Evidence map›Paper›PMID 40820972›Full record

ArticleBJPsych open2025

Breaking stigma, discrimination and promoting rights: global evaluation of the World Health Organization QualityRights e-training on mental health, recovery and community inclusion.

Michelle Funk, Natalie Drew Bold, Charity Muturi, Ledia Lazeri, Olga Kalina, Carmen Martinez-Viciana, Debra Machando, Mauro Giovanni Carta, Gemma F Parojinog, Simon Njuguna Kahonge and 16 more

Abstract read
In one paragraph

Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

26 authors.

Michelle FunkPolicy, Law and Human Rights Unit, Department of Mental Health, Brain Health and Substance Use, World Health Organization, Geneva, Switzerland.
Natalie Drew BoldPolicy, Law and Human Rights Unit, Department of Mental Health, Brain Health and Substance Use, World Health Organization, Geneva, Switzerland.
Charity MuturiTunawiri Community Based Organisation, Nairobi, Kenya.
Ledia LazeriWorld Health Organization Regional Office for Europe, Copenhagen, Denmark.
Olga KalinaEuropean Network of (ex-)Users and Survivors of Psychiatry, Tbilisi, Georgia.
Carmen Martinez-VicianaPan-American Health Organization/World Health Organization Regional Office for the Americas, Washington, DC, USA.
Debra MachandoWorld Health Organization Zimbabwe Country Office, Harare, Zimbabwe.
Mauro Giovanni CartaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Gemma F ParojinogPolicy Linkages Office, Commission on Human Rights of the Philippines, Manila, The Philippines.
Simon Njuguna KahongeDepartment of Mental Health, Ministry of Health, Nairobi, Kenya.
Sebnem Avşar KurnazWorld Health Organization Turkey Country Office, Ankara, Turkey.
Melita MurkoWorld Health Organization Regional Office for Europe, Copenhagen, Denmark.
Celline ColePolicy, Law and Human Rights Unit, Department of Mental Health, Brain Health and Substance Use, World Health Organization, Geneva, Switzerland.
Layal Al HannaNational Mental Health Programme, Ministry of Public Health, Beirut, Lebanon.
Emily McLoughlinPolicy, Law and Human Rights Unit, Department of Mental Health, Brain Health and Substance Use, World Health Organization, Geneva, Switzerland.
Magdalena Casamitjana AguilàDepartment of the Presidency, Government of Catalonia, Barcelona, Spain.
Akwasi OseiMental Health Authority, Ministry of Health, Accra, Ghana.
Jacob ShamuyariraPamumvuri PVO, Harare, Zimbabwe.
Alessandra PerraDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy.
Guadalupe Morales CanoEuropean Network of (ex-)Users and Survivors of Psychiatry, Madrid, Spain.
Zvjezdana StjepanovićInstitute for Population and Development, Banja Luka, Bosnia and Herzegovina.
Simon Vasseur BacleWHO Collaborating Centre for Research and Training in Mental Health, Lille, France.
Slađana Štrkalj-IvezićResearch Department, University Psychiatric Hospital Vrapce, Zagreb, Croatia.
Ivana SvobodováHealth Care Department, Ministry of Health, Prague, Czechia.
Gerli SirkWorld Health Organization Estonia Country Office, Tallinn, Estonia.
Maria Francesca MoroPolicy, Law and Human Rights Unit, Department of Mental Health, Brain Health and Substance Use, World Health Organization, Geneva, Switzerland.ORCID https://orcid.org/0000-0003-4426-8044

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is an urgent need to address the poor quality of mental healthcare and human rights violations within mental health systems and communities. To achieve this, efforts must focus on changing the attitudes that perpetuate stigma and discrimination against individuals with mental health conditions, as well as psychosocial, intellectual and cognitive disabilities. The World Health Organization (WHO) QualityRights e-training on mental health, recovery and community inclusion is tackling these issues in several countries; however, its global impact has yet to be evaluated.

aimsThis study aims to assess the changes in attitudes following the completion of the WHO QualityRights e-training in countries worldwide.

methodData from 3026 participants were analysed in this pre-post intervention study. Changes in scores on the WHO QualityRights Attitudes questionnaire were evaluated with the paired

resultsThe mean differences from baseline to post-training on the WHO QualityRights Attitudes questionnaire were 9.91 (95% CI 9.58-10.24,

conclusionsThis study suggests that the WHO QualityRights e-training has a positive, large effect in reducing negative attitudes toward individuals with mental health conditions and psychosocial, intellectual and cognitive disabilities, and can contribute to reduced stigma and greater alignment with rights-based approaches. These findings support the scale-up of the WHO QualityRights e-training programme.

Indexed as

e-traininghuman rightsmental healthUN CRPDWHO QualityRights

Identifiers

PMID40820972
PMCPMC12451731

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.