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The goal of this clinical trial is to evaluate the effectiveness of football-based interventions in reducing stigma toward mental illness among university students. The main questions it aims to answer are:
Researchers will compare the traditional contact-based education program with the other two interventions to evaluate their differences in effectiveness.
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Contact-based education | Active Comparator | Mental health education and listening to the stories of individuals with mental illness and interactive sharing. |
|
| Video and contact-based education | Experimental | Video viewing, mental health education and listening to the stories of individuals with mental illness and interactive sharing. |
|
| Football and contact-based education | Experimental | Football interaction, video viewing, mental health education and listening to the stories of individuals with mental illness and interactive sharing. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Contact-Based Education | Behavioral | A one-time session lasting approximately 1.5 to 2.5 hours, consisting of psychiatric education, storytelling by individuals with mental illness, and interactive discussion. |
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge | The Mental Health Knowledge Schedule (MAKS), consisting of 12 items, will be used to assess the public's knowledge related to mental health stigma. The questionnaire is divided into two parts: knowledge about mental illness and agreement with statements regarding mental health conditions. Responses are rated on a five-point Likert scale (5 = Strongly agree, 4 = Slightly agree, 3 = Neither agree nor disagree / Don't know, 2 = Slightly disagree, 1 = Strongly disagree). The total score ranges from 12 to 60, with higher scores indicating a greater level of knowledge about mental health. Items 7 to 12 are designed to assess recognition and familiarity with various mental health conditions, helping to contextualize responses to the earlier items. | pre-intervention, immediately post-intervention, and at one- and six-month follow-ups. |
| Attitudes | The Questionnaire on Stigmatizing Attitudes Towards Mental Illness will be used in this study. After undergoing cultural adaptation and psychometric validation, the final Chinese version consists of 16 items across four dimensions: Negative Stereotypes (5 items), Social Distance (3 items), Negative Evaluation (5 items), and Self-Stigma (3 items). Responses are measured on a six-point Likert scale (6 = Strongly agree, 5 = Agree, 4 = Slightly agree, 3 = Slightly disagree, 2 = Disagree, 1 = Strongly disagree). The total score ranges from 16 to 96, with higher scores indicating greater levels of negative stigmatizing attitudes toward mental illness. | pre-intervention, immediately post-intervention, and at one- and six-month follow-ups. |
| Intent | The Social Distance Scale will be adopted to assess participants' level of social distance toward individuals with mental illness, serving as an indicator of intent to act. The scale consists of 8 items, which evaluate willingness to engage with people with mental illness in various situations, such as living in the same community or building, sharing a residence, dining together, forming friendships, working together, employing, or helping them. Responses are rated on a six-point Likert scale (6 = Strongly agree, 5 = Agree, 4 = Slightly agree, 3 = Slightly disagree, 2 = Disagree, 1 = Strongly disagree). Higher scores indicate a greater willingness to interact with individuals with mental illness. This scale is considered to be particularly sensitive to measuring implicit bias. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ming-De Chen, Ph.D. | Contact | +886-73121101 | 2657 | mdchen@kmu.edu.tw |
| Name | Affiliation | Role |
|---|---|---|
| Ming-De Chen, Ph.D. | Kaohsiung Medical University Chung-Ho Memorial Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Recruiting | Kaohsiung City | Taiwan |
The data will be used to publish academic papers, it has not been determined whether it will be shared with other researchers.
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Contact-Based Education Group (CE Group): Psychiatric health education + listening to stories shared by individuals with mental illness & interactive communication.
Video + Contact-Based Education Group (V+CE Group): Video viewing + psychiatric health education + listening to stories shared by individuals with mental illness & interactive communication.
Football + Contact-Based Education Group (F+CE Group): Football interaction + video viewing + psychiatric health education + listening to stories shared by individuals with mental illness & interactive communication.
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| Video + Contact-Based Education | Behavioral | A one-time session lasting approximately 1.5 to 2.5 hours, including football video viewing, psychiatric education, storytelling by individuals with mental illness, and interactive discussion. |
|
| Football + Contact-Based Education | Behavioral | A one-time session lasting approximately 1.5 to 2.5 hours. The session includes football interactive activities, football video viewing, psychiatric education, storytelling by individuals with mental illness, and interactive discussion. |
|
| pre-intervention, immediately post-intervention, and at one- and six-month follow-ups. |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D009043 | Motor Activity |
| D057545 | Social Stigma |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D012919 | Social Behavior |
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| ID | Term |
|---|---|
| D014743 | Videotape Recording |
| ID | Term |
|---|---|
| D013637 | Tape Recording |
| D001296 | Audiovisual Aids |
| D018961 | Educational Technology |
| D013672 | Technology |
| D013676 | Technology, Industry, and Agriculture |
| D013690 | Television |
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