{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:05:52Z","timestamp":1792785952750,"version":"4.5.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"Supplement_3","license":[{"start":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T00:00:00Z","timestamp":1703030400000},"content-version":"vor","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Coalition for Operational Research"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with leprosy and lymphatic filariasis (LF)-related disabilities experience higher levels of poor mental well-being compared with the general community. Mental health services are often not available. This study was conducted to provide proof of concept that basic psychological support for people affected by neglected tropical diseases (BPS-N) can be given by peer supporters to reduce stigma, improve mental well-being and participation among clients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The BPS-N approach was tested in a quasi-experimental design using mixed methods. To provide psychological support using the BPS-N, peer supporters were selected and trained. They supported people with leprosy- and LF-related disabilities. Preintervention and postintervention, stigma, mental well-being, depression and participation were measured through standard scales within 4 wk of the intervention; differences were tested using standard tests of significance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After 3 mo of intervention, the mean level of stigma had decreased (30.3 to 24, p&amp;lt;0.001); high mental well-being increased (0% to 13.3%, p&amp;lt;0.001); and moderate to severe depression decreased (88% to 47%, p&amp;lt;0.001). No significant change occurred in participation restrictions (87% to 92%, p=0.497).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Psychological peer support using the BPS-N guideline appears effective in reducing stigma and improving mental well-being and can be operationalised. However, this should be confirmed through a randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contexte<\/jats:title>\n                    <jats:p>Les personnes atteintes de l\u00e8pre et de handicaps li\u00e9s \u00e0 la filariose lymphatique (FL) souffrent davantage d'un manque de bien-\u00eatre mental que le reste de la population. Les services de sant\u00e9 mentale ne sont souvent pas disponibles hors des zones urbaines. Cette \u00e9tude a \u00e9t\u00e9 men\u00e9e pour d\u00e9montrer que le soutien psychologique de base pour les personnes atteintes de MTN (BPS-N) peut \u00eatre dispens\u00e9 par des pairs (dans une logique de transfert de t\u00e2ches) afin de r\u00e9duire la stigmatisation et d'am\u00e9liorer le bien-\u00eatre mental et la participation des clients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9thodes<\/jats:title>\n                    <jats:p>L'approche du BPS-N a \u00e9t\u00e9 test\u00e9e dans le cadre d'un mod\u00e8le quasi-exp\u00e9rimental utilisant des m\u00e9thodes mixtes. Pour fournir un soutien psychologique \u00e0 l'aide du BPS-N, des pairs ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s et form\u00e9s. Ils sont venus en aide aux personnes atteintes de l\u00e8pre et de d\u00e9ficiences li\u00e9es \u00e0 la FL. Avant et apr\u00e8s l'intervention, les \u00e9l\u00e9ments suivants ont \u00e9t\u00e9 mesur\u00e9s \u00e0 l'aide d\u2019\u00e9chelles standardis\u00e9es: niveau de stigmatisation, bien-\u00eatre mental, sympt\u00f4mes d\u00e9pressifs, et enfin, la participation sociale. Les diff\u00e9rences ont \u00e9t\u00e9 test\u00e9es \u00e0 l'aide de tests de signification standardis\u00e9s.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>R\u00e9sultats<\/jats:title>\n                    <jats:p>Apr\u00e8s 3 mois d'intervention, le niveau moyen de stigmatisation a diminu\u00e9 (30,3 \u00e0 24, p&amp;lt;0\u2009001) ; le niveau de bien-\u00eatre mental a augment\u00e9 (0% \u00e0 13,3%, p&amp;lt;0\u2009001) et la d\u00e9pression mod\u00e9r\u00e9e \u00e0 s\u00e9v\u00e8re a diminu\u00e9 (88% \u00e0 47%, p&amp;lt;0\u2009001). Aucun changement significatif n'a \u00e9t\u00e9 observ\u00e9 en ce qui concerne les restrictions de participation (87% contre 92%, p=0\u2009497).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Le soutien psychologique par les pairs utilisant la ligne directrice BPS-N semble efficace pour r\u00e9duire la stigmatisation et am\u00e9liorer le bien-\u00eatre mental. Toutefois, cette efficacit\u00e9 doit \u00eatre confirm\u00e9e par un essai contr\u00f4l\u00e9 randomis\u00e9.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Antecedentes<\/jats:title>\n                    <jats:p>Las personas con lepra y discapacidades relacionadas con la filariasis linf\u00e1tica (FL) sufren niveles m\u00e1s altos de malestar mental en comparaci\u00f3n con la comunidad en general. Los servicios de salud mental no suelen estar disponibles a nivel perif\u00e9rico. Este estudio se llev\u00f3 a cabo para proporcionar una prueba de concepto de que el Apoyo Psicol\u00f3gico B\u00e1sico para personas afectadas por NTDs (BPS-N) puede ser dado por compa\u00f1eros de apoyo (rotaci\u00f3n de tareas) para reducir el estigma, mejorar el bienestar mental y la participaci\u00f3n entre los clientes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>M\u00e9todos<\/jats:title>\n                    <jats:p>El enfoque BPS-N se prob\u00f3 en un dise\u00f1o cuasi-experimental utilizando m\u00e9todos mixtos. Para proporcionar apoyo psicol\u00f3gico con el BPS-N, se seleccionaron y formaron compa\u00f1eros de apoyo. Apoyaron a personas con lepra y discapacidades relacionadas con la FL. El estigma, el bienestar mental, la depresi\u00f3n y la participaci\u00f3n se midieron antes y despu\u00e9s de la intervenci\u00f3n, mediante escalas est\u00e1ndar; las diferencias se comprobaron mediante pruebas est\u00e1ndar de significaci\u00f3n.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Resultados<\/jats:title>\n                    <jats:p>Despu\u00e9s de 3 meses de intervenci\u00f3n, el nivel medio de estigma disminuy\u00f3 (30,3 a 24, p&amp;lt;0\u2009001); el bienestar mental alto aument\u00f3 (0% a 13,3%, p&amp;lt;0\u2009001) y la depresi\u00f3n moderada a grave disminuy\u00f3 (88% a 47%, p&amp;lt;0\u2009001). No se produjeron cambios significativos en las restricciones de participaci\u00f3n (87% frente a 92%, p=0\u2009497)).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusiones<\/jats:title>\n                    <jats:p>El apoyo psicol\u00f3gico entre iguales, utilizando la gu\u00eda BPS-N, parece eficaz para reducir el estigma y mejorar el bienestar mental. Sin embargo, esto debe confirmarse mediante un ensayo controlado aleatorizado.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/inthealth\/ihad096","type":"journal-article","created":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T08:11:38Z","timestamp":1695975098000},"page":"iii59-iii69","source":"Crossref","is-referenced-by-count":20,"title":["Impact of basic psychological support on stigma and mental well-being of people with disabilities due to leprosy and lymphatic filariasis: a proof-of-concept study"],"prefix":"10.1093","volume":"15","author":[{"given":"Ashok","family":"Agarwal","sequence":"first","affiliation":[{"name":"NLR , Safdarjung Development Area, New Delhi-110016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeepta K","family":"Nayak","sequence":"additional","affiliation":[{"name":"NLR , Safdarjung Development Area, New Delhi-110016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wim H","family":"van Brakel","sequence":"additional","affiliation":[{"name":"NLR , 1090HA Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"van Wijk","sequence":"additional","affiliation":[{"name":"NLR , 1090HA Amsterdam, The Netherlands"},{"name":"Erasmus Medical Center , 3015 GD Rotterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Jain","sequence":"additional","affiliation":[{"name":"NLR , Safdarjung Development Area, New Delhi-110016, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heleen","family":"Broekkamp","sequence":"additional","affiliation":[{"name":"NLR , 1090HA Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marente M","family":"Mol","sequence":"additional","affiliation":[{"name":"NLR , 1090HA Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra Pati","family":"Mishra","sequence":"additional","affiliation":[{"name":"Banaras Hindu University , Ajagara, Varanasi, Uttar Pradesh 221005, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"2023122022154409000_bib1","doi-asserted-by":"crossref","first-page":"36","DOI":"10.3390\/tropicalmed2030036","article-title":"Neglected tropical diseases: epidemiology and global burden","volume":"2","author":"Mitra","year":"2017","journal-title":"Trop Med Infect Dis"},{"key":"2023122022154409000_bib2","doi-asserted-by":"crossref","first-page":"k5198","DOI":"10.1136\/bmj.k5198","article-title":"Elimination of lymphatic filariasis in South East Asia","volume":"364","author":"Specht","year":"2019","journal-title":"BMJ"},{"key":"2023122022154409000_bib3","doi-asserted-by":"crossref","DOI":"10.3402\/gha.v5i0.18394","article-title":"Disability in people affected by leprosy: The role of impairment","volume":"5","author":"van Brakel","year":"2012","journal-title":"Glob Health Action"},{"key":"2023122022154409000_bib4","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/j.1346-8138.2011.01370.x","article-title":"Current status of leprosy: Epidemiology, basic science and clinical perspectives","volume":"39","author":"Suzuki","year":"2012","journal-title":"J Dermatol"},{"key":"2023122022154409000_bib5","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/B978-0-323-55512-8.00114-9","article-title":"114\u2013Lymphatic Filariasis.","volume-title":"Hunter's Tropical Medicine and Emerging Infectious Diseases (Tenth Edition)","author":"King","year":"2020;"},{"issue":"Suppl 1","key":"2023122022154409000_bib6","doi-asserted-by":"crossref","first-page":"i53","DOI":"10.1093\/inthealth\/ihv071","article-title":"Social stigma towards neglected tropical diseases: A systematic review","volume":"8","author":"Hofstraat","year":"2016","journal-title":"Int Health"},{"key":"2023122022154409000_bib7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12916-019-1250-8","article-title":"A scoping review of health-related stigma outcomes for high-burden diseases in low- and middle-income countries","volume":"17","author":"Kane","year":"2019","journal-title":"BMC Medicine"},{"key":"2023122022154409000_bib8","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1146\/annurev.soc.27.1.363","article-title":"Conceptualizing stigma","volume":"27","author":"Link","year":"2001","journal-title":"Annual Review of Sociology"},{"key":"2023122022154409000_bib9","doi-asserted-by":"crossref","first-page":"1815275","DOI":"10.1080\/16549716.2020.1815275","article-title":"Depression and mental wellbeing in people affected by leprosy in southern Nepal","volume":"13","author":"van Dorst","year":"2020","journal-title":"Glob Health Action"},{"key":"2023122022154409000_bib10","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/s40249-015-0068-7","article-title":"The burden of mental health in lymphatic filariasis","volume":"4","author":"Ton","year":"2015","journal-title":"Infect Dis Poverty"},{"key":"2023122022154409000_bib11","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1093\/trstmh\/traa130","article-title":"A cross-sectional study to evaluate depression and quality of life among patients with lymphoedema due to podoconiosis, lymphatic filariasis and leprosy","volume":"114","author":"Ali","year":"2020","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"2023122022154409000_bib12","doi-asserted-by":"crossref","first-page":"367","DOI":"10.47276\/lr.91.4.367","article-title":"Depression and anxiety in people affected by leprosy and lymphatic filariasis: A cross-sectional study in four States in India","volume":"91","author":"Mangeard-Lourme","year":"2020","journal-title":"Lepr Rev"},{"key":"2023122022154409000_bib13","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1080\/13548500600595327","article-title":"The fight against stigma: An overview of stigma-reduction strategies and interventions","volume":"11","author":"Heijnders","year":"2006","journal-title":"Psychol Health Med"},{"key":"2023122022154409000_bib14","doi-asserted-by":"crossref","first-page":"149","DOI":"10.47276\/lr.85.3.149","article-title":"How to reduce stigma in leprosy\u2013a systematic literature review","volume":"85","author":"Sermrittirong","year":"2014","journal-title":"Lepr Rev"},{"key":"2023122022154409000_bib15","doi-asserted-by":"crossref","first-page":"2","DOI":"10.47276\/lr.88.1.2","article-title":"Impact of socio-economic development, contact and peer counselling on stigma against persons affected by leprosy in Cirebon, Indonesia \u2013a randomised controlled trial","volume":"88","author":"Dadun","year":"2017","journal-title":"Lepr Rev"},{"key":"2023122022154409000_bib16","doi-asserted-by":"crossref","first-page":"e0005088","DOI":"10.1371\/journal.pntd.0005088","article-title":"The impact of a rights-based counselling intervention to reduce stigma in people affected by leprosy in Indonesia","volume":"10","author":"Lusli","year":"2016","journal-title":"PLoS NeglTrop Dis"},{"issue":"11","key":"2023122022154409000_bib17","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1177\/0956797617723724","article-title":"Sample-size planning for more accurate statistical power: a method adjusting sample effect sizes for publication bias and uncertainty","volume":"28","author":"Anderson","year":"2017","journal-title":"Psychol Sci"},{"key":"2023122022154409000_bib18","doi-asserted-by":"crossref","first-page":"23","DOI":"10.47276\/lr.88.1.23","article-title":"Cultural validation of a new instrument to measure leprosy-related stigma: The SARI Stigma Scale","volume":"88","author":"Dadun","year":"2017","journal-title":"Lepr Rev"},{"key":"2023122022154409000_bib19","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/1477-7525-5-63","article-title":"The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): Development and UK validation","volume":"5","author":"Tennant","year":"2007","journal-title":"Health and Quality of Life Outcomes"},{"key":"2023122022154409000_bib20","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"key":"2023122022154409000_bib21","article-title":"Measuring social participation","author":"Coltof","year":"2019"},{"key":"2023122022154409000_bib22","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1186\/s12879-020-05003-9","article-title":"Peer education for HIV prevention among high-risk groups: A systematic review and meta-analysis","volume":"20:","author":"He","year":"2020;","journal-title":"BMC Infect Dis"},{"issue":"2","key":"2023122022154409000_bib23","doi-asserted-by":"crossref","first-page":"144","DOI":"10.4103\/0019-5545.99533","article-title":"Mental health problems among inhabitants of old age homes: A preliminary study","volume":"54","author":"Tiwari","year":"2012","journal-title":"Indian J Psychiatry"},{"issue":"5","key":"2023122022154409000_bib24","doi-asserted-by":"crossref","first-page":"e0215182","DOI":"10.1371\/journal.pone.0215182","article-title":"Relationship between living alone and common mental disorders in the 1993, 2000 and 2007 National Psychiatric Morbidity Surveys","volume":"14","author":"Jacob","year":"2019;","journal-title":"PLoS One"},{"issue":"10","key":"2023122022154409000_bib25","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19106064","article-title":"Peer education and peer counselling for health and well-being: A review of reviews","volume":"19","author":"Topping","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"2023122022154409000_bib26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/21665044.2015.1110292","article-title":"A reflective learning report about the implementation and impacts of Psychological First Aid (PFA) in Gaza","volume":"3","author":"Alison","year":"2016","journal-title":"Disaster Health"},{"key":"2023122022154409000_bib27","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1186\/s12913-022-08393-5","article-title":"Experiences of peer support workers supporting individuals with substance use disorders in Egypt: Phenomenological analysis","volume":"22:","author":"Ibrahim","year":"2022;","journal-title":"BMC Health Serv Res"},{"key":"2023122022154409000_bib28","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1002\/casp.2353","article-title":"Peer support critical elements and experiences in supporting the homeless: A qualitative study","volume":"28","author":"Barker","year":"2018","journal-title":"J Community Appl Soc Psychol"},{"key":"2023122022154409000_bib29","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1007\/s11126-022-09971-w","article-title":"An update of peer support\/peer provided services underlying processes, benefits, and critical ingredients","volume":"93:","author":"Fortuna","year":"2022;","journal-title":"Psychiatr Q"}],"container-title":["International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/inthealth\/article-pdf\/15\/Supplement_3\/iii59\/54699732\/ihad096.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/inthealth\/article-pdf\/15\/Supplement_3\/iii59\/54699732\/ihad096.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T17:26:32Z","timestamp":1703093192000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/inthealth\/article\/15\/Supplement_3\/iii59\/7483344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":29,"journal-issue":{"issue":"Supplement_3","published-online":{"date-parts":[[2023,12,20]]},"published-print":{"date-parts":[[2023,12,20]]}},"URL":"https:\/\/doi.org\/10.1093\/inthealth\/ihad096","relation":{},"ISSN":["1876-3413","1876-3405"],"issn-type":[{"value":"1876-3413","type":"print"},{"value":"1876-3405","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,12]]},"published":{"date-parts":[[2023,12]]}}}