|
Attitudes to disclosure
Post-intervention: 84 (1 RCT
50
)
Longest follow-up: 62 (1 RCT
50
)
| One RCT50 with high risk of bias (unclear direction) reported on participants’ attitude to disclosure of mental illness toward family/friends and teacher/employer. This RCT compared the effectiveness of HOP program to treatment as usual among adolescent psychiatric patients, who were mostly were female (69.3%), born in Germany (94.8%) and were around 22 months since the first psychiatric diagnosis. The outcome was assessed by 2 questions about how comfortable they are in disclosing mental illness to (i) family/ friends and (ii) teacher/employer. Answers were rated from 1 (not at all) to 7 (very much). At post-intervention, participants in the HOP group reported significantly higher improvement from baseline in their attitudes to disclosure toward family/friends (mean between-group difference for change from baseline 1.00 [95% CI 0.43 to 1.57]) and toward teacher/employer (mean between-group difference for change from baseline 0.66 [95% CI 0.15 to 1.16]) compared to participants in the TAU group. At 6-week follow-up assessment, participants in the HOP group reported significantly higher improvement from baseline in their attitudes to disclosure toward family/friends (mean between-group difference for change from baseline 1.02 [95% CI 0.43 to 1.61]) and toward teacher/employer (mean between-group difference for change from baseline 0.91 [95% CI 0.28 to 1.53]) compared to participants in the TAU group. |
Very low
due to serious concerns for risk of bias, concerns for inconsistency, serious concerns for indirectness and imprecision.a
| HOP may be favoured vs. TAU with respects to attitudes to disclosure post-intervention, but the evidence is very uncertain. HOP may be favoured vs. TAU with respects to attitudes to disclosure at longest follow-up but the evidence is very uncertain. |
