{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T10:10:46Z","timestamp":1787911846166,"version":"build-2784847793"},"reference-count":44,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:00:00Z","timestamp":1658188800000},"content-version":"unspecified","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"UK Research and Innovation Global Challenges Research Fund","award":["ES\/P010938\/1"],"award-info":[{"award-number":["ES\/P010938\/1"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2022,6,28]]},"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Stigma and discrimination among healthcare workers can hinder diagnosis and the provision of appropriate care in dementia. This study is aimed at developing, delivering and evaluating the feasibility of a group antistigma intervention to improve knowledge, attitudes and behaviours in relation to people living with dementia among community health workers (CHWs).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and analysis<\/jats:title>\n                  <jats:p>This will be a randomised controlled feasibility trial conducted with 150 CHWs from 14 primary care units (PCUs) in S\u00e3o Paulo, Brazil. PCUs will be randomly allocated (1:1) in two parallel groups\u2014experimental group or control group. Participants from PCUs allocated to the experimental group will receive a 3-day group intervention involving audio-visual and printed materials as well as elements of social contact. The control group will keep their usual routine. Knowledge, attitude and intended behaviour stigma-based outcomes will be assessed at baseline and at follow-up (30 days after intervention) to both groups, with additional questions on feasibility for the experimental group at follow-up. Around 10\u201315 participants will take part in follow-up semistructured interviews to further explore feasibility. Quantitative analyses will follow an \u2018intention to treat\u2019 approach. Qualitative data will be analysed using content analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Ethics and dissemination<\/jats:title>\n                  <jats:p>This study was approved by the National Commission for Ethics in Research in Brazil (n. 5.510.113). Every participant will sign a consent form. Results will be disseminated through academic journals and events related to dementia. The intervention materials will be made available online.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-060033","type":"journal-article","created":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T12:55:34Z","timestamp":1658235334000},"page":"e060033","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Reducing dementia-related stigma and discrimination among community health workers in Brazil: protocol for a randomised controlled feasibility trial"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6616-533X","authenticated-orcid":false,"given":"D\u00e9borah","family":"Oliveira","sequence":"first","affiliation":[{"name":"Department of Psychiatry, School of Medicine, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Godoy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiana A F","family":"da Mata","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Mateus","sequence":"additional","affiliation":[{"name":"Brazilian Federation of Alzheimer\u2019s Associations (FEBRAZ), Paran\u00e1, Brazil"},{"name":"Applied Linguistics, Department of Modern Languages, Universidade Estadual de Londrina (UEL), Paran\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Carolina Arruda","family":"Franzon","sequence":"additional","affiliation":[{"name":"Brazilian Federation of Alzheimer\u2019s Associations (FEBRAZ), Paran\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0635-2547","authenticated-orcid":false,"given":"Nicolas","family":"Farina","sequence":"additional","affiliation":[{"name":"Centre for Dementia Studies, Brighton and Sussex Medical School, Brighton, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Evans-Lacko","sequence":"additional","affiliation":[{"name":"Personal Social Services Research Unit, London School of Economics and Political Science, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cleusa P","family":"Ferri","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, School of Medicine, Universidade Federal de S\u00e3o Paulo, Sao Paulo, Brazil"},{"name":"Health Technology Assessment Unit, Hospital Alem\u00e3o Oswaldo Cruz, Sao Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,7,19]]},"reference":[{"key":"2025101810573920000_12.7.e060033.1","unstructured":"World Health Organization . 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