Evidence map›Paper›PMID 34294067›Full record

SynthesisBMC psychiatry2021

Effectiveness of arts interventions to reduce mental-health-related stigma among youth: a systematic review and meta-analysis.

Shivani Mathur Gaiha, Tatiana Taylor Salisbury, Shamaila Usmani, Mirja Koschorke, Usha Raman, Mark Petticrew

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
28.4field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  6. Digital media balance and mental health: effects of a school-based program.Child and adolescent psychiatry and mental health · 2026
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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

6 authors at 4 institutions in 3 countries.

Shivani Mathur GaihaIndian Institute of Public Health- Hyderabad, Public Health Foundation of India, Hyderabad, India. gaiha@stanford.edu.ORCID 0000-0002-0636-8936
Tatiana Taylor SalisburyHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.ORCID 0000-0002-8249-3886
Shamaila UsmaniCentre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK.
Mirja KoschorkeHealth Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
Usha RamanDepartment of Communication, Sarojini Naidu School of Arts & Communication, University of Hyderabad, Hyderabad, India.ORCID 0000-0002-9023-9853
Mark PetticrewDepartment of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
King's College London · GBLondon School of Hygiene & Tropical Medicine · GBInstitute of Public Health Bengaluru · INUniversity of Hyderabad · IN

Funding

Wellcome TrustWellcome Trust 084754/Z/08/Z - awarded to a consortium of universities
6 · The paper itself

Abstract

backgroundEducational interventions engage youth using visual, literary and performing arts to combat stigma associated with mental health problems. However, it remains unknown whether arts interventions are effective in reducing mental-health-related stigma among youth and if so, then which specific art forms, duration and stigma-related components in content are successful.

methodsWe searched 13 databases, including PubMed, Medline, Global Health, EMBASE, ADOLEC, Social Policy and Practice, Database of Promoting Health Effectiveness Reviews (DoPHER), Trials Register of Promoting Health Interventions (TRoPHI), EPPI-Centre database of health promotion research (Bibliomap), Web of Science, PsycINFO, Cochrane and Scopus for studies involving arts interventions aimed at reducing any or all components of mental-health-related stigma among youth (10-24-year-olds). Risk of bias was assessed using the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool for Quantitative Studies. Data were extracted into tables and analysed using RevMan 5.3.5.

resultsFifty-seven studies met our inclusion criteria (n = 41,621). Interventions using multiple art forms are effective in improving behaviour towards people with mental health problems to a small effect (effect size = 0.28, 95%CI 0.08-0.48; p = 0.007) No studies reported negative outcomes or unintended harms. Among studies using specific art forms, we observed high heterogeneity among intervention studies using theatre, multiple art forms, film and role play. Data in this review are inconclusive about the use of single versus multiple sessions and whether including all stigma components of knowledge, attitude and behaviour as intervention content are more effective relative to studies focused on these stigma components, individually. Common challenges faced by school-based arts interventions included lack of buy-in from school administrators and low engagement. No studies were reported from low- and middle-income countries.

conclusionArts interventions are effective in reducing mental-health-related stigma to a small effect. Interventions that employ multiple art forms together compared to studies employing film, theatre or role play are likely more effective in reducing mental-health-related stigma.

Indexed as

Mental HealthSocial StigmaAdolescentHealth PromotionHumansMass MediaSchoolsArtFilmMental healthMeta-analysisPerformingRole-playStigmaSystematic reviewTheatreYouth

Identifiers

PMID34294067
PMCPMC8296649
OpenAlexW3184317759

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.