@article{ref1,
title="The long-term effectiveness of interventions addressing mental health literacy and stigma of mental illness in children and adolescents: systematic review and meta-analysis",
journal="International journal of public health",
year="2021",
author="Freţian, Alexandra Maria and Graf, Patricia and Kirchhoff, Sandra and Glinphratum, Gloria and Bollweg, Torsten M. and Sauzet, Odile and Bauer, Ullrich",
volume="66",
number="",
pages="e1604072-e1604072",
abstract="OBJECTIVES: This study aims to provide a systematic review and meta-analysis of the literature on the long-term effects of interventions addressing children's and adolescents' mental health literacy and/or stigmatizing attitudes. <br><br>METHODS: Articles in English or German published between January 1997 and May 2020 were retrieved from five databases, leading to a total of 4,375 original articles identified. <br><br>RESULTS: 25 studies were included after applying exclusion criteria, 13 of which were eligible for meta-analysis. The overall average of the follow-up period was about 5 months. Long-term improvements were sustained for mental health literacy, d = 0.48, 95% CI = (0.34, 0.62), as well as for stigmatizing attitudes, d = 0.30, 95% CI = (0.24, 0.36), and social distance, d = 0.16, 95% CI = (0.03, 0.29). The combination of educational and contact components within interventions led to worse results for mental health literacy, but not stigmatizing attitudes or social distance. <br><br>CONCLUSION: Interventions targeting children and adolescents generally have a brief follow-up period of an average of 5 months. They show a stable improvement in mental health literacy, but are to a lesser degree able to destigmatize mental illness or improve social distance.<p /> <p>Language: en</p>",
language="en",
issn="1661-8556",
doi="10.3389/ijph.2021.1604072",
url="http://dx.doi.org/10.3389/ijph.2021.1604072"
}