Exploring the convergence of knowledge, attitudes, and practice towards mental illness among nurses in South India: A cross-sectional analysis

Szajna, Amy; Udapi, Gururaj; Nandagaon, Veeresh; Sogalad, Manjunath; Kamat, Ashok; Khande, Amey Mohan; Patil, Sushma; Shanbhog, Sangangouda; Patil, Manjunath; Williams, Karen; Kelly, Patricia J.; Raddi, Sudha A

doi:10.1016/j.ajp.2021.102696

Cited by 5 publications

(2 citation statements)

References 24 publications

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“…Complex help-seeking patterns, the result of culturally derived norms, including stigma, misconceptions, and knowledge deficits related to mental illness, all limit care-seeking behaviors ( 13 ). Stigma and negative attitudes toward patients with mental illness are also documented among healthcare workers ( 14 ). Issues specific to pregnancy and PPD include the lack of screening protocols as part of the standard of care, hesitancy to treat PPD with pharmacological modalities, minimal ability to refer, and maternal stigma, all of which necessitate an innovative approach to timely and effective identification and treatment ( 15 ).…”

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confidence: 99%

Feasibility and acceptability of a community health worker administered behavioral activation intervention for postpartum depression: a single arm pilot study from India

Szajna,

Tekkalaki,

Nandagaon

et al. 2024

Front. Psychiatry

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IntroductionWomen in India experience high rates of postpartum depression (PPD), with minimal availability of screening or treatment. India has an extensive network of community health workers, known as accredited social health activists (ASHAs). While they are knowledgeable about most maternal–child health problems, they have minimal knowledge about PPD. We trained ASHAs to deliver a simple home-based intervention, behavioral activation (BA), which involves individuals in activities that are sources of positive reinforcement to counter depression. The research questions guiding this study were as follows: 1) What are the feasibility and acceptability of ASHAs screening for and delivering a brief behavioral activation intervention addressing PPD among women in Belagavi, South India? 2) What impact did the brief behavioral activation intervention have on PPD?MethodsThe mixed methods evaluation used interviews with participants and interventionists, and depression scores were assessed before and after the evaluation. After a 2-day training with 17 ASHAs that focused on understanding PPD, screening using the Edinburgh Postnatal Depression Scale (EPDS), and implementing the BA protocol, ASHAs and researcher supervisors screened the mothers 6–12 weeks postpartum presenting at pediatric immunization clinics. Mothers who screened positive were invited to participate in an ASHA-led 5-week BA intervention, with ASHAs visiting the mothers’ homes. We assessed post-intervention EPDS scores and conducted satisfaction assessments and individual interviews.ResultsAll 26 women who screened positive on the EPDS agreed to be enrolled in the study. All participants had a significant reduction (p < 0.001) in PPD scores. Both ASHAs and mothers had high enthusiasm for the intervention methods and activities.DiscussionThis ASHA-delivered BA intervention was found to be feasible, acceptable, and effective in treating PPD in rural Indian mothers. This corroborates literature that demonstrates the efficacy of a BA intervention among individuals with generalized depression in South Asia. In communities with minimal mental health resources, interventions led by trained community workers have the potential to address PPD.

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Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a community health worker administered behavioral activation intervention for postpartum depression: a single arm pilot study from India

Szajna,

Tekkalaki,

Nandagaon

et al. 2024

Front. Psychiatry

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“…Furthermore, the knowledge and confidence HCPs have in treating mental illnesses and conditions are also constructs that contribute to the determination of health outcomes ( Compton et al, 2007 ; Shinde et al, 2014 ). Previous reviews have identified that HCPs generally possess inadequate levels of knowledge and confidence with the exception of observed improvements when HCPs were exposed to educational interventions or specialised training ( Boukouvalas et al, 2020 ; Dalky et al, 2020 ; Elyamani & Hammoud, 2020 ; Szajna et al, 2021 ). However, these findings have only been explored extensively in relatively more common mental health conditions or mental health in general, and no study has yet to review these constructs specifically focusing on psychosis.…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ knowledge, confidence and attitudes in relation to psychosis care: A systematic review

Chen,

El-Den,

Pham

et al. 2023

Int J Soc Psychiatry

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Background: Psychosis is a mental disorder that, despite its low prevalence, causes high disease and economic burden. Inadequate knowledge, lack of confidence and stigmatising attitudes of healthcare professionals (HCPs) may lead to suboptimal care. Aim: To review the literature exploring HCPs’ knowledge, confidence and attitudes in relation to psychosis care. Method: A systematic search was undertaken across three databases (MEDLINE, Embase, PsycINFO) using a search strategy encompassing the concepts: ‘healthcare professionals’, ‘knowledge, attitude, and confidence in care’ and ‘psychotic illnesses and symptoms’ to identify relevant records published from 1st January 2002 to 18th March 2022. Results were screened against predetermined inclusion and exclusion criteria by title and abstract, followed by full text. Data were extracted into tables and synthesised narratively. Results: Initially, 7,397 studies were identified. Following two-stage screening, 24 studies were eligible for inclusion. Of these studies, 16 explored attitudes, four explored knowledge and attitudes, one explored knowledge, one explored confidence, one explored attitudes and confidence in care and one explored all three constructs. Most HCPs in the included studies demonstrated stigmatising attitudes towards people with psychosis. Furthermore, certain HCPs, including nurses and general practitioners, demonstrated low levels of knowledge, while psychiatrists, occupational therapists, psychologists and nurses had low levels of confidence in caring for people with psychosis. Conversely, positive attitudes were also observed in some HCPs resulting from having acquaintances with lived experience of psychosis. The need for additional education and training to improve HCPs’ knowledge and confidence in relation to caring for people living with psychosis was identified. Conclusions: Most attitudes identified were negative and stemmed from stigma, while some were positive due to HCPs’ compassion and familiarity with psychosis. The level of knowledge and confidence identified were mostly suboptimal, and so further research is required to develop and evaluate tailored interventions to address this gap.

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Mental health education in undergraduate nursing curricula across the universities in Nepal

Singh

Lamichhane

Singh

2022

Asian Journal of Psychiatry

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Exploring the convergence of knowledge, attitudes, and practice towards mental illness among nurses in South India: A cross-sectional analysis

Cited by 5 publications

References 24 publications

Feasibility and acceptability of a community health worker administered behavioral activation intervention for postpartum depression: a single arm pilot study from India

Feasibility and acceptability of a community health worker administered behavioral activation intervention for postpartum depression: a single arm pilot study from India

Healthcare professionals’ knowledge, confidence and attitudes in relation to psychosis care: A systematic review

Mental health education in undergraduate nursing curricula across the universities in Nepal

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