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Stigma, Social clinical trials

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NCT ID: NCT06410287 Not yet recruiting - Nurse's Role Clinical Trials

Testing an Arts-based Program to Reduce Nurse Stigma Towards Perinatal Substance Use

Start date: June 2024
Phase: N/A
Study type: Interventional

The goal of this pilot clinical trial is to evaluate the feasibility and limited effectiveness of a digital, arts-based educational intervention addressing nurse stigma towards perinatal substance use. The main questions it aims to answer are: - What is the the feasibility of delivering the training through an asynchronous, web-based platform? - What is the limited effectiveness of the program on nurse stigma towards perinatal substance use? Participants will access and complete the training, including completion of a perinatal substance use stigma scale at baseline, immediately post, and 1-2 months month later. Participants will also be invited to participate in an interview. Researchers will compare the intervention and control groups to see if the training reduces nurse stigma towards perinatal substance use.

NCT ID: NCT06360107 Not yet recruiting - Depression Clinical Trials

RCT of a Brief Video Intervention Targeting Peer Inclusion to Reduce Depression-related Stigma in Adolescents

Start date: May 2024
Phase: N/A
Study type: Interventional

The goal of this study is to test the efficacy of a brief video intervention emphasizing peer inclusion on depression-related stigma and stigma outcomes (e.g., help seeking attitudes, secrecy) among adolescents 14-18. Timely identification and treatment of depression in adolescents is a public health priority. However, most youth with depression do not seek treatment, and stigma has been identified as the primary barrier to help-seeking. Experiments have found brief video-based interventions (BVIs), 1-2 minute videos similar to those viewed by youth on social media platforms, based on the principle of "social contact" with individuals affected by a stigmatized condition, effective in reducing depression-related stigma and increasing help-seeking among adolescents. However, given the extreme time constraints of these videos, optimizing the messaging is paramount. Prior research has indicated that concerns about peer social inclusion are fundamental in shaping stigma among adolescents. In this 3-arm RCT, we will recruit adolescents aged 14-18 using an online crowdsourcing platform, to test the efficacy of a) standard BVI that addresses mental health treatment but does not address concerns about peer inclusion/exclusion, b) novel BVI focused on mental health treatment and peer inclusion, and c) control condition that provides information without social contact.

NCT ID: NCT06347848 Not yet recruiting - Schizophrenia Clinical Trials

The Effect of Psychoeducation Focused on Reducing Internalized Stigma

Start date: April 30, 2024
Phase: N/A
Study type: Interventional

In the fight against stigma, the focus should be on the education of individuals diagnosed with mental illness. Psychoeducation has an important place in the treatment and rehabilitation of mental health problems. Psychoeducation is necessary for early recognition of signs and symptoms of diseases, ensuring compliance with treatment, improving coping skills, as well as combating stigma, preventing internalized stigma, and counteracting social stigma. If individuals with mental disorders have adequate knowledge about the causes of stigma, they may be less prone to internalized stigma.

NCT ID: NCT06293105 Not yet recruiting - Drug Use Clinical Trials

Social Responses to Stigma

Start date: May 1, 2024
Phase:
Study type: Observational

The Social Responses to Stigma study will explore experiences of stigma and discrimination amongst people who are homeless in south London, and then seek to understand how this stigma is created, mediated or mitigated within health, social, housing and legal care and support systems and social contexts. The methodology is an ethnographic case study of the south London care and support system and its social context. The study will use a range of methods for data collection: interviews with people who are homeless, delivery stakeholders, and policy makers; a survey of peoples' experiences; observation within selected care sites; and gathering of documentary sources. The study will be implemented through two parallel studies. The first, with KCL-REMAS approval, will operate in non-NHS sites. The second, with NHS-IRAS approval, will operate in NHS sites. The protocols are aligned with adaptations for each type of site. A linked method to develop theory is cross-case comparison between South London and Vancouver, Canada, through secondary data analysis to linked studies ongoing there. The study will be ongoing from 2022 until January 2025. The project is funded in two phases, with potential to extend the study by a further three years, to January 2028. The results of the study will inform the design of a novel intervention strategy to address the social dimensions of stigma. Subject to additional funding applications, the intervention strategy will be piloted and evaluated from 2025 onwards. The study results will be disseminated through scientific publications, public reports and a range of public and policy engagement activities.

NCT ID: NCT06159075 Not yet recruiting - Child Abuse Clinical Trials

Reducing Self-Stigma Among Individuals With History of Childhood Maltreatment: A Cross-Cultural Lens

Start date: January 2024
Phase: N/A
Study type: Interventional

Individuals who report experiencing any kind of abuse during childhood report shame and self-blame, often leading to self-stigma and a reluctance to reveal their experiences and seek help. Such stigma may aggravate the mental health consequences of child maltreatment (CM). The investigators hypothesize that: 1. The brief video-based intervention will have the immediate and repeated effect of reducing self-stigma among CM survivors compared with the control condition. 2. The brief video-based intervention will increase seeking treatment compared with the control condition. 3. The brief video-based intervention will show similar effects in reducing self-stigma across multiple countries.

NCT ID: NCT06142916 Not yet recruiting - Clinical trials for Mental Health Disorder

The Effect of Virtual Reality Training on Mental Health Literacy and Stigma

MHLS
Start date: January 2024
Phase: N/A
Study type: Interventional

Purpose: This study will be conducted to examine the effect of virtual reality training on nurses' mental health literacy and stigma level towards mental illnesses. Design: The study is a randomized controlled experimental research. Method: The population of the research consists of 110 nurses working in a public hospital. Power analysis was performed with G* Power software to determine the number of nurses constituting the research sample. The sample size was determined as 25 people in each group. Considering that there may be data loss in the study, it is planned to include 30 people in the intervention group and 30 people in the control group. Nurses who volunteer to participate in the study and fill out the pre-test will be randomly assigned to the groups using the Statistical Analysis Software program to ensure random distribution to the intervention and control groups. Personal Information Form, Mental Health Literacy Scale (MHLS) and Opening Minds Stigma Scale for Healthcare Providers (OMS-HC) will be used in study data collection. Hypotheses: H1: The mental health literacy level of nurses who receive training with virtual reality is higher than nurses who receive classical training. H2: The level of stigmatization towards mental illnesses of nurses trained with virtual reality is lower than nurses who received classical training.

NCT ID: NCT06114862 Not yet recruiting - Mental Health Issue Clinical Trials

Brief Interventions on Social Media to Reduce Suicide Risk (Intervention 2)

Start date: May 1, 2024
Phase: N/A
Study type: Interventional

This clinical trial is part of a series of brief interventions to reduce suicide risk in collaboration with the social media platform RallyPoint, a site specifically designed for U.S. servicemembers and veterans to connect with one another. This RCT (Intervention 2: Stigma Reduction) is focused on decreasing the stigma associated with sharing one's personal experiences related to mental health on the RallyPoint site. Specifically, the investigators will test the effect of a psychoeducational intervention that will provide participants information on the potential benefits of self-disclosure.

NCT ID: NCT05826132 Not yet recruiting - Stigma, Social Clinical Trials

Digital Mental Health Care for COVID-19 High-Risk Populations - Phase 2

Start date: May 1, 2023
Phase: N/A
Study type: Interventional

The mental health consequences of the COVID-19 (Coronavirus Disease of 2019) pandemic are likely to be vast, exceeding the capacity of mental health services and delaying treatment for people in need, with devastating consequences for those affected. Emerging data suggest that frontline health workers (e.g. physicians, nurses, emergency medical technicians) and essential workers (in industries such as energy, and food products and services) face particular risks for mental health problems during and after the COVID-19 outbreak. Additionally, our previous findings have shown that among these higher risk individuals, young adults and women reported greater levels of clinical symptoms. To address the unprecedented mental health needs during and as a result of the COVID-19 pandemic this study will develop and test novel, cost-effective and scalable, digitally-delivered mental health interventions, and will test this approach by focusing on health care workers and other essential workers with an eye toward the young adult portion of this population.

NCT ID: NCT05351567 Not yet recruiting - Infertility, Female Clinical Trials

Transformatıonal Learnıng Theory on Infertılıty and Stigma in Infertılıty Women

Start date: May 15, 2022
Phase: N/A
Study type: Interventional

This study will be conducted to evaluate the effect of the education program created according to the transformational learning theory on women being affected by infertility and feeling stigmatized due to infertility. The research is a single center parallel group simple randomized controlled trial. The sample consisted of 52 participants in total. determined to be formed. Diagnosed with infertility, literate, 18 years of age and older, no communication disability, and Women who volunteer to participate will be included in the study. Personal Information Form, Infertility Affected Scale and Infertility Stigma (Stigma) Scale will be used to collect data. Groups of 3-10 people were formed for the women in the experimental group. A training program consisting of four modules will be implemented once a week. Data analysis in SPSS 22.0 package program will be.

NCT ID: NCT05174936 Not yet recruiting - HIV/AIDS Clinical Trials

ResIlience-based Stigma REdUction Program ("Rise-up")

Start date: December 2021
Phase: N/A
Study type: Interventional

Stigma and discrimination related to HIV and AIDS ("HIV-related stigma") have been identified worldwide as major barriers to HIV treatment and care, posing challenges to HIV prevention efforts and provision of adequate care, support, and treatment. Despite decades of global efforts to tackle HIV-related stigma, previous interventions designed to reduce stigma have been largely ineffective. The knowledge gaps and challenges for combating HIV-related stigma are partly rooted in the complexity and diversity of the stigma and partly in the limitations in current conceptualization of stigma reduction efforts. Recent research, including our own preliminary data, has shown the promise of resilience approaches that focus on the development of strengths, competencies, resources, and capacities of people living with HIV (PLWH) and those of their real or surrogate family members and healthcare facilities to prevent, reduce, and mitigate the negative effects of stigma. However, the resilience approach, while hypothesized, has not been widely tested in intervention trials. In the current application, we propose to develop, implement, and evaluate a theory-guided, multilevel multimode resilience-based intervention via a stepped-wedge randomized trial among 800 PLWH and their real or surrogate family members as well as 320 healthcare providers in Guangxi, China where we have built a strong research infrastructure and community collaboration through NIH-funded research since 2004. The primary outcome will be viral suppression among PLWH, and the intermediate outcomes will include resilience resources at the levels of individuals, the real or surrogate family members, and healthcare facilities as well as chronic stress response and adherence to treatment and care. The proposed study is innovative as it addresses a number of knowledge gaps in HIV-related stigma reduction intervention research based on both a conceptualization of stigma reduction and advancement in intervention research methodology (e.g., multilevel and multi-component intervention modality, a stepped wedge design, the addition of biomarkers to assess the effects of stigma, and targeting primary HIV clinical outcomes such as viral suppression). The proposed research is significant as it addresses a critical public health issue in the US and globally. The proposed intervention protocol, if proven efficacious, has the potential to be replicated in other low- and middle-income countries to mitigate the negative impact of stigma on the HIV treatment and care continuum.