People with a mental illness are often seen as dangerous, unpredictable, unreliable, and not normal. Moreover, people are systematically labelled and stigmatised for their mental illness. This gap between health care need and utilisation exists despite modern developments in health promotion as well as selective preventive efforts such as mental health awareness campaigns. In Germany two thirds of people with depressive symptoms do not seek mental health care. Registered 16 February 2021.Įpidemiological studies show that even in countries with well-developed primary care and specialised mental health services most people with a mental illness do not seek treatment for their disorders, or only after considerable delay.
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World Health Organization, Universal Trial Number: U1111–1264-9954. German Clinical Trials Register: DRKS00023557. Secondly, our online study could provide insights for an evidence-based design and evaluation of online interventions for people with a mental illness.
Results, firstly, allow for a more detailed empirical investigation and conceptualisation of the stages of mental health care utilisation, as well as an examination of theoretical approaches to stigmatisation. On the basis of the project results, promising research and intervention perspectives can be developed. Gamified elements and avatar-choice techniques will be used to heighten study immersion and adherence. In a 3- and 6-month follow-up help-seeking behaviour will be measured. Next, relevant outcome measures will be administered a second time. After baseline assessment the participants will be randomly allocated into one of the 24 study groups receiving different combinations of the vignette-based intervention aiming to reduce stigma and support help-seeking. Participants will be screened for depressive complaints (PHQ-9 sum score ≥ 8) and current psychiatric/psychotherapeutic treatment. The study is conceived as a fractional factorial design. MethodsĪ quasi-experimental online study will be carried out to assess the effect of different intervention variables relevant for the help-seeking process. Therefore, an anti-stigma intervention study to support help-seeking behaviour will be developed on the basis of the newly explicated “Seeking Mental Health Care Model”. Epidemiological studies show that even in highly developed countries many people with depression do not seek help for their mental health issues, despite promising prevention approaches encouraging people to seek help and reduce self-stigma.
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