Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista Brasileira de Medicina de Família e Comunidade (Online) |
Texto Completo: | https://www.rbmfc.org.br/rbmfc/article/view/2766 |
Resumo: | Introduction: Stigma against people with mental disorders is present in society as a whole, including among health professionals, harming both social relationships of these individuals and the health care provided to them. Objective: To analyze how Health Education alters the stigma of professionals in Primary Health Care (PHC) on people with mental disorders. Methods: Experimental study with pre- and post-intervention evaluation approach, conducted in four PHC Units in Regional Health VI in Fortaleza (Ceará), from June to December 2019, with professionals from the Family Health Strategy. Educational training based on the World Health Organization’s Mental Health Gap Action Program manual was carried out by two researchers. The degree of stigma was assessed using the Attribution Questionnaire in Portuguese (AQ-9). Results: 64 health professionals participated, mostly women (92%, n=58) with completed higher education (56%, n=34), predominantly Community Health Agents (63%, n=39), with mean age of 43 years. The sums of responses of questionnaire items for each participant were compared before and after the intervention using the Wilcoxon test, and the value of p<0.001 was found. Conclusions: The intervention was able to reduce the stigma of health professionals in relation to people with mental disorders and may serve as basis for the creation of a municipal model for permanent professional education. |
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Evaluation of a training for primary care professionals aiming at reducing stigma of mental disordersEvaluación de una formación para profesionales de atención primaria destinada a reducir el estigma con los trastornos mentalesAvaliação de uma capacitação de profissionais da atenção primária objetivando a redução de estigma aos transtornos mentaisSocial stigmaMental healthPrimary Health Care.Estigma socialSalud mentalAtención primaria de salud.Estigma socialSaúde mentalAtenção Primária à Saúde.Introduction: Stigma against people with mental disorders is present in society as a whole, including among health professionals, harming both social relationships of these individuals and the health care provided to them. Objective: To analyze how Health Education alters the stigma of professionals in Primary Health Care (PHC) on people with mental disorders. Methods: Experimental study with pre- and post-intervention evaluation approach, conducted in four PHC Units in Regional Health VI in Fortaleza (Ceará), from June to December 2019, with professionals from the Family Health Strategy. Educational training based on the World Health Organization’s Mental Health Gap Action Program manual was carried out by two researchers. The degree of stigma was assessed using the Attribution Questionnaire in Portuguese (AQ-9). Results: 64 health professionals participated, mostly women (92%, n=58) with completed higher education (56%, n=34), predominantly Community Health Agents (63%, n=39), with mean age of 43 years. The sums of responses of questionnaire items for each participant were compared before and after the intervention using the Wilcoxon test, and the value of p<0.001 was found. Conclusions: The intervention was able to reduce the stigma of health professionals in relation to people with mental disorders and may serve as basis for the creation of a municipal model for permanent professional education.Introducción: El estigma contra las personas con trastornos mentales está presente en el conjunto de la sociedad, incluidos los profesionales de la salud, perjudicando tanto las relaciones sociales de estas personas como la atención médica que se les brinda. Objetivo: Analizar cómo la Educación para la Salud altera el estigma de los profesionales de la Atención Primaria de Salud (APS) sobre las personas con trastornos mentales. Métodos: Estudio experimental con enfoque de evaluación pre y post intervención, en cuatro Unidades de APS de la Regional Salud VI del Fortaleza (Ceará), de junio a diciembre de 2019, con profesionales de la Estrategia de Salud de la familia. Dos investigadores llevaron a cabo una formación educativa basada en el manual del Mental Health Gap Action Program de la Organización Mundial de la Salud. El grado de estigma se evaluó mediante el Cuestionario de atribución en portugués (Attribution Questionnaire- AQ-9). Resultados: participaron 64 profesionales de la salud, en su mayoría mujeres (92%, n=58), que habían completado la escuela secundaria (56%, n=34), predominantemente Agentes de Salud Comunitarios (63%, n=39), con una edad media de 43 años. Se comparó la suma de las respuestas de cada ítem del cuestionario para cada participante, antes y después de la intervención, mediante la prueba de Wilcoxon, y se encontró un valor de p<0,001. Conclusiones: La intervención educativa logró reducir el estigma de los profesionales de la salud con relación a las personas con trastornos mentales, y puede servir para crear un modelo municipal de educación profesional permanente.Introdução: O estigma dos portadores de transtornos mentais está presente na sociedade como um todo, incluindo os profissionais da saúde, prejudicando tanto as relações sociais desses indivíduos quanto a assistência à saúde que lhes é fornecida. Objetivo: Analisar como a educação em saúde altera o estigma dos profissionais da atenção primária em saúde sobre os portadores de transtornos mentais. Métodos: Estudo experimental com abordagem avaliativa pré e pós-intervenção, em quatro unidades de atenção primária em saúde na Regional de Saúde VI de Fortaleza (Ceará), de junho a dezembro de 2019, com profissionais da Estratégia Saúde da Família. Realizaram-se capacitações educativas baseadas no manual Mental Health Gap Action Program, da Organização Mundial da Saúde, por dois pesquisadores. O grau de estigma foi avaliado com o Questionário de Atribuição versão em português (Attribution Questionnaire — AQ-9). Resultados: Participaram 64 profissionais da saúde, a maioria mulheres (92%, n=58), com ensino médio completo (56%, n=34), predominando agentes comunitários de saúde (63%, n=39), com idade média de 43 anos. Comparou-se a soma das respostas de cada item do questionário para cada participante, antes e depois da intervenção, por meio do teste de Wilcoxon, e foi encontrado o valor p<0,001. Conclusões: A intervenção educativa foi capaz de diminuir o estigma de profissionais da saúde em relação aos portadores de transtornos mentais, podendo servir para a criação de um modelo municipal de educação profissional permanente.Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)2022-06-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos Originais; Original Articlesapplication/pdfapplication/pdfhttps://www.rbmfc.org.br/rbmfc/article/view/276610.5712/rbmfc17(44)2766Revista Brasileira de Medicina de Família e Comunidade; Vol. 17 No. 44 (2022); 2766Revista Brasileira de Medicina de Família e Comunidade; Vol. 17 Núm. 44 (2022); 2766Revista Brasileira de Medicina de Família e Comunidade; v. 17 n. 44 (2022); 27662179-79941809-5909reponame:Revista Brasileira de Medicina de Família e Comunidade (Online)instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)instacron:SBMFCporenghttps://www.rbmfc.org.br/rbmfc/article/view/2766/1716https://www.rbmfc.org.br/rbmfc/article/view/2766/1717Copyright (c) 2022 Marina Pinho Carneiro, Lívia Mota Veras , Carla Salles Gazeta Vieira Fernandes , Maria Clara de Souza Vieira , Giovana Barroso de Melo Rios , Lourrany Borges Costahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarneiro, Marina PinhoVeras , Lívia Mota Fernandes , Carla Salles Gazeta Vieira Vieira , Maria Clara de SouzaRios , Giovana Barroso de Melo Costa, Lourrany Borges2022-06-06T20:33:22Zoai:ojs.rbmfc.org.br:article/2766Revistahttp://www.rbmfc.org.br/index.php/rbmfchttps://www.rbmfc.org.br/rbmfc/oai||david@sbmfc.org.br2179-79941809-5909opendoar:2022-06-06T20:33:22Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)false |
dc.title.none.fl_str_mv |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders Evaluación de una formación para profesionales de atención primaria destinada a reducir el estigma con los trastornos mentales Avaliação de uma capacitação de profissionais da atenção primária objetivando a redução de estigma aos transtornos mentais |
title |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders |
spellingShingle |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders Carneiro, Marina Pinho Social stigma Mental health Primary Health Care. Estigma social Salud mental Atención primaria de salud. Estigma social Saúde mental Atenção Primária à Saúde. |
title_short |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders |
title_full |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders |
title_fullStr |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders |
title_full_unstemmed |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders |
title_sort |
Evaluation of a training for primary care professionals aiming at reducing stigma of mental disorders |
author |
Carneiro, Marina Pinho |
author_facet |
Carneiro, Marina Pinho Veras , Lívia Mota Fernandes , Carla Salles Gazeta Vieira Vieira , Maria Clara de Souza Rios , Giovana Barroso de Melo Costa, Lourrany Borges |
author_role |
author |
author2 |
Veras , Lívia Mota Fernandes , Carla Salles Gazeta Vieira Vieira , Maria Clara de Souza Rios , Giovana Barroso de Melo Costa, Lourrany Borges |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Carneiro, Marina Pinho Veras , Lívia Mota Fernandes , Carla Salles Gazeta Vieira Vieira , Maria Clara de Souza Rios , Giovana Barroso de Melo Costa, Lourrany Borges |
dc.subject.por.fl_str_mv |
Social stigma Mental health Primary Health Care. Estigma social Salud mental Atención primaria de salud. Estigma social Saúde mental Atenção Primária à Saúde. |
topic |
Social stigma Mental health Primary Health Care. Estigma social Salud mental Atención primaria de salud. Estigma social Saúde mental Atenção Primária à Saúde. |
description |
Introduction: Stigma against people with mental disorders is present in society as a whole, including among health professionals, harming both social relationships of these individuals and the health care provided to them. Objective: To analyze how Health Education alters the stigma of professionals in Primary Health Care (PHC) on people with mental disorders. Methods: Experimental study with pre- and post-intervention evaluation approach, conducted in four PHC Units in Regional Health VI in Fortaleza (Ceará), from June to December 2019, with professionals from the Family Health Strategy. Educational training based on the World Health Organization’s Mental Health Gap Action Program manual was carried out by two researchers. The degree of stigma was assessed using the Attribution Questionnaire in Portuguese (AQ-9). Results: 64 health professionals participated, mostly women (92%, n=58) with completed higher education (56%, n=34), predominantly Community Health Agents (63%, n=39), with mean age of 43 years. The sums of responses of questionnaire items for each participant were compared before and after the intervention using the Wilcoxon test, and the value of p<0.001 was found. Conclusions: The intervention was able to reduce the stigma of health professionals in relation to people with mental disorders and may serve as basis for the creation of a municipal model for permanent professional education. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigos Originais; Original Articles |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.rbmfc.org.br/rbmfc/article/view/2766 10.5712/rbmfc17(44)2766 |
url |
https://www.rbmfc.org.br/rbmfc/article/view/2766 |
identifier_str_mv |
10.5712/rbmfc17(44)2766 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.rbmfc.org.br/rbmfc/article/view/2766/1716 https://www.rbmfc.org.br/rbmfc/article/view/2766/1717 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
publisher.none.fl_str_mv |
Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
dc.source.none.fl_str_mv |
Revista Brasileira de Medicina de Família e Comunidade; Vol. 17 No. 44 (2022); 2766 Revista Brasileira de Medicina de Família e Comunidade; Vol. 17 Núm. 44 (2022); 2766 Revista Brasileira de Medicina de Família e Comunidade; v. 17 n. 44 (2022); 2766 2179-7994 1809-5909 reponame:Revista Brasileira de Medicina de Família e Comunidade (Online) instname:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) instacron:SBMFC |
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Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
instacron_str |
SBMFC |
institution |
SBMFC |
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Revista Brasileira de Medicina de Família e Comunidade (Online) |
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Revista Brasileira de Medicina de Família e Comunidade (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Medicina de Família e Comunidade (Online) - Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC) |
repository.mail.fl_str_mv |
||david@sbmfc.org.br |
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