Impact of socio-economic development, contact and peer counselling on stigma against persons affected by leprosy in Cirebon, Indonesia – a randomised controlled trial
| Autor: | Wim H. van Brakel, Marjolein B.M. Zweekhorst, Ruth M. H. Peters, Irwanto, Joske G. F. Bunders, Dadun Dadun, Mimi Lusli |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Social stigma business.industry Social distance 030231 tropical medicine Psychological intervention Peer group law.invention Nonprobability sampling 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Environmental health Bogardus social distance scale Cohort General Earth and Planetary Sciences Medicine 030212 general & internal medicine business Psychiatry General Environmental Science |
| Zdroj: | Leprosy Review. 88:2-22 |
| ISSN: | 2162-8807 |
| DOI: | 10.47276/lr.88.1.2 |
| Popis: | Objectives: People affected by leprosy are often stigmatised, but stigma is rarely quantified and the effectiveness of interventions is often not evaluated. The SARI Project aimed to test and evaluate three interventions: counselling (involving peer counsellors), socio-economic development (SED) and contact between community members and affected people. Results: This study used a controlled trial design in which pairs of the stigmareduction interventions were randomly allocated to sub-districts in Cirebon District, Indonesia. The study sample consisted of one cohort of people affected by leprosy (on treatment or treated) and two independent samples of community members. The latter were selected through purposive sampling. Three scales (e.g. SARI Stigma Scale, Participation scale) were applied among leprosy-affected people and two scales (e.g. Social Distance Scale) were used among community members pre- and post-intervention. Among affected people (n = 237), significant differences in reduction of stigma and participation restrictions were found in all intervention areas and an improvement in quality of life in some intervention areas. Social distance and social stigma significantly reduced among community members (n = 213 and 375) in the two intervention areas where the contact intervention was implemented. Two of the five instruments indicated changes in the control area, but the changes in the intervention areas were much larger. Conclusion: The SARI Project has demonstrated that a measurable reduction in leprosy-related stigma can be achieved, both at community level and among people affected by leprosy, using reproducible interventions that can be adapted to different settings and target groups. |
| Databáze: | OpenAIRE |
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