Using stories of lived experience of mental health to change mental health stigma and help seeking

ISRCTN ISRCTN65081246
DOI https://doi.org/10.1186/ISRCTN65081246
Submission date
21/03/2025
Registration date
03/04/2025
Last edited
27/03/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
A contact-based intervention is one where individuals share their lived experience of mental health difficulties and recovery. These types of interventions have the potential to reduce stigma. The current study examines the effectiveness of a brief (8-minute) digitised contact-based intervention in reducing mental health stigma and improving help-seeking intentions in young adults.

Who can participate?
Undergraduate psychology students enrolled at Macquarie University

What does the study involve?
The intervention comprises a brief video (8 minutes) of a mental health consumer sharing their lived experience of mental health difficulties and their recovery. Measures of public and self-stigma and help-seeking attitudes will be collected before, immediately after, and 1 week following the contact-based intervention, compared to active control. Participants will be invited to participate in a subsequent semi-structured interview that further explores their perspectives on the contact-based intervention.

What are the possible benefits and risks of participating?
The benefits of participating include the receipt of psychoeducation about health conditions. The questions and procedures are unlikely to cause distress but in the unlikely event that this does occur, the contact details of the Chief Investigator will be made available.

Where is the study run from?
University of New South Wales, Australia

When is the study starting and how long is it expected to run for?
September 2020 to March 2025

Who is funding the study?
The data collection and execution of this study were investigator-initiated and funded. The project team will receive funding from Batyr Australia to assist with the publication costs of the study.

Who is the main contact?
Prof Jennie Hudson, jennie.hudson@unsw.edu.au

Contact information

Prof Jennifer Hudson
Public, Scientific, Principal Investigator

University of New South Wales, Hospital Rd
Randwick, New South Wales
2031
Australia

Phone +61 0408660098
Email jennie.hudson@unsw.edu.au

Study information

Study designRandomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Home, Internet/virtual, University/medical school/dental school
Study typeOther
Participant information sheet 47048_PIS_v1_23Sept2020.pdf
Scientific titleEffectiveness of a brief digitized contact-based intervention in improving mental health stigma and help-seeking in young adults
Study objectivesThe intervention group would experience a greater reduction in both public and self-stigma, and greater improvements in help-seeking intentions (using formal and informal sources of help), relative to the active control group, and these effects would be maintained at 1-week follow-up. In addition, it was hypothesized that individuals experiencing high mental health distress would perceive mental health stigma differently and find the intervention more beneficial, compared to individuals with low mental health distress.
Ethics approval(s)

1. Approved 01/03/2021, Human Research Ethics Committee (HREC) Macquarie University (Balaclava rd, Sydney, 2109, Australia; +61 0298508711; humanethics@mq.edu.au), ref: 52021904124875

2. Approved 09/12/2024, University of New South Wales Human Ethics Committee (Hospital Rd, Randwick, 2035, Australia; -; humanethics@unsw.edu.au), ref: iRECS7757

Health condition(s) or problem(s) studiedThis study is not focused on a specific disease or health condition. The related outcome is mental health stigma and helpseeking.
InterventionContact-based interventions involve individuals sharing their lived experience of mental health difficulties and recovery. Exposure to lived experience stories has in the past been shown to be effective in reducing stigma. This study is interested in examining the effectiveness of exposure to one brief digitized story of lived experience in reducing mental health stigma and improving help-seeking intentions in young adults. Data will be collected from university students at three time points (baseline, post-intervention, 1-week follow-up) to evaluate the effectiveness of a brief digitized contact-based intervention in reducing mental health stigma and improving help-seeking intentions in young adults. Participants were randomly allocated to condition via random number generation facilitated by the Qualtrics survey platform.

Two education programs will be delivered. Participants allocated to the active intervention group will view one video (8 minutes) of a mental health consumer sharing their lived experience of mental health difficulties, specifically relating to anxiety and depression, and their recovery. These videos were provided by batyr and are being delivered as part of their mental health stigma intervention, the batyr@uni program. One video (8 minutes) of a mental health consumer sharing their lived experience of mental health difficulties, specifically relating to anxiety and depression, and their recovery. The video also includes a short pre-recorded debrief by a batyr representative who emphasises key themes. There will be no contact with trained mental health professionals. As the intervention is delivered digitally, participants can complete this study at their desired location.

Active control. Participants in the control group will view one video (8 minutes) of an individual speaking about the benefits of healthy eating. The information on healthy eating was adapted from an Australian Government resource (Australian National Health and Medical Research Council, 2013), and all videos followed the same script.

Qualitative interviews will also be used to gain a deeper understanding of the perspectives of young adults towards the contact-based intervention from those with high and low mental health distress.
Intervention typeBehavioural
Primary outcome measurePerceptions of mental health stigma and help-seeking intentions measured using the Generalised Anxiety Stigma Scale (GASS), the Self-Stigma of Mental Illness Scale (SSOMI) and the General Help-Seeking Questionnaire (GHSQ) at post-intervention.
Secondary outcome measures1. Perceptions of public and self-stigma using the Generalised Anxiety Stigma Scale (GASS), the Self-Stigma of Mental Illness Scale (SSOMI) and the General Help-Seeking Questionnaire (GHSQ) at one week following the intervention.
2. Perceptions of intervention measured using data collected during semi-structured qualitative interviews after the intervention
Overall study start date20/09/2020
Completion date31/03/2025

Eligibility

Participant type(s)Learner/student
Age groupAdult
Lower age limit17 Years
Upper age limit24 Years
SexBoth
Target number of participants300
Total final enrolment328
Key inclusion criteria1. Undergraduate psychology students
2. Aged 17-24 years
Key exclusion criteriaAged over 25 years old
Date of first enrolment01/04/2021
Date of final enrolment30/08/2021

Locations

Countries of recruitment

  • Australia

Study participating centre

Macquarie University
Balaclava rd
Macquarie University
2109
Australia

Sponsor information

Black Dog Institute
Research organisation

University of New South Wales
Randwick
2031
Australia

Phone +61 9385 1000
Email blackdog@blackdog.org.au
Website https://www.blackdoginstitute.org.au/
ROR logo "ROR" https://ror.org/04rfr1008

Funders

Funder type

Other

Investigator initiated and funded

No information available

Batyr Australia

No information available

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal
IPD sharing planThe datasets generated during and analysed during the current study will be available upon request from Prof Jennie Hudson, jennie.hudson@unsw.edu.au.
• The type of data that will be shared is anonymised demographic data (only those that will not allow re-identification), primary and secondary outcomes, treatment condition, and timepoint.
• Timing for availability is on request
• Whether consent from participants was required and obtained: The consent form allows sharing of de-identified data for studies approved by an ethics board.
• Comments on data anonymization: data will be screened by authors to ensure no data will be shared that allows re-identification
• Any ethical or legal restrictions: Only requests that have evidence of approval from an institutional ethics committee will be considered.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 1 23/09/2020 27/03/2025 No Yes

Additional files

47048_PIS_v1_23Sept2020.pdf

Editorial Notes

21/03/2025: Study's existence confirmed by the University of New South Wales Human Ethics Committee.