Community-based psychosocial support interventions to reduce stigma and improve mental health of people with infectious diseases: a scoping review.

Autor: Anindhita M; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia., Haniifah M; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia., Putri AMN; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia., Karnasih A; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Pegangsaan Timur No 16, Jakarta, 10310, Indonesia., Agiananda F; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Pegangsaan Timur No 16, Jakarta, 10310, Indonesia., Yani FF; Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.; Department of Child Health, Faculty of Medicine, Universitas Andalas, Padang, West Sumatera, Indonesia., Haya MAN; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia.; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Pegangsaan Timur No 16, Jakarta, 10310, Indonesia.; Department of Paediatric, Dr. M. Djamil General Hospital, Padang, West Sumatera, Indonesia., Pakasi TA; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia.; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Pegangsaan Timur No 16, Jakarta, 10310, Indonesia., Widyahening IS; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia.; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Pegangsaan Timur No 16, Jakarta, 10310, Indonesia., Fuady A; Primary Health Care Research and Innovation Center, Indonesia Medical Education and Research Institute, Faculty of Medicine, Universitas Indonesia, Salemba No 6, Jakarta, 10430, Indonesia. ahmad.fuady01@ui.ac.id.; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Pegangsaan Timur No 16, Jakarta, 10310, Indonesia. ahmad.fuady01@ui.ac.id., Wingfield T; Department of Clinical Sciences and International Public Health, Centre for Tuberculosis Research, Liverpool School of Tropical Medicine, Liverpool, UK.; Department of Global Public Health, WHO Collaborating Centre on Tuberculosis and Social Medicine, Karolinska Institute, Stockholm, Sweden.; Tropical and Infectious Disease Unit, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, Liverpool, UK.
Jazyk: angličtina
Zdroj: Infectious diseases of poverty [Infect Dis Poverty] 2024 Dec 03; Vol. 13 (1), pp. 90. Date of Electronic Publication: 2024 Dec 03.
DOI: 10.1186/s40249-024-01257-6
Abstrakt: Background: Stigma experienced by people with infectious diseases impedes access to care, leading to adverse psychosocial consequences. Community-based interventions could prevent or mitigate these consequences but lack robust evidence. This scoping review aimed to identify and critically appraise community-based psychosocial support interventions to reduce stigma and improve mental health for people affected by stigmatizing infectious diseases including tuberculosis (TB), HIV/AIDS, and leprosy.
Methods: This was a scoping review of literature indexed in PubMed, Web of Science, Elton B. Stephens Company (EBSCO) database, as well as reports in the World Health Organization repository, published from January 2000 to June 2023. We included research articles and reports addressing stigma and mental health disorders among individuals with TB, HIV/AIDS, or leprosy and/or their household members in low- and middle-income and/or high TB burden countries. We extracted information regarding types of psychosocial interventions and their reported impact on health and psychosocial indicators.
Results: Thirty studies were included in this review: 21 (70%) related to HIV/AIDS, seven (23%) leprosy, and two (7%) TB. Of these, eleven were quantitative studies, nine qualitative, and ten mixed-methods. Eleven community-based interventions were reported to reduce infectious disease-related stigma, predominantly internalized and enacted stigma, and improve adherence to medication, quality of life, health-related knowledge, depression symptoms, and psychosocial wellbeing. Most studies involved lay people in the community as supporters of those affected. The predominant reported mechanism of intervention effect was the ability of supporters to enable those affected to feel seen and listened to, to accept their diagnosis, to improve their self-esteem, and to facilitate continuation of their daily lives, and thereby reducing anticipated stigma, self-stigma, and mental illness. Adequate training for lay people was reported to be essential to ensure success of interventions.
Conclusions: This review identified a paucity of high-quality evidence relating to community-based interventions to reduce stigma for infectious diseases. However, such interventions have been reported to reduce stigma and improve mental health among people with HIV/AIDS, leprosy, and TB. Engaging affected communities and peers, through the conception, planning, training, implementation, and evaluation phases, was reported to be essential to optimise intervention uptake, impact, and sustainability.
Competing Interests: Declarations. Ethics approval and consent to participate: This study received research ethical approval from the Research Ethical Committee of Liverpool School of Tropical Medicine (RGETEM044) and the Faculty of Medicine Universitas Indonesia (KET-1169/UN2.F1/ETIK/PPM.00.02/2023). Consent for publication: All authors provided their consent for publication. Competing interests: We declare no competing interest.
(© 2024. The Author(s).)
Databáze: MEDLINE
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