Background Education Not Discrimination (END) is the component of the Time to Change programme intended to reduce mental health stigma among professionals and professional trainees. Aims To investigate the impact of the END anti-stigma programme on medical students immediately and after 6 months with regard to knowledge, attitudes, behaviour and empathy. Method A total of 1452 medical students participated in the study (intervention group n = 1066, control group n = 386). Participants completed questionnaires at baseline, and at immediate and 6-month follow-up. Groups were compared for changes in stigma outcomes. Results All measures improved in both groups, particularly among students with less knowledge and more stigmatising attitudes and intended behaviour at baseline. At immediate follow-up the intervention group demonstrated significantly greater improvements in stigma-related knowledge and reductions in stigma-related attitudes and intended behaviour, relative to the control group. At 6 months' follow-up, however, only one attitude item remained significantly better. Conclusions Although the intervention produced short-term advantage there was little evidence for its persistent effect, suggesting a need for greater integration of ongoing measures to reduce stigma into the medical curriculum. Declaration of interest G.T. has received grants for stigma-related research in the past 5 years from Lundbeck UK and from the National Institute for Health Research, and has acted as a consultant to the UK Office of the Chief Scientist.
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机译:背景教育非歧视(END)是“变革时机”计划的组成部分,旨在减少专业人员和专业受训者的心理健康污名。目的旨在就知识,态度,行为和同理心方面,立即调查END反耻辱计划对医学生的影响,以及六个月后对他们的影响。方法共有1452名医学生参加了研究(干预组n = 1066,对照组n = 386)。参与者在基线以及即时和6个月的随访中完成了调查表。比较各组的耻辱结果变化。结果两组的所有测量指标均得到改善,尤其是在知识水平较低,基线时态度和预期行为较受侮辱的学生中。在立即随访中,与对照组相比,干预组显示出与耻辱相关的知识明显改善,与耻辱相关的态度和预期行为减少。但是,在随访6个月后,只有一项态度保持明显好转。结论尽管该干预措施产生了短期优势,但几乎没有证据表明其持续效果,这表明需要将正在进行的措施进一步整合以减少耻辱感进入医学课程。利益声明在过去5年中,Lundbeck UK和美国国立卫生研究院(National Institute for Health Research)已获得与耻辱相关的研究资助,并担任英国首席科学家办公室的顾问。
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