Contact-based Interventions Research Articles

A web-based pilot randomized controlled trial to test the efficacy of education and contact-based interventions in reducing public suicide stigma

BackgroundInterventions to reduce public suicide stigma (i.e. negative attitudes towards persons affected by suicide/suicidality) could contribute to suicide prevention. However, such interventions could unintentionally increase suicide normalization (i.e. liberal attitudes towards suicide) and therefore increase suicide risk. We aimed to test the efficacy of education- and contact-based interventions delivered online via video or text on both public suicide stigma and suicide normalization.MethodsWe conducted a web-based randomized controlled trial among N = 2,043 participants recruited from an established online research panel. Participants were randomized into six groups, receiving either one of four contact- or education-based interventions that were transferred via text or video (contact text, contact video, education text, education video) or control group content (contact control, education control). Information about suicide stigma and suicide normalization were collected directly before (t0) and after intervention participation (t1) as well as about two weeks later (t2). To explore the attractiveness of the provided intervention material, we used Brown-Mood’s median test to compare the times participants spent with the provided intervention material in each group. We then used linear mixed models to compare effects on suicide stigma and suicide normalization between intervention groups and control groups.ResultsMedian times spent with provided material were generally longer among participants exposed to video material than among participants exposed to text material, and among participants in contact-based interventions than among participants in education-based interventions. We did not observe stronger effects in intervention groups compared to control groups on suicide stigma or suicide normalization. Surprisingly, suicide stigma and suicide normalization appeared to decrease from t0 to t1 in both intervention and control groups.ConclusionOur findings suggest a higher attractiveness of video- and contact-based material compared to text- and education-based material. However, none of the interventions had a significant effect on public suicide stigma or suicide normalization. Future research should explore innovative and safe approaches to reduce public suicide stigma. Experimental studies may focus on interventions with higher attractiveness (i.e. video and contact-based interventions), use interventions with higher intensity (i.e. longer interventions, more repetitions), and assess suicide stigma with implicit measures to avoid response bias.Trial registrationThe RCT was registered at clinicaltrials.gov on February 11th, 2021 (NCT04756219).

Reducing self-stigma among survivors of childhood maltreatment: Randomized controlled trial of a brief video intervention.

Survivors of childhood maltreatment (CM) often experience self-stigma, the internalization of negative attitudes such as shame, self-blame, and a reluctance to disclose their experiences. These self-perceptions pose a significant barrier to treatment-seeking and may exacerbate psychiatric distress. Prior research indicates that social contact-based interventions are effective in reducing stigma, but no study to date has examined their impact on self-stigma and increasing openness to treatment-seeking among CM survivors. This study assessed the efficacy of a brief video intervention on reducing self-stigma among CM survivors using a randomized controlled trial. We randomly assigned 655 individuals (Mage = 36.7, SD = 11.2) with a history of CM to either an intervention or control video. Participants in the intervention group viewed a 2-min video of an actor describing lifetime hardships resulting from CM and how she benefited from psychotherapy. Control group participants observed a same-length video in which the actress described her daily activities, without any mention of CM. Self-stigma was assessed before, after, and 30 days following the intervention. Mean self-stigma scores significantly decreased from pre- to postintervention in the intervention group, as compared to the control group. Increases in openness to treatment-seeking did not reach significance. We did not find significant differences between the groups at baseline and 30-day follow-up assessments. This is the first study to demonstrate the efficacy of a brief, cost-effective, and easily disseminated video-based intervention to reduce self-stigma among CM survivors. This approach could help empower individuals with a history of CM, potentially encouraging treatment-seeking. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Chinese College Students' Stigmatization towards People with Mental Illness: Familiarity, Perceived Dangerousness, Fear, and Social Distance.

Attribution models have been examined in Western countries. However, little is known about the applicability of the attitude-emotion-behavior model within Chinese culture. This study aimed to examine the association between familiarity, perceived dangerousness, fear, and social distance towards persons with mental illness (PMI) in the Chinese context. An online cross-sectional survey was conducted from October to November 2022 in mainland China. A total of 1493 college students completed a questionnaire evaluating familiarity, perception of dangerousness, fear, and social distance regarding PMI. Path analysis was employed to validate the model proposed in this study. Participants expressed moderate to high levels of stigma towards PMI. Familiarity was negatively associated with social distance (p < 0.01). Participants who perceived PMI as dangerous were more prone to exhibit a reaction of fear (p < 0.001), consequently leading to social distance (p < 0.01). However, the mediating effect of perceived dangerousness and fear on the relationship between familiarity and social distance was not significant (p > 0.05). The results of this study provide support for Corrigan's attributional model of stigma in the Chinese context. Contact-based interventions for stigma reduction should emphasize multiple elements of contact, including the quality of contact, rather than familiarity.

Negativity bias in intergroup contact: Meta-analytical evidence that bad is stronger than good, especially when people have the opportunity and motivation to opt out of contact.

Seventy years of research on intergroup contact, or face-to-face interactions between members of opposing social groups, demonstrates that positive contact typically reduces prejudice and increases social cohesion. Extant syntheses, however, have not considered the full breadth of contact valence (positive/negative) and have treated self-selection as a threat to validity. This research bridges intergroup contact theory with sequential sampling models of impression formation to assess contact effects across all valences. From the premise that positive versus negative contact instigates differential resampling of outgroup experiences when self-selection is possible, we advance and meta-analytically test new predictions for the moderation of valenced contact effects and negativity bias as a function of people's opportunity and motivation to self-select in and out of contact. Our random-effects synthesis of positive and negative intergroup contact studies (238 independent samples, 936 nested effects; total N = 152,985) found significant valenced contact effects: Positive contact systematically associates with lower prejudice, and negative contact associates with higher prejudice. Critically, the detrimental effect of negative contact is significantly larger than the benefit of positive contact. This negativity bias is particularly pronounced under conditions in which one can self-select, is motivated to avoid contact, among male-dominated and prejudiced samples, in contact with stigmatized, low status, low socioeconomic status outgroups, along nonconcealable stigma, with nonintimate contact partners in informal settings and in collectivistic societies. Considering individuals' motivation and opportunity to self-select, together with contact valence, therefore offers a more nuanced and integrated platform to design contact-based interventions and policies across varied contact ecologies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

"Stereotype embodiment theory"-based intervention to reduce ageism in Japan: Integration with interventions to encourage life planning among younger people.

To solve the problems related to the ageing society, effective strategies to reduce younger people's ageism towards older adults should be developed. Previous studies incorporated the content of stereotype embodiment theory (SET) into ageism reduction strategy, suggesting that younger participants' ageism eventually has undesirable impacts on their own future (i.e., SET intervention). In the SET intervention, participants read an explanatory text on several empirical findings related to SET. To enhance the versatility of this intervention, two experiments were conducted with younger participants in Japan. Study 1 examined concerns that arise in the practical application of the intervention. Results revealed that the SET intervention had few effects on fear of death and increased state self-esteem. In Study 2, the SET intervention was combined with interventions to encourage life planning, in which they freely described possible negative/positive events in their future. SET intervention reduced ageism, increased advocacy for policies to support older adults and increased emphasis on life planning and hope for the future. Many previous studies have shown that intergenerational contact-based interventions are effective in reducing ageism, and future research should be conducted in combination with the SET interventions.

Why step in? Shifting justifications for bystander behaviors through interventions with youth in the Middle East.

Research shows positive bystander intervention effectively mitigates bullying experiences. Yet, more evidence regarding bystander responses to bias-based social exclusion (BSE) is needed in intergroup contexts, especially in the majority world and in areas of intractable conflict. This study assessed the effectiveness of skills and skills + contact-based interventions for BSE among 148 Palestinian Citizens of Israel (Mage = 10.55) and 154 Jewish-Israeli (Mage = 10.54) early adolescents (Girls = 52.32%) in Tel Aviv-Yafo. Bystander responses were assessed by participants' reactions to hypothetical BSE scenarios over three time points. Repeated measures ANOVAs revealed both interventions significantly increased positive and decreased negative bystander responses, with changes maintained at the follow-up. The opposite result pattern emerged for the control group. Findings suggest that both interventions can effectively encourage youth to publicly challenge BSE, even amidst intractable conflict.

Comparing brief video interventions to reduce public and self-stigma: Randomized control trial.

Stigma is a major mental healthcare barrier. This study compares the efficacy of two types of brief video interventions, targeting public and self-stigma, in reducing public stigma towards people living with psychosis. We hypothesized both interventions would similarly reduce public stigma and outperform the control group. As a secondary analysis, we explored the effect of familiarity with a person living with serious mental illness (SMI). Participants (N = 1215) aged 18-35 recruited through crowdsourcing were assessed pre- and post-intervention and at 30-day follow-up regarding five public stigma domains: social distance, stereotyping, separateness, social restriction and perceived recovery. Both videos present individual narratives using different approaches: the self-stigma video was created through focus groups, while the public stigma video portrays a single person's journey. A 3 × 3 analysis of variance (ANOVA) revealed a significant group-by-time interaction across all five stigma-related domains (p's < .001). Effect sizes (Cohen's d) ranged from 0.29 to 0.52 (baseline to post-intervention), and 0.18 to 0.45 (baseline to 30-day follow-up). The two video interventions did not significantly differ. Linear mixed modelling showed a significant difference between participants familiar and unfamiliar with people living with SMI for the public stigma video, with greater stigma reductions for unfamiliar participants. This study corroborates previous findings on the positive influence of social contact-based interventions on youth mental health perceptions. Results provide insights into the relationship between public and self-stigma and the impact that familiarity with SMI may have on the efficacy of stigma reduction efforts further validation in diverse groups is needed.

Reducing discrimination against service users with psychosis through brief contact-based video interventions: a randomised controlled trial

Background/Aims Internationally, mental health service users, particularly those with psychosis, face discriminatory attitudes and behaviours from the public. It is crucial for mental health services to deliver interventions that alleviate the stigma directed toward their patients. This study evaluates the efficacy of a brief indirect contact-based intervention designed for this purpose in Singapore. Methods A randomised controlled trial was conducted among 168 participants, who were allocated to video intervention, transcript intervention and active control groups. Stigmatising behaviour levels were measured at pre-intervention, post-intervention and at a 30-day follow up. Group differences in attitudes were analysed using a 3x3 two-way mixed subjects ANOVA, with significance set at P&lt;0.05. Results There were no significant differences in declared discriminatory behaviour between the investigated conditions (P=0.23). The video intervention did not produce superior results to the transcript, while the results of both interventions did not differ significantly from those of the control condition. Additionally, no significant interaction of each condition with time was observed at the post-intervention and follow-up periods (P=0.5). Conclusions Individual contact-based interventions may not sustainably reduce discrimination towards mental health service users. Services should prioritise strategies to specifically target the societal mechanisms that maintain stigmatising behaviour towards people with psychosis.

Stigma and infectious diseases in Africa: examining impact and strategies for reduction

Stigma poses a significant barrier to accessing care, managing, and preventing infectious diseases in Africa. The authors conducted an extensive search across Scopus, PubMed, ScienceDirect, and Google Scholar to identify relevant English-language articles, with no constraints on publication dates, using the keywords “Stigma,” and “Infectious Disease,” in conjunction with “Africa.” This article explores the multifaceted nature of stigma associated with infectious diseases, highlighting its impact on healthcare access and public health outcomes. It delves into the current situation of infectious disease-related stigma in Africa, emphasizing the various diseases and contexts affected. The article identifies drivers of stigma, including negative attitudes, misinformation, and institutional practices, and discusses their role in perpetuating discrimination. Importantly, it provides recommendations for addressing infectious disease stigma in Africa through comprehensive strategies encompassing health education, contact-based interventions, professionalized counselling and peer support services, and community engagement. The article calls for collaboration among governments, healthcare organizations, NGOs, and community leaders to implement holistic strategies that prioritize inclusivity and stigma reduction. Ultimately, it underscores the urgent need to combat stigma to improve healthcare access and outcomes for individuals affected by infectious diseases in Africa.

Using focus groups to inform a brief video intervention to reduce public stigma toward Black youth living with psychosis.

Black individuals living with psychosis are at risk for stigma and marginalization due to systematic discrimination and barriers to receiving treatment. Social contact-based interventions have the potential to reduce stigma; however, interventions with elements specific to the experiences of Black youth are limited. Therefore, we aimed to gather input from Black youth living with psychosis to develop a social contact-based, brief video intervention to reduce public stigma toward Black youth with psychosis. Two 90-min focus groups were conducted with seven young Black individuals ages 18-30 with First Episode Psychosis from OnTrackNY. Participants were asked about their experiences of stigma and racial discrimination, and their perspectives on a video intervention. Focus group transcripts were analyzed using thematic content analysis. Themes that emerged included: the salience of stigma and racial experiences for some participants and not others; the linking of religiosity and symptoms in Black communities; the importance of taking responsibility for recovery as a coping strategy to counteract stigma; and mixed views on creating a video intervention specific to Black youth. Meaningful and empowering involvement of individuals with lived experience of psychosis is essential to create stigma reducing interventions. Input from Black youth living with psychosis assisted in developing a culturally tailored brief video-based intervention to reduce public stigma toward Black youth with psychosis that included information about the protagonist's experience of race and mental illness, specifically family, religious, and community-based experiences.

The “hidden side” of intergroup contact: The role of perceived social structure in motivating support for social change among the disadvantaged and the advantaged

Intergroup contact is a powerful prejudice-reduction strategy, but research has also revealed its undesirable effects among the disadvantaged. To unravel these counterintuitive effects, we examine the explanatory role of sociostructural factors (permeability of group boundaries as well as stability and legitimacy of inequality) in the link between intergroup contact and both perceived group discrimination against the disadvantaged and support for collective action. We relied on quasirepresentative or nationwide samples of immigrants ( N = 1,539) and host nationals ( N = 838), who participated in two survey-based studies. Among the disadvantaged, contact was associated with less awareness of group discrimination and collective action intentions via more perceptions of permeability and/or stability. Among the advantaged, intergroup contact was associated with greater awareness of group discrimination and collective action intentions (primarily) via perceived illegitimacy of existing status disparities. Our findings elucidate the importance of structural factors in understanding the implications of intergroup contact in addressing inequality and inequity, as well as designing contact-based interventions.

COVID-19 Close Contact Management: An Evolution of Operations Harnessing the Digital Edge

Singapore, like many other nations globally, had to contend with significant caseloads arising from the Coronavirus disease (COVID-19) pandemic. This paper focuses on using technology as an intervention for pandemic management. With scant scientific evidence on effective medications and vaccinations (i.e., pharmaceutical interventions) initially, disease containment strategies predominated during the early phases. Non-pharmaceutical interventions were critical in slowing disease transmission and preventing public healthcare institutions from being overwhelmed. Such interventions could be broadly divided into case-based interventions (e.g., contact tracing and quarantining of close contacts) and population-based measures (e.g., mask use and social distancing). The paper describes Singapore's experience in the operational implementation of contact-based interventions, and illustrates how harnessing the digital edge enabled fast, accurate, resource-efficient, and flexible execution of ground operations. Singapore applied digital technology and developed an integrated system to facilitate issuance and acknowledgement of quarantine orders, submission of COVID-19 test results, and collection of antigen rapid test kits at the population level. Data was obtained from this proprietary centralised, automated platform. The paper demonstrates how such simple, yet elegant systems could have a direct impact on disease transmission in an outbreak setting and on population health. Moving forward, it is recommended that technology and digital solutions feature prominently in work process designs beyond COVID-19 such as in the management of emerging infectious diseases and non-communicable diseases.

Correlates of HIV-Related Stigmas Among African American Church-Affiliated Populations in Kansas City.

HIV-related stigmas contribute to disparities, and contact with HIV-positive individuals has been suggested to reduce stigma. Faith-based organizations have been recognized as important to stigma reduction efforts among African American populations; however, relatively few church-based studies have measured HIV-related stigma. This study uses baseline data (N = 1,448) from a study with 14 African American churches in Kansas City, Missouri and Kansas, to examine correlates of HIV-related stigmas among church members and community members accessing church social services using two previously validated scales that measure discomfort interacting with individuals with HIV and anticipated stigma or rejection. Knowing someone with HIV was associated with lower discomfort, even after adjusting for sociodemographic characteristics and sexual risk, HIV knowledge, previous communication about HIV at church, and mean drug and homosexuality stigmas. Knowing someone with HIV was not associated with anticipated stigma or rejection after adjustment. Contact-based interventions hold promise for reducing discomfort around people with HIV among church-affiliated populations.

A Program and Session Evaluation of Student-Athletes’ Experiences Participating in a Mental Illness Destigmatization Intervention

Evidence-based stigma reduction interventions for student-athletes exist, but researchers have focused on assessing their effectiveness with little attention paid to understanding how participants experience such programs. The current study aimed to qualitatively evaluate a mental illness destigmatization intervention delivered to 35 National Collegiate Athletic Association Division I student-athletes. The program consisted of four weekly 1 hr empirically based sessions. Program-level results showed that participants increased their understanding of student-athlete mental health and identified actionable ways to combat stigma. Session-level results revealed intervention components impacted knowledge and application consistent with their theoretical underpinnings (i.e., mental health literacy). Practical guidelines based on the findings suggest stigma reduction interventions aimed at student-athletes should provide information specific to the athletic context (i.e., common symptoms experienced by athletes), consider content that moves beyond mental health literacy (e.g., contact-based interventions), and present opportunities for participants to apply what they have learned (i.e., roll play displaying empathy).

Integrative Review on Contact-Based Interventions to Address LGBTQ+ Related Stigma

LGBTQ+ individuals experience stigma due to their sexual orientation and/or gender identity which has clear, profound, far-ranging effects on LGBTQ+ health including greater risk of suicidality, depression, anxiety, substance use, and poor physical health. Several stigma change strategies have been used to attempt to mitigate the profound impact of LGBTQ+ related stigma in marginalized sexual and gender minority communities. Contact-based interventions to address LGBTQ+ related stigma rest on contact theory, which posits that intergroup contact between individuals of an in-group (majority group) and individuals of an out-group (minority or marginalized group) aids in the reduction of negative stereotypes, prejudice, and resulting discrimination. The definition of “contact” has progressed to encompass various forms of exposure including in-vivo interpersonal contact, vicarious contact, electronic or e-contact and imagined contact. Guided by the Cochrane Handbook for Systematic Reviews of Interventions, we summarize the literature between 2001 and 2020, examining and synthesizing 20 studies that explore contact-based interventions to reduce LGBTQ+ related stigma, stereotyping, prejudice, and discrimination. Overall, several forms of contact-based interventions have demonstrated positive effects on reducing LGBTQ+ related stigma. Future research should include examining the use of contact-based interventions in reducing the stigma faced by individuals within LGBTQ+ communities with intersecting marginalized identities.

Reducing Public Stigma Towards Psychosis: A Conceptual Framework for Understanding the Effects of Social Contact Based Brief Video Interventions.

Public stigma reduces treatment-seeking and increases the duration of untreated psychosis among young people with psychosis. Social contact-based video interventions have been shown to be effective at reducing stigma; however, more research is needed regarding very brief interventions less than 2 minutes long, which are suitable for social media platforms and particularly relevant for young adults. We recently conducted three randomized control trials and demonstrated the efficacy of such videos to reduce stigma toward individuals with psychosis among young adults of the general public. However, it is unclear what elements contributed to the effectiveness of these very brief interventions. The present article proposes a conceptual framework to discern what elements contributed to the efficacy of these interventions. We first review the existing literature describing social contact-based interventions and how they impact the cognitions, emotions, and behaviors of participants. Then, using this lens, we suggest an alternate observation of the data from our studies by examining changes in stigmatizing views across time, rather than utilizing mean scores and conceptualizing how key characteristics of our interventions helped reduce stigma. We also highlight future research directions, including the need to look at mediators and moderators of change and the need to examine behavioral outcomes. By hypothesizing how these interventions are proposed to work, this framework is intended to provide a roadmap for further development of brief video-based interventions to reduce stigma.

The role of empathy in reducing hate speech proliferation. Two contact-based interventions in online and off-line settings.

The role of empathy in reducing hate speech proliferation. Two contact-based interventions in online and off-line settings.

Anti-stigma initiatives for mental health professionals-A systematic literature review.

WHAT IS KNOWN ON THE SUBJECT?: Negative attitudes towards mental illness lead to the formation of stigma. Stigma prevents the recovery of people diagnosed with mental illness. There is evidence of stigmatic attitudes towards mental ill health among mental health professionals. Anti-stigma initiatives, such as education and training, may be effective in enhancing or maintaining positive attitudes towards mental illness among mental health professionals. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Education and training that is designed and delivered around a specific mental health diagnosis or condition appears an appropriate strategy that could benefit mental health professionals to develop a deeper appreciation and understanding of mental ill health and its impacts on individuals. Consumer involvement in the education and training of mental health professionals regarding the stigma of mental illness is recommended; however, this is an under-explored area of investigation. There is a weak evidence base regarding the long-term sustainability of effects from anti-stigma education and training. This should be addressed via further research in future. WHAT ARE THE IMPLICATIONS FOR PRACTICES?: Anti-stigma initiatives can support mental health professionals to develop stigma-free, recovery-oriented practices in their work. Further, such initiatives can improve the provision of evidence-based quality care for the consumers, facilitating their recovery. ABSTRACT: Introduction Despite an increasing focus on stigma, evidence shows prejudicial attitudes towards mental illness among mental health professionals still exist. It is suggested that anti-stigma initiatives can aid in enhancing the attitudes of mental health professionals. However, research on initiatives targeting stigma of mental illness among mental health professionals is limited. Aim To identify and analyse scientific literature pertaining to the effectiveness of anti-stigma initiatives regarding mental ill health among mental health professionals. Method A systematic literature review was performed using the databases MEDLINE, CINAHL, PsycINFO, PubMed, Scopus, Google Search engine and Google Scholar. The papers were limited to English language, published in peer-reviewed journals with full-text articles available and published between the years 2008 and 2020 to understand the most recent trends in the attitudes of mental health professionals including nurses. The Population, Intervention, Comparison and Outcome (PICO) strategy was used to identify papers meeting the inclusion criteria. Results A total of 439 papers were identified. However, papers not meeting the inclusion criteria were excluded from selection. Three appraisers reviewed the selected papers individually using the Joanna Briggs Institute [JBI] critical appraisal tool. Finally, eight unanimously accepted papers were included in the systematic review. Several effective anti-stigma initiatives were identified through the review, and these had positive impacts on mental health professionals' attitudes towards mental illness, for at least a short period. It was identified that contact-based interventions are relevant and effective although the involvement of consumers and caregivers in the design and delivery of interventions was not explicitly addressed in detail in studies included in the review. Education strategies tailored for specific mental illness may be more appropriate, rather than approaches that refer to mental illness in general. Conclusions This review shows the evidence of pessimistic attitudes towards mental illness persists among mental health professionals. Anti-stigma initiatives identified in the selected papers were effective in changing these attitudes. Future research should be focused on the effectiveness of contact-based interventions and understanding the longer-term effects of the interventions among homogeneous groups. Full consideration of the varying level of clinical experience and expertise in mental health should guide the development and implementation of anti-stigma initiatives in this context. Implications for practice Anti-stigma interventions can have a positive impact on mental health professionals' knowledge, attitudes and supportive caring for people diagnosed with mental illness. Such anti-stigma interventions may meaningfully support stakeholders to address the impact of negative attitudes on the physical and mental health status of people diagnosed with mental illness. With sustained leadership, effort and reinforcement, it is possible to create workplace cultures that prioritize stigma-free and recovery-oriented behaviours and practices within mental health services.

Reducing public stigma toward individuals with psychosis across race and gender: A randomized controlled trial of young adults

BackgroundSocial contact-based interventions effectively reduce stigma toward psychosis. We recently demonstrated the efficacy of a 90-second video intervention in reducing stigma. The current randomized controlled study presents four briefer videos differing in presenter's gender/race, with baseline, postintervention, and 30-day follow-up assessments. The study replicates previous findings and examine whether concordance of presenter's and viewer's race/gender enhanced the anti-stigma effect. MethodsUsing a crowdsourcing platform, we recruited 1993 participants ages 18–35 years to one of four brief video-based interventions (Black/White female, Black/White male presenters) or a nonintervention control condition. In the videos, a young presenter with psychosis humanized their illness through an evocative description of living a meaningful and productive life. ResultsGroup-by-time ANOVA showed a significant group-by-time interaction for the total score of all five stigma domains: social distance, stereotyping, separateness, social restriction, and perceived recovery. One-way ANOVA showed greater reductions in video intervention groups than control at post-intervention and 30-day follow-up, but no differences between video groups. Matching race/gender did not further reduce stigma. ConclusionsThis randomized controlled study replicated and extended previous research findings, by showing stigma reduction across videos that differ in the presenter's gender and race, thus enhancing generalizability. The videos described the experience of psychosis and reduced stigma, suggesting their potential utility on social media platforms to increase the likelihood of seeking services and ultimately may improve access to care among young individuals with psychosis. Future research should address intersectional stigma experiences by focusing on race/gender and culturally tailoring the narrative.

Shared education as a contact-based intervention to improve intergroup relations among adolescents in postconflict Northern Ireland.

Past research has shown that intergroup contact can be a promising intervention to improve intergroup relations and that contact-based interventions might be most effective during adolescence. In postconflict Northern Ireland, widespread residential segregation and a largely separate school system limit opportunities for intergroup contact between adolescents from the Catholic and Protestant communities. We evaluated whether a large-scale intervention to facilitate intergroup contact between students attending separate schools (the 'Shared Education' program) improves a range of outcomes relevant for intergroup relations in Northern Ireland. We conducted a 5-wave longitudinal, quasi-experimental study that followed a large sample of school students (N = 5,159, Mage = 12.4, age range: 10-14 years; 2,988 girls, 2,044 boys) from 56 predominantly Catholic or Protestant schools from sixth to tenth grade. We compared the developmental trajectories of students who, in 9th (14-15 years) and 10th (15-16 years) grade, shared some classes with students from the other community, as part of the program, to students who did not. We found that participating in shared classes had a medium-size, positive effect on the amount of intergroup contact students had outside of class, and small, positive effects on students' outgroup attitudes, outgroup trust, and intergroup empathy (but not on their intergroup anxiety, future contact intentions, deprovincialization, or multicultural beliefs). Our findings show that a school-based program of shared education can provide a viable and effective intervention to facilitate intergroup contact, improve intergroup relations, and foster social integration among adolescents at a large scale in a postconflict society. (PsycInfo Database Record (c) 2022 APA, all rights reserved).