Evidence map›Paper›PMID 29162572›Full record

Trial reportBMJ open2017

Protocol: a cluster randomised control trial study exploring stigmatisation and recovery-based perspectives regarding mental illness and substance use problems among primary healthcare providers across Toronto, Ontario.

Akwatu Khenti, Robert Mann, Jaime C Sapag, Sireesha J Bobbili, Emily K Lentinello, Mark van der Maas, Branka Agic, Hayley Hamilton, Heather Stuart, Scott Patten and 2 more

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03043417 nacompletednot on this map

Exploring Stigma, Discrimination, and Recovery-based Perspectives Toward Mental Illness and Substance Use Problems

TypeinterventionalSponsorCentre for Addiction and Mental HealthRan2014 to 2017Enrolled485ConditionsMental Health Disorder, Substance UseArmsCHC's given the intervention
NCT05578066 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Reducing Stigma Toward Mental Illness and Substance Use Issues in Primary Health Care in Chile: A Cluster Randomized Control Trial.

TypeinterventionalSponsorPontificia Universidad Catolica de ChileRan2020 to 2025Enrolled16ConditionsMental Health, Substance Abuse, StigmatizationArmsDeveloping teams of Local Leaders, Analysis of Internal Policies, Procedures and Protocols, Raising Awareness, Innovative Contact-Based Education, Recovery-Based Arts
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Report of the 2020 Special Committee on Substance Use and Pharmacy Education.American journal of pharmaceutical education · 2020
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Akwatu KhentiIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Robert MannIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Jaime C SapagIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Sireesha J BobbiliIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Emily K LentinelloIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Mark van der MaasIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Branka AgicIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Hayley HamiltonIMHPR, Centre for Addiction and Mental Health-Russell Street Site, Toronto, Ontario, Canada.
Heather StuartCommunity Health & Epidemiology, Queen's University, Kingston, Ontario, Canada.
Scott PattenUniversity of Calgary, Calgary, Alberta, Canada.
Marcos SanchesClinical Research, Centre for Addiction and Mental Health, Toronto, Canada.
Patrick CorriganDepartment of Psychology, Illinois Institute of Technology, Chicago, Illinois, USA.
Centre for Addiction and Mental Health · CAIllinois Institute of Technology · USQueen's University · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary care settings are often the first and only point of contact for persons with mental health and/or substance use problems. However, staff experience and training in this area are often limited. These factors as well as a multitude of other components such as structural and systemic stigma experienced by staff can lead to clients being stigmatised, leading to poorer outcomes. By developing a comprehensive intervention for primary care staff working at community health centres (CHCs) aimed at reducing stigma towards people with mental health and substance use problems (MHSUP), we sought to test an innovative and contact-based intervention consisting of staff training, raising awareness, a recovery-focused art programme and an analysis of internal policies and procedures. All of these components can inform and support staff so they can provide better care for people who are experiencing MHSUP. CHC staff members and clients will be included in this project as active participants. METHODS AND ANALYSIS: This mixed-methods project will consist of repeated surveys of staff and clients, as well as in-depth, semistructured interviews with a sample of clients and staff. A cluster randomised control trial design will test the effectiveness of an antistigma intervention for CHCs in Toronto, Canada. Six CHCs ETHICS AND DISSEMINATION: If demonstrated to be successful, this intervention can be used as a model for future initiatives aimed at reducing MHSUP-related stigma among healthcare providers in an organisational context. Adapting this work in other settings is a key strategic goal of this project. The project will also advance knowledge about stigma reduction and the experience of encountering stigma within a healthcare setting.

trial registrationNCT03043417; Post-results.

Indexed as

Attitude of Health PersonnelCommunity Health CentersMental HealthPrimary Health CareSocial StigmaStereotypingAdultArt TherapyAwarenessFemaleHealth PersonnelHumansMaleOntarioResearch DesignStaff Developmentcommunity health centreinterventionprimary carestigma

Identifiers

PMID29162572
PMCPMC5719263
OpenAlexW2778034462

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.