Key ingredients to contact-based stigma change: a cross-validation

Psychiatr Rehabil J. 2014 Mar;37(1):62-4. doi: 10.1037/prj0000038. Epub 2014 Jan 13.


Objective: Contact-based antistigma programs seemingly have a larger and more sustained impact than educational strategies. Previous qualitative research of advocates with lived experiences yielded 32 key ingredients of contact-based programs comprising 5 categories. This study sought an independent sample's feedback of the 32 ingredients.

Methods: One hundred advocates with lived experience of mental health conditions who have led, coordinated, and/or delivered antistigma presentations completed an online survey to rank importance of key ingredients.

Results: Analysis of rank distributions showed most important ingredients in program categories: (a) design: face-to-face presentations, audience discussion; (b) target: specific group identified (e.g., employers), assessment completed with targets to derive stigma change goals relevant to needs; (c) staff: presenters are people with lived experience; (d) message: message includes on the-way-up stories; and (e) evaluation/follow-up: post-presentation follow-up actions discussed with targets.

Conclusions and implications for practice: Future research hopes to yield a fidelity measure for contact-based programs.

Publication types

  • Validation Study

MeSH terms

  • Community-Based Participatory Research / methods*
  • Female
  • Humans
  • Male
  • Mental Disorders / psychology*
  • Middle Aged
  • Program Evaluation / methods
  • Qualitative Research
  • Social Discrimination / prevention & control*
  • Stereotyping*