abstract: 'Background There is research evidence regarding the presence of

  stigmatising attitudes in psychiatrists towards people with mental

  illness, but a lack of studies and interventions focused on this issue

  in low and middle-income countries. Aims To assess the feasibility of

  implementing an anti-stigma intervention for Mexican psychiatric

  trainees, and its potential effects. Methods This study comprised a

  pre-post design with outcome measures compared between baseline and

  3-month follow-up. Quantitative outcome measures were used to evaluate

  the potential effects of the intervention, whilst the process evaluation

  required the collection and analysis of both quantitative and

  qualitative data. Results Twenty-nine trainees (25\% of those invited)

  participated in the intervention, of whom 18 also participated in the

  follow-up assessment. Outcome measures showed the intervention had

  moderately large effects on reducing stereotypes and the influence of

  other co-workers on trainees'' own attitudes. The main mechanisms of

  impact identified were recognition of negative attitudes in oneself and

  colleagues, self-reflection about the impact of stigma, one''s own

  negative attitudes and recognition of one''s ability to make change.

  Participants accepted and were satisfied with the intervention, which

  many considered should be part of their routine training. However,

  trainees'' work overload and lack of support from the host organisation

  were identified as barriers to implement the intervention. Conclusions A

  brief anti-stigma intervention for Mexican psychiatric trainees is

  feasible, potentially effective, well accepted and was considered

  necessary by participants. This study also suggests mechanisms of impact

  and mediators should be considered for developing further interventions,

  contributing to reducing the damaging effects that mental health-related

  stigma has on people''s lives.'
affiliation: 'Lagunes-Cordoba, E (Corresponding Author), Kings Coll London, Inst Psychiat
  Psychol \& Neurosci, Hlth Serv \& Populat Res Dept, De Crespigny Pk, London SE5
  8AF, England.

  Lagunes-Cordoba, Emmeline, Kings Coll London, Inst Psychiat Psychol \& Neurosci,
  Hlth Serv \& Populat Res Dept, De Crespigny Pk, London SE5 8AF, England.

  Alcala-Lozano, Ruth; Fresan-Orellana, Ana, Inst Nacl Psiquiatria Ramon de la Fuente
  Muniz, Lab Neuromodulac, Subdirecc Invest Clin, Mexico City, DF, Mexico.

  Lagunes-Cordoba, Roberto, Univ Veracruzana, Inst Invest Psicol, Xalapa, Veracruz,
  Mexico.

  Jarrett, Manuela, Univ London, Sch Hlth Sci City, London, England.

  Gonzalez-Olvera, Jorge, Comis Nacl Prevenc Adicc, Mexico City, DF, Mexico.

  Thornicroft, Graham, Kings Coll London, Ctr Global Mental Hlth, Inst Psychiat Psychol
  \& Neurosci, London, England.

  Thornicroft, Graham; Henderson, Claire, Kings Coll London, Ctr Implementat Sci,
  Inst Psychiat Psychol \& Neurosci, London, England.'
article-number: '5'
author: Lagunes-Cordoba, Emmeline and Alcala-Lozano, Ruth and Lagunes-Cordoba, Roberto
  and Fresan-Orellana, Ana and Jarrett, Manuela and Gonzalez-Olvera, Jorge and Thornicroft,
  Graham and Henderson, Claire
author-email: emmeline.lagunes\_cordoba@kcl.ac.uk
author_list:
- family: Lagunes-Cordoba
  given: Emmeline
- family: Alcala-Lozano
  given: Ruth
- family: Lagunes-Cordoba
  given: Roberto
- family: Fresan-Orellana
  given: Ana
- family: Jarrett
  given: Manuela
- family: Gonzalez-Olvera
  given: Jorge
- family: Thornicroft
  given: Graham
- family: Henderson
  given: Claire
da: '2023-09-28'
doi: 10.1186/s40814-021-00958-1
eissn: 2055-5784
files: []
journal: PILOT AND FEASIBILITY STUDIES
keywords: 'Stigma; Intervention; Psychiatrists; Implementation; Evaluation;

  Discrimination'
keywords-plus: 'MENTAL-HEALTH PROFESSIONALS; BORDERLINE PERSONALITY-DISORDER; INTERGROUP

  CONTACT; PEOPLE; ATTITUDES; DISCRIMINATION; CARE; SCHIZOPHRENIA;

  ILLNESS; STIGMATIZATION'
language: English
month: JAN 14
number: '1'
number-of-cited-references: '44'
orcid-numbers: 'LAGUNES-CORDOBA, EMMELINE/0000-0002-1001-4786

  Thornicroft, Graham/0000-0003-0662-0879

  LAGUNES-CORDOBA, EMMELINE/0000-0002-1001-4786'
papis_id: 1a5e512076e964566e8095a110467509
ref: Lagunescordoba2022evaluationantistigma
researcherid-numbers: 'LAGUNES-CORDOBA, EMMELINE/ABE-8969-2021

  Thornicroft, Graham/B-4027-2010

  LAGUNES-CORDOBA, EMMELINE/HKO-6091-2023'
times-cited: '2'
title: Evaluation of an anti-stigma intervention for Mexican psychiatric trainees
type: Article
unique-id: WOS:000742647300002
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '8'
web-of-science-categories: Medicine, Research \& Experimental
year: '2022'