{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T11:25:36Z","timestamp":1787397936018,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Indian Journal of Psychological Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Community-based approaches to mental health literacy (MHL), including street theatre, remain underrepresented. No study has compared street play with primary care facility-based screening as parallel MHL strategies. This study evaluated the effectiveness and acceptability of structured street play compared with facility-based screening in rural Punjab, India.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A mixed-methods quasi-experimental study with two non-randomized arms was conducted across ten primary care facilities in Mohali district. Adults in one block received a single 30-min street play (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 102); those in the adjacent block underwent structured screening for depression, anxiety, and substance use by a non-specialist nurse using a validated mobile application (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      = 100). Mental health knowledge schedule and attitudes to mental illness questionnaire were assessed at baseline and 1-month follow-up. Acceptability was measured using the theoretical framework of acceptability scale. Twelve qualitative interviews guided by the health belief model (HBM) explored participants\u2019 experiences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Both arms showed significant improvements in knowledge (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      = 9.788,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .002) and attitudes (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      = 4.841,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .029) at follow-up, with no significant between-arm difference. A significant time \u00d7 gender interaction (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      = 12.262,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = .01) indicated that females who held more stigmatizing views at baseline showed greater attitudinal improvement than males. Post-intervention condition recognition was uniformly high, and acceptability exceeded 90%. Qualitatively, participants recognized susceptibility, severity, and benefits of help-seeking across all six HBM domains, with stigma, structural barriers, and increased self-efficacy reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A single-session street play and facility-based screening produce comparable short-term improvements in MHL, supporting their integration as complementary demand-generation and case-identification strategies within the primary care mental health framework.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02537176261472529","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T11:40:19Z","timestamp":1787053219000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Community Street Play Versus Facility-based Screening for Mental Health Literacy in Rural India: A Mixed-methods Quasi-experimental Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0988-7694","authenticated-orcid":false,"given":"Abhishek","family":"Ghosh","sequence":"first","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pragyapti","family":"Malav","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blessy B.","family":"George","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manya","family":"Shukla","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nagma","family":"Imam","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kashish","family":"Ranchan","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manju","family":"Mehra","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renjith R.","family":"Pillai","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kshitiz","family":"Sharma","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shankar","family":"Prinja","sequence":"additional","affiliation":[{"name":"Postgraduate Institute of Medical Education and Research, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Bhola","sequence":"additional","affiliation":[{"name":"Dept. of Health and Family Welfare, Directorate of Health Services, Chandigarh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preet Mohan","family":"Singh","sequence":"additional","affiliation":[{"name":"Primary Health Care, Mohali, Punjab, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alakjot","family":"Kaur","sequence":"additional","affiliation":[{"name":"Primary Health Care, Mohali, Punjab, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debasish","family":"Basu","sequence":"additional","affiliation":[{"name":"Fortis, Mohali, Punjab, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Dahiya","sequence":"additional","affiliation":[{"name":"Indian Council of Medical Research, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashoo","family":"Grover","sequence":"additional","affiliation":[{"name":"Indian Council of Medical Research, New Delhi, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/indianjpsychiatry.indianjpsychiatry_865_21"},{"key":"e_1_3_3_3_2","unstructured":"Rural Urban Distribution of Population \u2013 India. 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