INDIGO-PRIMARY:
Reducing stigma among primary health care workers
Leads: Dr Dristy Gurung, Dr Shabab Wahid, Prof Brandon Kohrt
This multi-site pilot study aims to adapt and evaluate cross-cultural feasibility and acceptability of a social contact-based primary healthcare intervention, using a mixed methods uncontrolled before-after study design.
The intervention, entitled REducing Stigma among HealthcAre ProvidErs (RESHAPE), is a collaboration with people with lived experience of mental health conditions (PWLE), their family members, and aspirational figures (who are Primary Care Providers/PCPs who have demonstrated high motivation to integrate mental health services). PWLE and their family members are trained in a participatory technique, PhotoVoice, to visually depict and narrate recovery stories. Aspirational figures conduct myth busting exercises and shared their experiences treating PWLE.
Outcomes among PCPs include stigma knowledge, explicit and implicit attitudes, and mental healthcare competencies. To understand the feasibility, and acceptability of the intervention, qualitative interviews are carried out with PWLE, family members, and aspirational figures, PhotoVoice trainers, mental health specialists co-leading the primary care trainings, and PCPs receiving mental health training.
We also generate evidence regarding feasibility, acceptability, recruitment, retention, fidelity, safety, and usefulness of the intervention to make further adaptations and modifications.
Full protocol: Gurung, D., Kohrt, B. A., Wahid, S. S., Bhattarai, K., Acharya, B., Askri, F., Ayele, B., Bakolis, I., Cherian, A., Daniel, M., Gautam, K., Girma, E., Gronholm, P. C., Hanlon, C., Kallakuri, S., Ketema, B., Lempp, H., Li, J., Loganathan, S., … Thornicroft, G. (2023). Adapting and piloting a social contact-based intervention to reduce mental health stigma among primary care providers: Protocol for a multi-site feasibility study. SSM – Mental Health, 4(February), 100253. https://doi.org/10.1016/j.ssmmh.2023.100253
Select intervention materials for Indigo Primary are available in the Resources section.
Evaluation results will be added to the Publications section.