Sara Evans?Lacko|Elizabeth Corker|Paul Williams|Claire Henderson|Graham Thornicroft
Effect of the Time to Change anti-stigma campaign on trends in mental-illness-related public stigma among the English population in 2003–13: an analysis of survey data
King's College London|King's College London|King's College London|King's College London|King's College London
backgroundunderstanding trends effective mechanisms likely reduce public stigma discrimination towards people mental illness important aimed assess changes public stigma england introduction time change antistigma campaignmethodswe used data 2003 200713 national attitudes mental illness surveys investigate 10year trends public attitudes across england time change antistigma campaign present annual mean scores attitude items related prejudice exclusion tolerance support community care also present extrapolated linear trend line years 200913 estimate population attitude scores without campaign present unadjusted adjusted linear regression models addition used multivariable linear regression models fitted data aggregated region investigate whether doseeffect response exists campaign awareness regional outcomes related knowledge attitudes intended behaviourfindingsabout 1700 respondents surveyed year significant increases positive attitudes related prejudice exclusion occurred time change campaign multivariable analysis noted significant increase positive attitudes relation prejudice exclusion launch time change reversecoded z score 002 95 ci 001 005 p001 tolerance support community care z score 001 001 003 p027 also found evidence doseeffect relation campaign awareness regional improvement knowledge p0004 attitudes tolerance support p00001 prejudice exclusion p0001 intended behaviour p020interpretationthe positive effects time change seem significant moderate although attitudes probably risk deterioration times economic hardship antistigma programmes might still play active part longterm reduction stigma discrimination especially relation prejudice exclusion people mental health problemsfundinguk department health comic relief big lottery