scholarly journals Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Jessica Spagnolo ◽  
François Champagne ◽  
Nicole Leduc ◽  
Michèle Rivard ◽  
Myra Piat ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Self Efficacy ◽  
Primary Care Physicians ◽  
Health Knowledge ◽  
Mental Health Knowledge

scholarly journals The influence of primary care physicians’ mental health knowledge, attitudes and self-efficacy on referrals to specialised services: findings from a longitudinal pilot trial

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Jessica Spagnolo ◽  
Helen-Maria Vasiliadis ◽  
Djamal Berbiche ◽  
François Champagne ◽  
Nicole Leduc ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Services ◽  
Health Services ◽  
Self Efficacy ◽  
Primary Care Physicians ◽  
Health Knowledge ◽  
Pilot Trial ◽  
Health Attitudes ◽  
Mental Health Knowledge

Background Training based on the Mental Health Gap Action Programme (mhGAP) is being increasingly adopted by countries to enhance non-specialists’ mental health capacities. However, the influence of these enhanced capacities on referral rates to specialised mental health services remains unknown. Aims We rely on findings from a longitudinal pilot trial to assess the influence of mental health knowledge, attitudes and self-efficacy on self-reported referrals from primary to specialised mental health services before, immediately after and 18 months after primary care physicians (PCPs) participated in an mhGAP-based training in the Greater Tunis area of Tunisia. Method Participants included PCPs who completed questionnaires before (n = 112), immediately after (n = 88) and 18 months after (n = 59) training. Multivariable analyses with linear mixed models accounting for the correlation among participants were performed with the SAS version 9.4 PROC MIXED procedure. The significance level was α < 0.05. Results Data show a significant interaction between time and mental health attitudes on referrals to specialised mental health services per week. Higher scores on the attitude scale were associated with more referrals to specialised services before and 18 months after training, compared with immediately after training. Conclusion Findings indicate that, in parallel to mental health training, considering structural/organisational supports to bring about a sustainable change in the influence of PCPs’ mental health attitudes on referrals is important. Our results will inform the scale-up of an initiative to further integrate mental health into primary care settings across Tunisia, and potentially other countries with similar profiles interested in further developing task-sharing initiatives.

scholarly journals Building capacity in mental health care in low- and middle-income countries by training primary care physicians using the mhGAP: a randomized controlled trial

2019 ◽  
Vol 35 (2) ◽  
pp. 186-198 ◽  
Author(s):  
Jessica Spagnolo ◽  
François Champagne ◽  
Nicole Leduc ◽  
Michèle Rivard ◽  
Wahid Melki ◽  
...  
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Primary Care Physicians ◽  
Health Knowledge ◽  
Control Group ◽  
Middle Income ◽  
Middle Income Countries ◽  
Group 2 ◽  
Mental Health Knowledge ◽  
Group 1

Abstract To address the rise in mental health conditions in Tunisia, a training based on the Mental Health Gap Action Programme (mhGAP) Intervention Guide (IG) was offered to primary care physicians (PCPs) working in the Greater Tunis area. Non-specialists (such as PCPs)’ training is an internationally supported way to target untreated mental health symptoms. We aimed to evaluate the programme’s impact on PCPs’ mental health knowledge, attitudes, self-efficacy and self-reported practice, immediately following and 18 months after training. We conducted an exploratory trial with a combination of designs: a pretest–posttest control group design and a one-group pretest–posttest design were used to assess the training’s short-term impact; and a repeated measures design was used to assess the training’s long-term impact. The former relied on a delayed-intervention strategy: participants assigned to the control group (Group 2) received the training after the intervention group (Group 1). The intervention consisted of a weekly mhGAP-based training session (totalling 6 weeks), comprising lectures, discussions, role plays and a support session offered by trainers. Data were collected at baseline, following Group 1’s training, following Group 2’s training and 18 months after training. Descriptive, bivariate and ANOVA analyses were conducted. Overall, 112 PCPs were randomized to either Group 1 (n = 52) or Group 2 (n = 60). The training had a statistically significant short-term impact on mental health knowledge, attitudes and self-efficacy scores but not on self-reported practice. When comparing pre-training results and results 18 months after training, these changes were maintained. PCPs reported a decrease in referral rates to specialized services 18 months after training in comparison to pre-training. The mhGAP-based training might be useful to increase mental health knowledge and self-efficacy, and decrease reported referral rates and negative mental health attitudes among PCPs in Tunisia and other low- and middle-income countries. Future studies should examine relationships among these outcome variables.

scholarly journals Understanding mental health and wellbeing among aboriginal postsecondary students

2021 ◽  
Author(s):  
Caitlin Joy Davey
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Health Knowledge ◽  
Health Issues ◽  
Community Based ◽  
Post Secondary ◽  
Aboriginal Students ◽  
Mental Health Issues ◽  
Mental Health Knowledge

First Nations, Inuit and Métis youth in Canada report higher rates of mental health (i.e., depression, anxiety, addiction and suicide) issues than the non-Aboriginal population of youth, which impacts their ability to achieve their educational goals. Understanding mental health from an Aboriginal worldview and through culturally safe strategies designed to translate mental health information to Aboriginal people is lacking. The objectives of the present study were to develop, implement and evaluate a knowledge translation (KT) strategy to enhance wellbeing knowledge and self-efficacy in coping with mental health issues among Aboriginal postsecondary students using a community-based approach. The Tool Development Phase involved focus groups and interviews with Aboriginal post-secondary students (n=9) and community members (n=3) to develop a KT activity. The KT Phase involved a pre/post design where participants (n=4) were asked about their mental health knowledge and self-efficacy in improving their wellbeing prior to and after the KT activity. All students participated in an individual interview one month later about their knowledge and the helpfulness of activity. Key informants (n=4) were interviewed during a Follow-Up and Debriefing phase regarding the community-based approach. Mental health was defined wholistically, as related to community and as being impacted by identity, stigma, cultural connection, intergenerational trauma, and a clash between Aboriginal and positivist Western worldviews. KT preferences included incorporating traditional ceremonies; covering particular topics such as resources, traditional teachings and coping strategies; and incorporating active participation. The KT activity increased knowledge and self-efficacy related to mental health and some knowledge was retained and used at one-month follow-up. As well, participants appreciated the sense of community that the activity created and provided feedback regarding what could be changed (e.g., more active participation). Key informants thought the project addressed some community needs and that it was built on relationships. This study will contribute to increasing the wellbeing of Aboriginal students by expanding upon their mental health knowledge, and sense of self-efficacy in coping with their own mental health issues, with the aim of addressing mental health barriers to the completion of post-secondary education among Aboriginal students.

scholarly journals Understanding mental health and wellbeing among aboriginal postsecondary students

2021 ◽  
Author(s):  
Caitlin Joy Davey
Keyword(s):  
Mental Health ◽  
Self Efficacy ◽  
Health Knowledge ◽  
Health Issues ◽  
Community Based ◽  
Post Secondary ◽  
Aboriginal Students ◽  
Mental Health Issues ◽  
Mental Health Knowledge

First Nations, Inuit and Métis youth in Canada report higher rates of mental health (i.e., depression, anxiety, addiction and suicide) issues than the non-Aboriginal population of youth, which impacts their ability to achieve their educational goals. Understanding mental health from an Aboriginal worldview and through culturally safe strategies designed to translate mental health information to Aboriginal people is lacking. The objectives of the present study were to develop, implement and evaluate a knowledge translation (KT) strategy to enhance wellbeing knowledge and self-efficacy in coping with mental health issues among Aboriginal postsecondary students using a community-based approach. The Tool Development Phase involved focus groups and interviews with Aboriginal post-secondary students (n=9) and community members (n=3) to develop a KT activity. The KT Phase involved a pre/post design where participants (n=4) were asked about their mental health knowledge and self-efficacy in improving their wellbeing prior to and after the KT activity. All students participated in an individual interview one month later about their knowledge and the helpfulness of activity. Key informants (n=4) were interviewed during a Follow-Up and Debriefing phase regarding the community-based approach. Mental health was defined wholistically, as related to community and as being impacted by identity, stigma, cultural connection, intergenerational trauma, and a clash between Aboriginal and positivist Western worldviews. KT preferences included incorporating traditional ceremonies; covering particular topics such as resources, traditional teachings and coping strategies; and incorporating active participation. The KT activity increased knowledge and self-efficacy related to mental health and some knowledge was retained and used at one-month follow-up. As well, participants appreciated the sense of community that the activity created and provided feedback regarding what could be changed (e.g., more active participation). Key informants thought the project addressed some community needs and that it was built on relationships. This study will contribute to increasing the wellbeing of Aboriginal students by expanding upon their mental health knowledge, and sense of self-efficacy in coping with their own mental health issues, with the aim of addressing mental health barriers to the completion of post-secondary education among Aboriginal students.

The Effectiveness of a Psychoeducational Program in Increasing Mental Health Knowledge in Collegiate Athletes: A Critically Appraised Topic

2021 ◽  
pp. 1-5
Author(s):  
Alexis Peters ◽  
Julliana Tapia ◽  
Stephanie H. Clines
Keyword(s):  
Mental Health ◽  
Student Athletes ◽  
Health Knowledge ◽  
Collegiate Athletes ◽  
Clinical Question ◽  
Bottom Line ◽  
Psychoeducational Program ◽  
Mental Health Knowledge

Focused Clinical Question: Does the implementation of a psychoeducational program increase mental health knowledge among collegiate student-athletes? Clinical Bottom Line: There is consistent, limited-quality patient-oriented evidence to suggest that implementation of a psychoeducational program is effective in increasing mental health knowledge in collegiate student-athletes based on the guidelines of the strength of recommendation taxonomy.

scholarly journals Development and validation of the Espaijove.net mental health literacy (EMHL) test for Spanish adolescents

2019 ◽  
Author(s):  
Pere Castellvi ◽  
Rocio Casanas ◽  
Victoria-Mailen Arfuch ◽  
Juan-José Gil Moreno ◽  
María Torres Torres ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
Internal Consistency ◽  
Mental Health Professionals ◽  
Mental Health Literacy ◽  
Health Knowledge ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Mental Health Knowledge ◽  
Different Levels

Abstract Background There is evidence of the effectiveness of implementing Mental Health Literacy (MHL) programs in improving mental health knowledge and reducing the stigma. However, there are substantial limitations in the instruments of measurement of mental health literacy. This study aimed to develop and validate the EspaiJove.net MHL test (EMHL) for Spanish adolescents assessing its psychometric properties.Methods The development of the EMHL as a maximum performance test was conducted using item pool generation and pilot study. Content generation was assessed according item relevance by mental health professionals’ and comprehensive and non-offensiveness by adolescents’ focus groups. A convenience sample of high school students aged 13-15y (n=355) participated in the validity study. Reliability was assessed with internal consistency and test-retest. Convergent validity was evaluated comparing effect size among known groups with different levels of mental health knowledge, correlation with mental health-related instruments, and item discrimination index.Results A final version of 35-item EMHL test was obtained with two parts: (i) 1st part consist of binary choice format (yes/no) for the identification of mental disorders; (ii) The part 2 has multiple choice questions with four possible answer options based on the thematic contents of the EspaiJove.net program. Internal consistency was acceptable in the 1st part (Cronbach’s alpha=0.744; Guttman’s lambda 2=0.773) and almost acceptable in the 2nd part (Cronbach’s alpha=0.615; Guttman’s lambda 2=0.643). The test-retest evaluation supported the stability of the test (1st part, ICC= 0.578; 2nd part, ICC= 0.422), no ceiling and floor effects were found. The EMHL test scores discriminated known groups with different levels of mental health knowledge, it is associated with a reduction of related-stigma, emotional symptoms, conduct problems and bullying behaviours and anxiety/depression and self-care quality of life (p<0.05), and it shows a strong discrimination index in almost all items (D≥0.40).Conclusions The EMHL test is a relevant measure for mental health prevention and promotion adapted to Spanish context taking into account the opinion of adolescents, using a non-offensive and adolescent-adapted vocabulary with acceptable validity and stability for assessing MHL levels in adolescents.

Sign in / Sign up

Export Citation Format

Share Document