Clinical trial NCT06366373: Reducing Stigma Through a Mental Health Art Exhibition and Its Printed Brochure
Official title: Reducing Stigma Through a Mental Health Art Exhibition and Its Printed Brochure: an Social-contact Intervention Study
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mental Health Issue
Keywords: mental health
stigma
discrimination
social contact
Lead sponsor: Hunan University
Sponsor class: OTHER
Collaborators: name: Central South University
name: Qixi Charity
First posted: 2024-04-15
Enrollment: 360
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The interventional study model for this clinical trial is a two-phase experimental design.

At Phase One, a single-arm pre-post study design will be adopted. Specifically, the intervention is the exhibition, organized by "Qixi Charity," will publicly display offline artworks reflecting the diverse dimensions of mental health and ill-health.

At Phase Two, a multiple-arm pre-post study design will be adopted. Specifically, the intervention become the printed brochure of the exhibition and its effect will be compared with a traditional health education brochure and a postcard as a placebo.
Primary purpose: SUPPORTIVE_CARE

Brief summary: Mental health art exhibitions, as an intervention strategy integrating artistic expression and social contact, have the potential to positively impact the elimination of stigma and discrimination associated with mental health problems. Based on a two-phase experimental design, this study aims to evaluate the effect of a real-world mental health art exhibition (Phase One) and its printed brochure (Phase Two) on stigma/discrimination and related outcomes, such as mental health literacy. The evaluation will encompass three categories of people: those with lived experience of mental disorders, family members and friends of those with lived experience, and the general public. Qualitative methods, such as in-depth interviews, will also be used for the evaluation.

Detailed description: Mental health art exhibitions, as an intervention strategy integrating artistic expression and social contact, have the potential to positively impact the elimination of stigma and discrimination associated with mental health problems. Based on a two-phase experimental design, this study aims to evaluate the effect of a real-world mental health art exhibition (Phase One) and its printed brochure (Phase Two) on stigma/discrimination and related outcomes, such as mental health literacy. The evaluation will encompass three categories of people: those with lived experience of mental disorders, family members and friends of those with lived experience, and the general public. Qualitative methods, such as in-depth interviews, will also be used for the evaluation.

The intervention measure is the Second Mental Health Art Science Exhibition scheduled to take place in Wuhan, China from April 27 to May 14, 2024. Organized by "Qixi Charity", an NGO led by individuals with lived experience of mental disorders, as well as their family members and friends, the exhibition will feature offline artworks created by these individuals and other contributors. The exhibited artworks aim to reflect the diverse dimensions of mental health and ill-health.

At Phase One, the effect of the real-world exhibition is evaluated through a single-arm pre-post study design. The adult audience, who are individuals with lived experience of mental disorders, or family members and friends of those with lived experience, or the general public, will be recruited as the experimental group, and they will be surveyed three times: (1) a baseline survey before the interventions (T0); (2) a follow-up survey in the first month after the interventions (T1); (3) a follow-up survey in the sixth month after the interventions (T2). Additionally, the study will perform text analysis of media reports and social media discussions related to the exhibition to supplement the assessment of its social impact.

Due to the high costs and limited feasibility of widespread implementation of the real-world Mental Health Art Exhibition, the intervention was then adapted to a printed exhibition brochure. At Phase Two, the effect of the brochure intervention in reducing stigma and other related outcomes will be assessed and compared with a traditional health education brochure and a postcard as a placebo. Individuals with lived experience of mental disorders, or family members and friends of those with lived experience, or the general public, who do not visit the exhibition of Phase One, will be recurited. After that, individuals with lived experience of mental disorders and their family members or friends will be cluster-randomized to either the exhibition brochure group or the control group (the latter typically receives or seeks out traditional health education materials during healthcare visits). As for the general public will be cluster-randomized into three groups: (1) the exhibition brochure group, (2) the traditional health education brochure group, and (3) the control group. Effectiveness will be evaluated through three surveys: (1) a baseline survey before the interventions (T0); (2) a follow-up survey one month after the interventions (T1); and (3) a follow-up survey six months after the interventions (T2).

Eligibility criteria: General Inclusion Criteria:

* Adults aged 18 and above

General Exclusion Criteria:

* Individuals who are unable to understand the content of the questionnaire due to illness and other factors
* Mental health professionals, including psychiatrists, psychologists, nurses, social workers and medical students

Additional Inclusion Criteria for Phase One:

* Individuals who attend the exhibition offline

Additional Inclusion Criteria for Phase Two:

* Individuals who did not visit the exhibition of Phase One

Primary outcomes:
measure: Stigma/discrimination regarding mental disorders
timeFrame: Time point 0: before the exhibition; Time point 1: within the first month after the exhibition; Time point 2: the sixth month after the exhibition
Secondary outcomes:
measure: mental health literacy
timeFrame: Time point 0: before the exhibition; Time point 1: within the first month after the exhibition; Time point 2: the sixth month after the exhibition
Other outcomes:
measure: Willingness to pay
timeFrame: T2: six months after the interventions (T2)
Locations:
city: Wuhan
country: China
facility: Qixi Charity
state: Hubei
city: Changsha
country: China
facility: The Second Xiangya Hospital, Central South University
state: Hunan
city: Changsha
country: China
facility: Hunan University
state: Hunan
Study officials:
affiliation: Hunan University
name: Wei Zhou, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: