SynthesisSocial psychiatry and psychiatric epidemiology2021
Honest, Open, Proud to support disclosure decisions and to decrease stigma's impact among people with mental illness: conceptual review and meta-analysis of program efficacy.
Synthesis in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Interventions to reduce self-stigma in people who use drugs: A systematic review.Journal of substance use and addiction treatment · 2024Pooled it
- Does the peer-led Honest, Open, Proud program reduce stigma's impact for everyone? An individual participant data meta-regression analysis.Social psychiatry and psychiatric epidemiology · 2023Pooled it
- Stigma and Peer-Led Interventions: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2022Pooled it
- The peer-led Honest, Open, Proud program to decrease the impact of mental illness stigma among German military personnel: randomized controlled trial.Social psychiatry and psychiatric epidemiology · 2026Trial
- Disclosure of mental illness towards employers during the return to work process after psychiatric hospitalization.BMC psychiatry · 2026Trial
- Honest, Open, Proud (HOP) for people with mental illness in Hong Kong: a randomized controlled trial.Social psychiatry and psychiatric epidemiology · 2024Trial
- Efficacy of the peer-led ''Honest, Open, Proud'' group program to improve stigma stress and quality of life in adolescents with mental illness: randomized controlled trial.European child & adolescent psychiatry · 2026Article
- Real-World Effectiveness of the Peer-Led Honest, Open, Proud Programme for Self-Stigma Among Adults With Mental Illness: A Pragmatic, Multicentre, Randomised Controlled Trial.The Lancet regional health. Europe · 2026Article
- A Qualitative Descriptive Study of the Drivers, Perpetuators, and Impacts of Stigma Among Youth Living with HIV in Lima, Peru.AIDS and behavior · 2026Article
- Self-disclosure to Peers and Changes in Personal Recovery in Community-dwelling People with Mental Disorders: A One-year Longitudinal Study.Community mental health journal · 2026Article
- Job-search self-efficacy in unemployed individuals with mental health issues: investigating the role of self-stigma with variable-centered and person-centered approaches.BMC psychology · 2026Article
- Social inclusion of people with severe mental illness: a review of current practices, evidence and unmet needs, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026Article
- Using nominal group technique to select an HIV status disclosure decision aid for adaptation in Georgia.PloS one · 2026Article
- Dignity in mental health care: the conceptual connections between sense of dignity, stigma and self-stigma among people with mental disorder diagnoses.Frontiers in psychiatry · 2026Article
- "I don't tell anyone I have them:" Experiences with opioid stigma from the perspective of survivors living with chronic cancer-related pain and clinicians that care for them.The journal of pain · 2025Article
- Reducing Stigma, Enhancing Psychological Well-Being and Identity in Multiple Sclerosis: A Narrative Review of Current Practices and Future Directions.Healthcare (Basel, Switzerland) · 2025Review
- Misconceptions, prejudice and social distance towards people with alcohol use disorders in China.BMC psychiatry · 2025Article
- Article
- Young people's sense of agency and responsibility towards promoting mental health in Brazil: a reflexive thematic analysis.BMJ open · 2024Article
- 'Who, When, How to Share': Pilot study of a new disclosure decision-making programme for autistic adults.Autism : the international journal of research and practice · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHonest, Open, Proud (HOP; formerly "Coming Out Proud"/COP) is a peer-led group program to support people with mental illness in their disclosure decisions and in their coping with stigma. The aims of this study were to provide (i) a conceptual review of HOP, including versions for different target groups and issues related to outcome measurement and implementation; and (ii) a meta-analysis of program efficacy.
methodsConceptual and empirical literature on disclosure and the HOP program was reviewed. Controlled trials of HOP/COP were searched in literature databases. A meta-analysis of HOP efficacy in terms of key outcomes was conducted.
resultsHOP program adaptations for different target groups (e.g. parents of children with mental illness; veterans or active soldiers with mental illness) exist and await evaluation. Recruitment for trials and program implementation may be challenging. A meta-analysis of five HOP RCTs for adults or adolescents with mental illness or adult survivors of suicide attempts found significant positive effects on stigma stress (smd = - 0.50) as well as smaller, statistically non-significant effects on self-stigma (smd = - 0.17) and depression (smd = - 0.11) at the end of the HOP program. At 3- to 4-week follow-up, there was a modest, not statistically significant effect on stigma stress (smd = - 0.40, 95%-CI -0.83 to 0.04), while effects for self-stigma were small and significant (smd = - 0.24). Long-term effects of the HOP program are unknown.
conclusionThere is initial evidence that HOP effectively supports people with mental illness in their disclosure decisions and in their coping with stigma. Implementation issues, future developments and public health implications are discussed.
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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.