Browsing by Author "Bobbili, Sireesha J."

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    A Cluster Randomized Controlled Trial Exploring Stigmatization and Recovery-Based Perspectives on Mental Illness and Substance Use Problems Among Primary Healthcare Providers in Toronto, Ontario
    (2023) Khenti, Akwatu; Bobbili, Sireesha J.; Lentinello, Emily; Sapag, Jaime C.; van der Maas, Mark; Sanches, Marcos; Agic, Branka; Hamilton, Hayley; Patten, Scott; Stuart, Heather; Corrigan, Patrick
    Stigma toward mental health and substance use problems (MHSUP) represents a global public health challenge that undermines the quality of mental health care. This study looked at whether an anti-stigma intervention would result in a significant decrease in stigmatizing and discriminatory attitudes among Community Health Center (CHC) staff toward individuals with MHSUP, as well as clients' experiences of MHSUP stigma with CHC staff. A study in 6 CHCs in Toronto employed a cluster-randomized trial to determine the efficacy of an anti-stigma intervention toward people with MHSUP by CHC staff. Participants included 395 staff and 90 clients across 4 waves of the study. The study employed mixed effect models to test for differences between intervention sites and control sites over time. Mixed effects regressions show significantly better improvements in stigma scales among staff in the experimental sites, suggesting the intervention was successful in improving attitudes among CHC staff toward people with MHSUP. Three of the 6 interactions for staff and 2 of 4 interactions among clients indicated that the interventions beneficially affected stigma. The quantitative data with clients was not strong in finding a reduction in stigma. This tested innovative intervention may contribute to the development of effective anti-stigma initiatives for MHSUP in primary care worldwide.
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    Cost of implementing the Quality Rights programme in public hospitals in Gujarat providing mental healthcare
    (2023) Chatterjee, Susmita; Pathare, Soumitra; Funk, Michelle; Drew-Bold, Natalie; Das, Palash; Chauhan, Ajay; Kalha, Jasmine; Krishnamoorthy, Sadhvi; Sapag, Jaime C.; Bobbili, Sireesha J.; Shah, Sandip; Mehta, Ritambhara; Patel, Animesh; Gandhi, Upendra; Tilwani, Mahesh; Shah, Rakesh; Sheth, Hitesh; Vankar, Ganpat; Parikh, Minakshi; Parikh, Indravadan; Rangaswamy, Thara; Bakshy, Amritkumar; Khenti, Akwatu
    Background & objectives: Investment in mental health is quite meagre worldwide, including in India. The costs of new interventions must be clarified to ensure the appropriate utilization of available resources. The government of Gujarat implemented QualityRights intervention at six public mental health hospitals. This study was aimed to project the costs of scaling up of the Gujarat QualityRights intervention to understand the additional resources needed for a broader implementation.
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    Cross-cultural adaptation of four instruments to measure stigma towards people with mental illness and substance use problems among primary care professionals in Chile
    (2022) Parra Videla, Claudia; Sapag Muñoz de la Peña, Jaime; Klabunde, Rachel; Velasco, Paola R.; Anríquez, Samanta; Aracena Álvarez, Marcela; Mascayano, Franco; Bravo, Paulina; Sena, Brena F.; Jofré Escalona, Ana; Bobbili, Sireesha J.; Corrigan, Patrick W.; Bustamante, Inés; Poblete, Fernando; Alvarado, Rubén
    Stigma toward people with mental illness and substance use problems is a significant global concern, and prevents people with these conditions from accessing treatment, particularly in primary health care (PHC) settings. Stigma is a cultural phenomenon that is influenced by particular contexts and can differ by country and region. The majority of stigma research focuses on Europe or North America leading to a lack of culturally relevant stigma research instruments for the Latin American context. The present study describes and discusses the methodology for cross-culturally adapting four stigma measurement scales to the Chilean context. The cross-cultural adaptation process included nine phases: (1) preparation; (2) independent translations; (3) synthesis 1 with expert committee; (4) focus groups and interviews with researchers, PHC professionals, and PHC users; (5) synthesis 2 with expert committee; (6) independent back translations; (7) synthesis 3 with expert committee; (8) pilot with PHC professionals; and (9) final revisions. The adaptation process included an array of diverse voices from the PHC context, and met three adaptation objectives defined prior to beginning the process (Understandability, Relevance, and Acceptability and Answer Options). The resulting, culturally adapted questionnaire is being validated and implemented within PHC settings across Chile to provide in-depth insight into stigma among PHC professionals in the country. The authors hope it will be useful for future research on mental illness and substance use stigma in similar settings across Latin America.
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    Including culture in programs to reduce stigma toward people with mental disorders in low- and middle-income countries
    (2020) Mascayano, Franco; Toso-Salman, Josefina; Ho, Yu Chak Sunny; Dev, Saloni; Tapia, Thamara; Thornicroft, Graham; Cabassa, Leopoldo J.; Khenti, Akwatu; Sapag, Jaime; Bobbili, Sireesha J.; Alvarado, Ruben; Yang, Lawrence Hsin; Susser, Ezra
    Stigma is one of the main barriers for the full implementation of mental health services in low- and middle-income countries (LMICs). Recently, many initiatives to reduce stigma have been launched in these settings. Nevertheless, the extent to which these interventions are effective and culturally sensitive remains largely unknown. The present review addresses these two issues by conducting a comprehensive evaluation of interventions to reduce stigma toward mental illness that have been implemented in LMICs. We conducted a scoping review of scientific papers in the following databases: PubMed, Google Scholar, EBSCO, OVID, Embase, and SciELO. Keywords in English, Spanish, and Portuguese were included. Articles published from January 1990 to December 2017 were incorporated into this article. Overall, the studies were of low-to-medium methodological quality-most only included evaluations after intervention or short follow-up periods (1-3 months). The majority of programs focused on improving knowledge and attitudes through the education of healthcare professionals, community members, or consumers. Only 20% (5/25) of the interventions considered cultural values, meanings, and practices. This gap is discussed in the light of evidence from cultural studies conducted in both low and high income countries. Considering the methodological shortcomings and the absence of cultural adaptation, future efforts should consider better research designs, with longer follow-up periods, and more suitable strategies to incorporate relevant cultural features of each community.
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    Stigma towards mental illness and substance use issues in primary health care : challenges and opportunities for Latin America
    (2018) Sapag Muñoz de la Peña, Jaime; Sena, Brena N.; Bustamante, Inés V.; Bobbili, Sireesha J.; Velasco, Paola R.|Mascayano, Franco; Alvarado, Rubén; Khenti, Akwatu
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    Validation of the Opening Minds Scale and patterns of stigma in Chilean primary health care
    (2019) Sapag, Jaime C.; Klabunde, Rachel; Villarroel, Luis; Velasco, Paola R.; Alvarez, Cinthia; Parra, Claudia; Bobbili, Sireesha J.; Mascayano, Franco; Bustamante, Ines; Alvarado, Ruben; Corrigan, Patrick
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