Clinical trial NCT05413408: Intervention to Decrease the Stigma of Nursing Students
Official title: Chinese Culture-Specific Intervention to Decrease the Stigma of Nursing Students Towards Schizophrenia--A Pilot Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Stigma, Social
Lead sponsor: The Hong Kong Polytechnic University
Sponsor class: OTHER
First posted: 2022-06-10
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: not

Detailed description: Introduction Mental illness stigma is influenced by empathy, culture, and beliefs. However, few researchers specifically consider empathy, culture, and beliefs when designing interventions to reduce stigma. Schizophrenia is the most stigmatized mental illnesses. Nursing students will play the role of health educators and provide care for patients in the future. Their stigmas will negatively impact the care quality provided to people diagnosed with schizophrenia if not properly attended. This study intends to examine the feasibility, acceptability, and preliminary efficacy of an education and contact intervention programme aiming to improve nursing students' knowledge and empathy of schizophrenia and decrease their negative attitudes and stigma behavior towards people with schizophrenia. Methods and Analysis This is a two-phase study design. Phase 1 development includes a literature review and a descriptive qualitative study. Phase 2 is a pilot study, the feasibility, accessibility, and efficacy of the pilot RCT will be assessed by the quantitative and qualitative study. In the first phase, descriptive qualitative study with focus group and a literature review will be used to inform the intervention development of a pilot RCT. The second phase includes a pilot RCT including 60 nursing students who 7 practice in clinical settings of a tertiary hospital. These nursing students will be randomly assigned into the intervention group and the control group. The pilot study intervention consists of three stages, including the investigative learning activity (lasting about 6 hours), the collaborative activity (lasting about 4 hours), and the higher-order thinking activity (lasting about 4 hours). Both the intervention group and the control group will be interns in the tertiary hospital simultaneously when they take part in this study. The control group go through only one stage--they will be given a book about schizophrenia knowledge and asked to finish reading it in four weeks. After the pilot intervention study, there will be a process evaluation of a qualitative interview. Both first and second phase qualitative study will use qualitative research of fourth-year nursing students being focus groups interviewed. The pilot intervention study outcomes include nursing students' knowledge, attitude, and behavioral intentions regarding stigma towards schizophrenia, and nursing students' empathy towards people with schizophrenia. The pilot intervention study effect will be evaluated by the researcher and the results of the two groups will be compared on the baseline (T0), post-intervention (T1), and three months follow-up (T2).

Eligibility criteria: Inclusion Criteria:

* Participants should be 18 years old or above.
* Participants should complete all the school courses to ensure that they have similar theoretical knowledge in psychiatric nursing.
* Participants can communicate in Mandarin.
* Participants are voluntarily participating in this study.
* Participants have not participated in any other similar intervention before.
* Participants are doing a clinical practicum in Xiangya Hospital, Changsha, Hunan Province.

Exclusion Criteria:

* Participants are receiving treatment of schizophrenia or other mental illness.
* Participants are lack of essential equipment to take an online interview.
* Regular personal contact with someone with schizophrenia or other mental illness (more than three times a month). Because people's prejudice may decrease when they meet and interact with people with mental illness.

Primary outcomes:
measure: Subject recruitment time
timeFrame: up to one month
measure: Achievable recruitment rate
timeFrame: up to one month
measure: Eligibility rate of participants
timeFrame: up to one month
measure: The response rate of scales
timeFrame: up to three month
measure: Drop-out rate of participants
timeFrame: up to three month
Secondary outcomes:
measure: Knowledge of Schizophrenia as assessed by Knowledge about Schizophrenia Test (KAST)
timeFrame: up to three month
measure: Attitudes of Schizophrenia as assessed by Mental Illness Clinicians' Attitudes Scale (MICA)
timeFrame: up to three month
measure: Stigma behavior toward Schizophrenia as assessed by Reported and Intended Behavior Scale (RIBS)
timeFrame: up to three month
measure: Empathy toward Schizophrenia as assessed by Jefferson Scale of Empathy-Health Profession Students (JSE-HPS)
timeFrame: up to three month
Other outcomes:
Locations:
city: Changsha
country: China
facility: Xiang Ya Hospital of Central South University
state: Hu Nan
Study officials:
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