Stigma Reduction Via Brief Video Interventions: Comparing Presentations by an Actor Versus a Person With Lived Experience

Psychiatr Serv. 2024 May 1;75(5):485-488. doi: 10.1176/appi.ps.20230215. Epub 2023 Dec 13.

Abstract

Objective: This study aimed to compare the efficacy of two brief video interventions in reducing mental health-related stigma: one featuring a person with lived experience of mental illness, the other featuring an actor guided by focus groups of individuals with lived experience.

Methods: Participants (N=1,216) ages 18-30 were randomly assigned to an intervention group or a control group. The intervention groups viewed one of two 2-minute videos in which a young Black protagonist describes symptoms, struggles, and personal recovery related to schizophrenia. Five domains of stigma were assessed at baseline, postintervention, and a 30-day follow-up.

Results: Stigma scores were lower across all five domains in both intervention groups (vs. control), and noninferiority analyses found no difference between the two videos (all p<0.001).

Conclusions: This study enhanced prior findings showing similar efficacy of the two videos and illustrated opportunities for people with mental illness to share their personal stories without public exposure.

Keywords: Intervention; Public stigma; Schizophrenia; Social contact; Stigma/discrimination; Video.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Focus Groups
  • Humans
  • Male
  • Mental Disorders / therapy
  • Schizophrenia / therapy
  • Social Stigma*
  • Video Recording*
  • Young Adult