Mental health literacy in Ghana: Implications for religiosity, education and stigmatization

Adu, Peter; Jurcik, Tomas; Grigoryev, Dmitry

doi:10.1177/13634615211022177

Cited by 24 publications

(15 citation statements)

References 75 publications

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“…Although the results of the qualitative FGD showed a reduction in self-stigma among participants, however, the quantitative changes in stigma tolerance were not maintained at 2 months follow-up, which may suggest the need for a booster session. This is similar to the findings in a study in Ghana on the impact of MHL on stigma tolerance [ 81 ] which indicates that a higher threshold level of MHL must be reached before changes in an individual’s indifference to stigma becomes apparent.…”

Section: Discussionsupporting

confidence: 88%

‘C’mon, let’s talk: a pilot study of mental health literacy program for Filipino migrant domestic workers in the United Kingdom

Martínez

Lau

Morillo

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose This pilot study of a culturally adapted online mental health literacy (MHL) program called ‘Tara, Usap Tayo!’ (C’mon, Let’s Talk) aims to assess the acceptability, appropriateness, feasibility, and potential effectiveness in improving the help-seeking behavior of Filipino migrant domestic workers in the United Kingdom (UK). Methods Using mixed methods, we conducted a non-randomized single-group study of the online MHL program with 21 participants. The development of this intervention was guided by the Medical Research Council Framework for developing complex interventions and utilized Heim & Kohrt’s (2019) framework for cultural adaptation. Content materials from the WHO Mental Health Gap Action Program (mhGAP), WHO Problem Management Plus (PM +) and Adult Improving Access to Psychological Therapies (IAPT) were modified and translated into the Filipino language. The MHL program was delivered online in three sessions for two hours each session. Data were collected at three time points: (T1) pretest; (T2) posttest; and (3) follow-up test. Quantitative data on participants’ attitudes towards help-seeking and level of mental health literacy as outcome measures of potential intervention effectiveness were collected at T1, T2 and T3, while focus group discussions (FGDs) to assess participants’ feedback on the acceptability, feasibility, and appropriateness of the online MHL program were conducted immediately at T2. Data analysis was done using a thematic approach for qualitative data from the FGDs and descriptive statistics and repeated-measures ANOVA were used to assess the difference in the T1, T2, and T3 tests. Both quantitative and qualitative results were then integrated and triangulated to answer the research questions. Results The online MHL program is generally acceptable, appropriate, and feasible for use among Filipino migrant domestic workers. Preliminary findings lend support for its possible effectiveness in improving mental health literacy and help-seeking propensity. The cultural adaptation made in the content, form, and delivery methods of the intervention was acceptable and feasible for this target subcultural group. Conclusion By improving their mental health literacy and help-seeking propensity, this online MHL program has the potential to provide support to the mental health and well-being of Filipino migrant domestic workers in the UK. Further feasibility study or large-scale randomized controlled trial is needed to confirm the preliminary findings of this study.

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Section: Discussionsupporting

confidence: 88%

‘C’mon, let’s talk: a pilot study of mental health literacy program for Filipino migrant domestic workers in the United Kingdom

Martínez

Lau

Morillo

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

show abstract

“…Moreover, Adu et al. ( 2021 ) found the level of education positively associated with higher MHL among Ghanaians, while it was agreed by Öztas and Aydoğan ( 2021 ) that healthcare professionals had higher MHL as a result of their education level. Linden and Kavanagh ( 2012 ) found that PHC nurses with less training as well as little exposure and experience in mental health had negative, prejudiced, and fearful attitudes toward and perceptions of people with mental health problems.…”

Section: Discussionmentioning

confidence: 96%

Mental health literacy among primary healthcare workers in South Africa and Zambia

Korhonen,

Axelin,

Stein

et al. 2022

Brain and Behavior

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Background:In developing countries, mental health literacy (MHL) still needs to be improved due to the high prevalence of mental disorders. It is widely recognized that MHL can improve health outcomes for both individuals and populations. Healthcare professionals' development in MHL is crucial to the prevention of mental disorders.The aim of this study was to assess MHL of primary healthcare (PHC) workers in South Africa (SA) and Zambia and determinants thereof. Limited evidence is available on the levels of MHL among PHC workers in the sub-Saharan Africa region, which faces a large burden of mental disorders. Methods:The study population for this cross-sectional survey comprised PHC workers (n = 250) in five provinces of SA and Zambia. MHL was measured with the Mental Health Literacy Scale (MHLS). We conducted a multivariate analysis to explore determinants of MHL.Results: Results showed moderate MHL among PHC professionals, but with a wide range from low to high MHL. Knowledge-related items had a greater dispersion than other attributes of MHL. PHC workers with more education showed a greater ability to recognize mental health-related disorders. Those who had experience in the useThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…Mental health literacy. Questions about MHL were adapted from the Australian National Survey of Mental Health Literacy and Stigma (Reavley & Jorm, 2011a, 2011b, widely used in many international studies (Adu et al, 2021;Thai & Nguyen, 2018). The MHL questions are based on a vignette of a person with a mental disorder.…”

Section: Methodsmentioning

confidence: 99%

Immigrant generation, acculturation, and mental health literacy among former Soviet Union immigrants in Israel

Knaifel

Youngmann

Neter

2022

Int J Soc Psychiatry

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Background: Research on Mental Health Literacy (MHL) has been growing in different geographical and cultural contexts. However, little is known about the relationship between immigrant generations, acculturation, stigma, and MHL among immigrant populations. Aims: This study aims to examine differences in MHL among immigrant generations (first, 1.5, and second) from the former Soviet Union (FSU) in Israel and to assess whether differences are accounted for by immigration generation or acculturation. Method: MHL was assessed among 420 participants using a cross-sectional survey adapted from the Australian National Survey. Associations of immigrant generation, socio-demographic characteristics, and acculturation with MHL indices were examined using bivariate and multivariable analyses. Results: First generation immigrants reported poorer identification of mental disorders and higher personal stigma than both 1.5- and second-generation immigrants. Acculturation was positively associated with identification of mental disorders and negatively associated with personal stigma across all immigrants’ generations. When all variables were entered into a multivariate model predicting MHL indices, acculturation and gender were associated with personal stigma and only acculturation was associated with better identification of mental disorders. Conclusion: Differences in MHL among FSU immigrants in Israel are mainly explained by acculturation rather than by immigrant generation. Implications for policy makers and mental health professionals working with FSU immigrants are discussed.

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Mental health literacy in Ghana: Implications for religiosity, education and stigmatization

Cited by 24 publications

References 75 publications

‘C’mon, let’s talk: a pilot study of mental health literacy program for Filipino migrant domestic workers in the United Kingdom

‘C’mon, let’s talk: a pilot study of mental health literacy program for Filipino migrant domestic workers in the United Kingdom

Mental health literacy among primary healthcare workers in South Africa and Zambia

Immigrant generation, acculturation, and mental health literacy among former Soviet Union immigrants in Israel

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