK
G. Thornicroft
Affiliation:
Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK
I. Aznar-Lou
Affiliation:
Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK
A. Serrano-Blanco
Affiliation:
Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK Acute Psychiatric Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
*
*Corresponding author. Parc Sanitari Sant Joan de Déu, C/Dr. Antoni Pujades, 42, 08830 Sant Boi de Llobregat, Barcelona, Spain. Tel.: +34 936 406 350x12546; fax: +34 936 542 136. E-mail address: mrubio@pssjd.org (M. Rubio-Valera).
Get access

Abstract

Reducing public stigma could improve patients’ access to care, recovery and social integration. The aim of the study was to evaluate a mass media intervention, which aimed to reduce the mental health, related stigma among the general population in Catalonia (Spain). We conducted a cross-sectional population-based survey of a representative sample of the Catalan non-institutionalized adult population (n = 1019). We assessed campaign awareness, attitudes to people with mental illness (CAMI) and intended behaviour (RIBS). To evaluate the association between campaign awareness and stigma, multivariable regression models were used. Over 20% of respondents recognized the campaign when prompted, and 11% when unprompted. Campaign aware individuals had better attitudes on the benevolence subscale of the CAMI than unaware individuals (P = 0.009). No significant differences in authoritarianism and support for community mental health care attitudes subscales were observed. The campaign aware group had better intended behaviour than the unaware group (P < 0.01). The OBERTAMENT anti-stigma campaign had a positive impact to improve the attitudes and intended behaviour towards people with mental illness of the Catalan population. The impact on stigma was limited to attitudes related to benevolence. A wider range of anti-stigma messages could produce a stronger impact on attitudes and intended behaviour.

Type
Original article
Copyright
Copyright © European Psychiatric Association 2015

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alcañiz-Zanón, M, Mompart-Penina, A, Guillén-Estany, M, Medina-Bustos, A, Aragay-Barbany, JM, Brugulat-Guiteras, P, et al.[New design of the Health Survey of Catalonia (Spain, 2010–2014): a step forward in health planning and evaluation]. Gac Sanit 2014;28:338340http://dx.doi.org/10.1016/j.gaceta.2013.12.004.CrossRefGoogle Scholar
Brookhart, MA, Schneeweiss, S, Rothman, KJ, Glynn, RJ, Avorn, J, Stürmer, TVariable selection for propensity score models. Am J Epidemiol 2006;163:11491156http://dx.doi.org/10.1093/aje/kwj149.CrossRefGoogle ScholarPubMed
Chinn, SA simple method for converting an odds ratio to effect size for use in meta-analysis. Stat Med 2000;19:312731313.0.CO;2-M>CrossRefGoogle ScholarPubMed
Clement, S, Lassman, F, Barley, E, Evans-Lacko, S, Williams, P, Yamaguchi, S, et al.Mass media interventions for reducing mental health-related stigma. Cochrane Database Syst Rev 2013;7:CD009453. http://dx.doi.org/10.1002/14651858.CD009453.pub2.Google Scholar
Clement, S, Schauman, O, Graham, T, Maggioni, F, Evans-Lacko, S, Bezborodovs, N, et al.What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol Med 2015;45:1127http://dx.doi.org/10.1017/S0033291714000129.CrossRefGoogle ScholarPubMed
Cohen, JA power primer. Psychol Bull 1992;112:155159CrossRefGoogle ScholarPubMed
Corrigan, PWChallenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 2012;63:963.CrossRefGoogle ScholarPubMed
Corrigan, PW, Shapiro, JRMeasuring the impact of programs that challenge the public stigma of mental illness. Clin Psychol Rev 2010;30:907922CrossRefGoogle ScholarPubMed
Corrigan, PW, Wassel, AUnderstanding and influencing the stigma of mental illness. J Psychosoc Nurs Ment Health Serv 2008;46:4248CrossRefGoogle ScholarPubMed
Demyttenaere, K, Bruffaerts, R, Posada-Villa, J, Gasquet, I, Kovess, V, Lepine, JP, et al.Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA 2004;291:2581. http://dx.doi.org/10.1001/jama.291.21.2581.Google ScholarPubMed
Evans-Lacko, S, Rose, D, Little, K, Flach, C, Rhydderch, D, Henderson, C, et al.Development and psychometric properties of the reported and intended behaviour scale (RIBS): a stigma-related behaviour measure. Epidemiol Psychiatr Sci 2011;20:263271CrossRefGoogle ScholarPubMed
Evans-Lacko, S, Brohan, E, Mojtabai, R, Thornicroft, GAssociation between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 2012;42:17411752http://dx.doi.org/10.1017/S0033291711002558.CrossRefGoogle ScholarPubMed
Evans-Lacko, S, Knapp, M, McCrone, P, Thornicroft, G, Mojtabai, RThe mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One 2013;8:e69792. http://dx.doi.org/10.1371/journal.pone.0069792.CrossRefGoogle ScholarPubMed
Evans-Lacko, S, Malcolm, E, West, K, Rose, D, London, J, Rusch, N, et al.Influence of Time to Change's social marketing interventions on stigma in England 2009–2011. Br J Psychiatry 2013;55:s77s88http://dx.doi.org/10.1192/bjp.bp.113.126672.CrossRefGoogle ScholarPubMed
Evans-Lacko, S, Henderson, C, Thornicroft, GPublic knowledge, attitudes and behaviour regarding people with mental illness in England 2009–2012. Br J Psychiatry Suppl 2013;55:s51s57http://dx.doi.org/10.1192/bjp.bp.112.112979.CrossRefGoogle ScholarPubMed
Evans-Lacko, S, Courtin, E, Fiorillo, A, Knapp, M, Luciano, M, Park, AL, et al.The state of the art in European research on reducing social exclusion and stigma related to mental health: a systematic mapping of the literature. Eur Psychiatry 2014;29:381389http://dx.doi.org/10.1016/j.eurpsy.2014.02.007.CrossRefGoogle ScholarPubMed
Fishbein, M, Ajzen, IPredicting and changing behavior: the reasoned action approach 3. New York: Taylor and Francis Group; 2010 doi: 10.4324/9780203937082Google Scholar
Garrido, MM, Kelley, AS, Paris, J, Roza, K, Meier, DE, Morrison, RS, et al.Methods for constructing and assessing propensity scores. Health Serv Res 2014;49:17011720http://dx.doi.org/10.1111/1475-6773.12182.CrossRefGoogle ScholarPubMed
Grausgruber, A, Schony, W, Grausgruber-Berner, R, Koren, G, Apor, BF, Wancata, J, et al.Schizophrenia has many faces” – Evaluation of the Austrian Anti-Sigma-Campaign 2000–2002. Psychiatr Prax 2009;36:327333http://dx.doi.org/10.1055/s-0029-1220386.CrossRefGoogle ScholarPubMed
Hinshaw, SP, Stier, AStigma as related to mental disorders. Annu Rev Clin Psychol 2008;4:367393http://dx.doi.org/10.1146/annurev.clinpsy.4.022007.141245.CrossRefGoogle ScholarPubMed
Livingston, JD, Tugwell, A, Korf-Uzan, K, Cianfrone, M, Coniglio, CEvaluation of a campaign to improve awareness and attitudes of young people towards mental health issues. Soc Psychiatry Psychiatr Epidemiol 2013;48:965973http://dx.doi.org/10.1007/s00127-012-0617-3.CrossRefGoogle ScholarPubMed
Livingston, JD, Cianfrone, M, Korf-Uzan, K, Coniglio, CAnother time point, a different story: one-year effects of a social media intervention on the attitudes of young people towards mental health issues. Soc Psychiatry Psychiatr Epidemiol 2014;49:985990http://dx.doi.org/10.1007/s00127-013-0815-7.CrossRefGoogle ScholarPubMed
McGinty, EE, Goldman, HH, Pescosolido, B, Barry, CLPortraying mental illness and drug addiction as treatable health conditions: effects of a randomized experiment on stigma and discrimination. Soc Sci Med 2015;126:7385http://dx.doi.org/10.1016/j.socscimed.2014.12.010.CrossRefGoogle ScholarPubMed
Mehta, N, Kassam, A, Leese, M, Butler, G, Thornicroft, GPublic attitudes towards people with mental illness in England and Scotland, 1994–2003. Br J Psychiatry 2009;194:278284http://dx.doi.org/10.1192/bjp.bp.108.052654.CrossRefGoogle Scholar
Mojtabai, RMental illness stigma and willingness to seek mental health care in the European Union Soc Psychiatry Psychiatr Epidemiol 2010;45:705712http://dx.doi.org/10.1007/s00127-009-0109-2.CrossRefGoogle ScholarPubMed
Myers, F, Woodhouse, A, Whitehead, I, McCollam, A, McBryde, L, Pinfold, V, et al.Evaluation of “see me” – the national Scottish campaign against the stigma and discrimination associated with mental ill-health Edinburgh: Scottish Government Social Research; 2009.Google Scholar
OBERTAMENT OBERTAMENT webpage n.d. http://obertament.org/ca. (accessed December 16, 2014).Google Scholar
Ochoa, S, Martínez-Zambrano, F, Vila-Badia, R, Arenas, O, Casas-Anguera, E, García-Morales, E, et al.Spanish validation of the social stigma scale: community attitudes towards mental illness. Rev Psiquiatr Salud Ment 2015 http://dx.doi.org/10.1016/j.rpsm.2015.02.002.CrossRefGoogle Scholar
Perkins, R, Repper, JPrejudice, discrimination and social exclusion: reducing the barriers to recovery for people diagnosed with mental health problems in the UK. Neuropsychiatry 2013;3:377384http://dx.doi.org/10.2217/Npy.13.34.CrossRefGoogle Scholar
Rosembaum, PR, Rubin, DBThe central role of the propensity score in observational studies for causal effects. Biometrika 1983;70:4155http://dx.doi.org/10.1093/biomet/70.1.41.CrossRefGoogle Scholar
Rubin, DAn overview of multiple imputation. Surv Res Sect Am Stat 1988; 7584Google Scholar
Schomerus, G, Evans-Lacko, S, Rusch, N, Mojtabai, R, Angermeyer, MC, Thornicroft, GCollective levels of stigma and national suicide rates in 25 European countries. Epidemiol Psychiatr Sci 2014; 16http://dx.doi.org/10.1017/S2045796014000109.CrossRefGoogle Scholar
Southwell, BG, Barmada, CH, Hornik, RC, Maklan, DMCan we measure encoded exposure? Validation evidence from a national campaign. J Health Commun 2012;7:445453CrossRefGoogle Scholar
Taylor, SM, Dear, MJScaling community attitudes toward the mentally ill. Schizophr Bull 1981;7:225240CrossRefGoogle ScholarPubMed
White, IR, Royston, P, Wood, AMMultiple imputation using chained equations: Issues and guidance for practice. Stat Med 2011;30:377399CrossRefGoogle ScholarPubMed
Winkler, P, Csémy, L, Janoušková, M, Mladá, K, Bankovská Motlová, L, Evans-Lacko, SReported and intended behaviour towards those with mental health problems in the Czech Republic and England. Eur Psychiatry 2015 http://dx.doi.org/10.1016/j.eurpsy.2015.05.003.CrossRefGoogle Scholar
Supplementary material: File

Rubio-Valera et al. supplementary material

Appendix A

Download Rubio-Valera et al. supplementary material(File)
File 14.5 KB
Supplementary material: File

Rubio-Valera et al. supplementary material

Appendix B

Download Rubio-Valera et al. supplementary material(File)
File 39.7 KB
Supplementary material: File

Rubio-Valera et al. supplementary material

Appendix C

Download Rubio-Valera et al. supplementary material(File)
File 15.3 KB
Submit a response

Comments

No Comments have been published for this article.