{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:32:19Z","timestamp":1787315539722,"version":"build-2736575974"},"reference-count":69,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Suicide Prevention Australia Commonwealth of Australia Scheme Grant"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Syst Rev"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The rising prevalence of Borderline Personality Disorder (BPD) and suicidality represents substantial health burden worldwide. People with BPD experience high rates of crisis presentations and stigma when accessing health services. Educational interventions designed to modify health practitioners\u2019 attitudes and practice in treating people with BPD may assist in addressing this stigma. The current review aimed to identify and explore existing educational interventions designed to modify health practitioners' attitudes and practice in BPD; and determine what impact educational interventions have on improving health practitioners\u2019 responses towards people with BPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A comprehensive search of the literature was undertaken in MEDLINE, CINAHL, PsycINFO, Scopus, Cochrane Library, and JBI Evidence-Based databases (from inception to February 2022). Secondary sources of literature included grey literature searches and handsearching the references of included studies as part of the comprehensive search strategy. The eligibility criteria included peer-reviewed empirical studies examining BPD-related educational interventions aimed at modifying health practitioners\u2019 attitudes and practice in treating people with BPD. Quality appraisal of the included studies were completed using the Mixed Methods Appraisal Tool 2018 version (MMAT v.18) or the Joanna Briggs Institute (JBI) Checklist for Systematic Reviews and Research Syntheses Tool. Thematic Analysis informed data extraction, analysis, interpretation, and narrative synthesis of the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of nine papers containing 991 participants across a diverse range of studies including, quantitative, qualitative, mixed methods, and a systematic review were included in this integrative review. Several BPD-related educational interventions designed to modify health practitioners\u2019 attitudes and practice in BPD exist. Findings suggest that training health practitioners in BPD-related educational interventions can enhance positive attitudes and change practice towards people with BPD; however, more high-quality studies are needed to confirm these conclusions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This review collated and summarized findings from studies examining the impact of BPD-related educational interventions on changing health practitioners\u2019 attitudes and practice in treating this population. Results from this review may help inform future research, policy, and practice in stigma-reduction strategies which would improve the delivery of responsive health services and care for people with BPD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Systematic review registration<\/jats:title>\n                    <jats:p>\n                      Open Science Framework (\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/osf.io\/7p6ez\/\">https:\/\/osf.io\/7p6ez\/<\/jats:ext-link>\n                      )\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13643-022-01960-1","type":"journal-article","created":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T02:02:32Z","timestamp":1653876152000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["The impact of educational interventions on modifying health practitioners\u2019 attitudes and practice in treating people with borderline personality disorder: an integrative review"],"prefix":"10.1186","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8630-650X","authenticated-orcid":false,"given":"Pauline","family":"Klein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Kate","family":"Fairweather","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Lawn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"#cr-split#-1960_CR1.1","unstructured":"Australian Government. Budget-2020-21: Prioritising mental health - enhancing suicide prevention. 2020. p. 2. [Internet]. Canberra (AU): Department of Health"},{"key":"#cr-split#-1960_CR1.2","unstructured":"n.d. [cited 2021 Feb 20]. https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2020\/10\/budget-2020-21-prioritising-mental-health-enhancing-suicide-prevention-budget-2020-21-prioritising-mental-health-enhancing-suicide-prevention.pdf."},{"key":"1960_CR2","unstructured":"Department of Health and Social Care. Reforming the Mental Health Act: government response to consultation [Internet]. England (UK): Department of Health and Social Care; 2021. p. 135. [cited 2021 July 30]. Available from. https:\/\/www.gov.uk\/government\/consultations\/reforming-the-mental-health-act\/reforming-the-mental-health-act#contents."},{"key":"1960_CR3","doi-asserted-by":"crossref","unstructured":"McBain RK, Eberhart NK, Breslau J, Frank LM, Burnam A, Kareddy V, et al. How to transform the United States mental health system: evidence-based recommendations [Internet]. Santa Monica (CA): RAND Corporation; 2021. p. 108. [cited 2021 July 30]. https:\/\/doi.org\/10.7249\/RRA889-1.","DOI":"10.7249\/RRA889-1"},{"key":"1960_CR4","unstructured":"World Health Organisation. Comprehensive mental health action plan 2013-2020. 2013. Geneva (CH): World Health Organization, 2013. p. 47. [cited 2020 Mar 17]. https:\/\/www.who.int\/publications\/i\/item\/9789241506021."},{"key":"1960_CR5","unstructured":"Australian Government. Compassion First: designing our national approach from the lived experience of suicidal behaviour [Internet]. Canberra (AU): National Suicide Prevention Taskforce; 2020. p. 35. [cited 2021 Apr 12].  Available from: https:\/\/www.mentalhealthcommission.gov.au\/Mental-health-Reform#top."},{"key":"#cr-split#-1960_CR6.1","unstructured":"National Suicide Prevention Adviser. Connected and Compassionate: Implementing a national whole of governments approach to suicide prevention (Final Advice). 2020. p. 63. Canberra (AU): Australian Government"},{"key":"#cr-split#-1960_CR6.2","unstructured":"2020. [cited 2020 Apr 12]. https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2021\/05\/national-suicide-prevention-adviser-final-advice-connected-and-compassionate.pdf."},{"key":"1960_CR7","unstructured":"Government of South Australia. State-wide borderline personality disorder collaborative model of care. 2019. p. 37. [cited 2020 Mar 15]. https:\/\/www.sahealth.sa.gov.au\/wps\/wcm\/connect\/da6ca34-e42c-415ba950-355047584c6bBPD+Co+Model+of+Care-ONLINE.pdf?MOD=AJPERES&CACHEID=ROOTWORKSPACE-da6ca341-e42c-415b-a950-355047584c6b-nwK8z9t."},{"key":"1960_CR8","unstructured":"National Institute for Health and Care Excellence (NICE). Borderline personality disorder: recognition and\nmanagement [Internet]. United Kingdom: NICE; 2009. p. 32. [cited 2020 Mar 15]. Available from: https:\/\/www.nice.org.uk\/guidance\/cg78."},{"key":"1960_CR9","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2013","unstructured":"American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: APA; 2013.","edition":"5"},{"key":"1960_CR10","doi-asserted-by":"publisher","unstructured":"Krawitz R. Borderline personality disorder: attitudinal change following training. Aust N Z J Psychiatr. 2004;38:554\u20139. https:\/\/doi.org\/10.1080\/j.1440-1614.2004.01409.x.","DOI":"10.1080\/j.1440-1614.2004.01409.x"},{"key":"1960_CR11","unstructured":"Crosby AE, Ortega L, Melanson C. Self-directed violence surveillance: uniform definitions and recommended data elements, version 1.0 [Internet]. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2011. [cited 2021 Jul 30]. Available from: https:\/\/www.cdc.gov\/suicide\/pdf\/self-directed-violence-a.pdf."},{"key":"1960_CR12","doi-asserted-by":"publisher","unstructured":"Aviram RB, Brodsky BS, Stanley B. Borderline personality disorder, stigma, and treatment implications. Harv Rev Psychiatr. 2006;14(5):249\u201356. https:\/\/doi.org\/10.1080\/10673220600975121.","DOI":"10.1080\/10673220600975121"},{"issue":"4","key":"1960_CR13","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.aenj.2008.07.003","volume":"11","author":"K Koehne","year":"2008","unstructured":"Koehne K, Sands N. Borderline personality disorder-an overview for emergency clinicians. Australas Emerg Nurs J. 2008;11(4):173\u20137. https:\/\/doi.org\/10.1016\/j.aenj.2008.07.003.","journal-title":"Australas Emerg Nurs J"},{"issue":"2","key":"1960_CR14","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1080\/016128498249105","volume":"19","author":"N Nehls","year":"1998","unstructured":"Nehls N. Borderline personality disorder: gender stereotypes, stigma, and limited system of care. Issues Ment Health Nurs. 1998;19(2):97\u2013112. https:\/\/doi.org\/10.1080\/016128498249105.","journal-title":"Issues Ment Health Nurs"},{"issue":"6","key":"1960_CR15","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1016\/j.biopsych.2006.09.019","volume":"62","author":"MF Lenzenweger","year":"2007","unstructured":"Lenzenweger MF, Lane MC, Loranger AW, Kessler RC. DSM-IV personality disorders in the National Comorbidity Survey Replication. Biol Psychiatr. 2007;62(6):553\u201364. https:\/\/doi.org\/10.1016\/j.biopsych.2006.09.019.","journal-title":"Biol Psychiatr"},{"issue":"4","key":"1960_CR16","doi-asserted-by":"publisher","first-page":"533","DOI":"10.4088\/jcp.v69n0404","volume":"69","author":"BF Grant","year":"2008","unstructured":"Grant BF, Chou SP, Goldstein RB, Huang B, Stinson FS, Saha TD, et al. Prevalence, correlates, disability, and comorbidity of DSM-IV borderline personality disorder: results from the wave 2 national epidemiologic survey on alcohol and related conditions. J Clin Psychiatr. 2008;69(4):533\u201345. https:\/\/doi.org\/10.4088\/jcp.v69n0404.","journal-title":"J Clin Psychiatr"},{"issue":"11","key":"1960_CR17","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.1111\/j.1751-9004.2010.00312.x","volume":"4","author":"TJ Trull","year":"2010","unstructured":"Trull TJ, Tomko RL, Brown WC, Scheiderer EM. Borderline personality disorder in 3-D: dimensions, symptoms, and measurement challenges. Soc Personal Psychol Compass. 2010;4(11):1057\u201369. https:\/\/doi.org\/10.1111\/j.1751-9004.2010.00312.x.","journal-title":"Soc Personal Psychol Compass"},{"issue":"194","key":"1960_CR18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/bmj.l94","volume":"364","author":"M Naghavi","year":"2019","unstructured":"Naghavi M, al. e. Global, regional, and national burden of suicide mortality 1990 to 2016: systematic analysis for the Global Burden of Disease Study 2016. BMJ. 2019;364(194):1\u201311. https:\/\/doi.org\/10.1136\/bmj.l94.","journal-title":"BMJ"},{"key":"1960_CR19","unstructured":"National Health and Medical Research Council (NHMRC). Clinical practice guidelines for the management of borderline personality disorder. 2012. p. 182. [cited 2020 Jan 15]. https:\/\/www.nhmrc.gov.au\/about-us\/publications\/clinical-practice-guideline-borderline-personality-disorder#block-views-block-file-attachments-content-block-1."},{"issue":"3","key":"1960_CR20","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1521\/pedi.18.3.226.35445","volume":"18","author":"DW Black","year":"2004","unstructured":"Black DW, Blum N, Pfohl B, Hale N. Suicidal behavior in borderline personality disorder: prevalence, risk factors, prediction, and prevention. J Pers Disord. 2004;18(3):226\u201339. https:\/\/doi.org\/10.1521\/pedi.18.3.226.35445.","journal-title":"J Pers Disord"},{"issue":"5","key":"1960_CR21","doi-asserted-by":"publisher","first-page":"734","DOI":"10.1521\/pedi_2012_26_093","volume":"28","author":"RL Tomko","year":"2014","unstructured":"Tomko RL, Trull TJ, Wood PK, Sher KJ. Characteristics of borderline personality disorder in a community sample: comorbidity, treatment utilization, and general functioning. J Pers Disord. 2014;28(5):734\u201350. https:\/\/doi.org\/10.1521\/pedi_2012_26_093.","journal-title":"J Pers Disord"},{"issue":"7","key":"1960_CR22","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1111\/jpm.12226","volume":"22","author":"S Lawn","year":"2015","unstructured":"Lawn S, McMahon J. Experiences of care by Australians with a diagnosis of borderline personality disorder. J Psychiatr Ment Health Nurs. 2015;22(7):510\u201321. https:\/\/doi.org\/10.1111\/jpm.12226.","journal-title":"J Psychiatr Ment Health Nurs"},{"issue":"1","key":"1960_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1192\/bjo.2018.72","volume":"5","author":"KL Lewis","year":"2019","unstructured":"Lewis KL, Fanaian M, Kotze B, Grenyer BFS. Mental health presentations to acute psychiatric services: 3-year study of prevalence and readmission risk for personality disorders compared with psychotic, affective, substance or other disorders. BJPsych Open. 2019;5(1):1\u20137. https:\/\/doi.org\/10.1192\/bjo.2018.72.","journal-title":"BJPsych Open"},{"key":"1960_CR24","doi-asserted-by":"publisher","unstructured":"Ring D, Lawn S. Stigma perpetuation at the interface of mental health care: a review to compare patient and clinician perspectives of stigma and borderline personality disorder. J Ment Health. 2019;12:1\u201321. https:\/\/doi.org\/10.1080\/09638237.2019.1581337.","DOI":"10.1080\/09638237.2019.1581337"},{"key":"1960_CR25","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1111\/jpm.12637","volume":"22","author":"D Warrender","year":"2020","unstructured":"Warrender D, Bain H, Murray I, Kennedy C. Perspectives of crisis intervention for people diagnosed with \u2018borderline personality disorder\u2019: an integrative review. J Psychiatr Ment Health Nurs. 2020;22:623\u201333. https:\/\/doi.org\/10.1111\/jpm.12637.","journal-title":"J Psychiatr Ment Health Nurs"},{"key":"1960_CR26","doi-asserted-by":"publisher","unstructured":"Corrigan PW, Markowitz FE, Watson AC. Structural levels of mental illness stigma and discrimination. Schizophr Bull. 2004;30(3):481\u201391. https:\/\/doi.org\/10.1093\/oxfordjournals.schbul.a007096.","DOI":"10.1093\/oxfordjournals.schbul.a007096"},{"issue":"1","key":"1960_CR27","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1080\/1177083X.2013.871303","volume":"9","author":"S Veysey","year":"2014","unstructured":"Veysey S. People with a borderline personality disorder diagnosis describe discriminatory experiences. Kotuitui. 2014;9(1):20\u201335. https:\/\/doi.org\/10.1080\/1177083X.2013.871303.","journal-title":"Kotuitui"},{"issue":"11","key":"1960_CR28","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1080\/00048670802415392","volume":"42","author":"AJ Commons Treloar","year":"2008","unstructured":"Commons Treloar AJ, Lewis AJ. Targeted clinical education for staff attitudes towards deliberate self-harm in borderline personality disorder: randomized controlled trial. Aust N J Psychiatr. 2008;42(11):981\u20138. https:\/\/doi.org\/10.1080\/00048670802415392.","journal-title":"Aust N J Psychiatr"},{"issue":"1","key":"1960_CR29","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1097\/NMD.0000000000000226","volume":"203","author":"M Zimmerman","year":"2015","unstructured":"Zimmerman M. Borderline personality disorder: a disorder in search of advocacy. J Nerv Ment. 2015;203(1):8\u201312. https:\/\/doi.org\/10.1097\/NMD.0000000000000226.","journal-title":"J Nerv Ment"},{"issue":"5","key":"1960_CR30","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1111\/inm.12009","volume":"22","author":"M Fanaian","year":"2013","unstructured":"Fanaian M, Lewis KL, Grenyer BF. Improving services for people with personality disorders: views of experienced clinicians. Int J Ment Health Nurs. 2013;22(5):465\u201371. https:\/\/doi.org\/10.1111\/inm.12009.","journal-title":"Int J Ment Health Nurs"},{"issue":"8","key":"1960_CR31","doi-asserted-by":"publisher","first-page":"742","DOI":"10.1037\/amp0000068","volume":"71","author":"ML Hatzenbuehler","year":"2016","unstructured":"Hatzenbuehler ML. Structural stigma and health inequalities: research evidence and implications for psychological science. Am Psychol. 2016;71(8):742\u201351. https:\/\/doi.org\/10.1037\/amp0000068.","journal-title":"Am Psychol"},{"issue":"3","key":"1960_CR32","doi-asserted-by":"publisher","first-page":"186","DOI":"10.1046\/j.1440-0979.2002.00246.x","volume":"11","author":"M Cleary","year":"2002","unstructured":"Cleary M, Siegfried N, Walter G. Experience, knowledge and attitudes of mental health staff regarding clients with a borderline personality disorder. Int J Ment Health Nurs. 2002;11(3):186\u201391.","journal-title":"Int J Ment Health Nurs"},{"key":"1960_CR33","doi-asserted-by":"publisher","first-page":"136","DOI":"10.3389\/fpsyt.2017.00136","volume":"8","author":"U Shaikh","year":"2017","unstructured":"Shaikh U, Qamar I, Jafry F, Hassan M, Shagufta S, Odhejo YI, et al. Patients with borderline personality disorder in emergency departments. Front Psychiatr. 2017;8:136. https:\/\/doi.org\/10.3389\/fpsyt.2017.00136.","journal-title":"Front Psychiatr"},{"key":"1960_CR34","unstructured":"Grenyer BF. An integrative relational step-down model of care: the Project Air strategy for personality disorders. Acparian. 2014;9:8\u201313. https:\/\/www.researchgate.net\/publication\/265646834_An_integrative_relational_step-down_model_of_care_The_Project_Air_Strategy_for_Personality_Disorders."},{"key":"1960_CR35","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.ijnurstu.2015.10.019","volume":"56","author":"GL Dickens","year":"2016","unstructured":"Dickens GL, Hallett N, Lamont E. Interventions to improve mental health nurses' skills, attitudes, and knowledge related to people with a diagnosis of borderline personality disorder: systematic review. Int J Nurs Stud. 2016;56:114\u201327. https:\/\/doi.org\/10.1016\/j.ijnurstu.2015.10.019.","journal-title":"Int J Nurs Stud"},{"issue":"5","key":"1960_CR36","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1016\/j.comppsych.2010.10.004","volume":"52","author":"E Bodner","year":"2011","unstructured":"Bodner E, Cohen-Fridel S, Iancu I. Staff attitudes toward patients with borderline personality disorder. Compr Psychiatr. 2011;52(5):548\u201355. https:\/\/doi.org\/10.1016\/j.comppsych.2010.10.004.","journal-title":"Compr Psychiatr"},{"key":"1960_CR37","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1016\/j.psychres.2015.06.010","volume":"228","author":"E Bodner","year":"2015","unstructured":"Bodner E, Shrira A, Hermesh H, Ben-Ezra M, Iancu I. Psychiatrists' fear of death is associated with negative emotions toward borderline personality disorder patients. BMC Psychiatr. 2015;228:963\u201365. https:\/\/doi.org\/10.1016\/j.psychres.2015.06.010.","journal-title":"BMC Psychiatr"},{"key":"1960_CR38","doi-asserted-by":"publisher","unstructured":"McNee L, Donoghue C, Coppola AM. A team approach to borderline personality disorder. Mental Health Pract. 2014;17(10):33\u20135. https:\/\/doi.org\/10.7748\/mhp.17.10.33.e887.","DOI":"10.7748\/mhp.17.10.33.e887"},{"issue":"1","key":"1960_CR39","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1590\/S1679-45082010RW1134","volume":"8","author":"MT Souza","year":"2010","unstructured":"Souza MT, Silva MD, Carvalho R. Integrative review: what is it? How to do it? Einstein. 2010;8(1):102\u20136. https:\/\/doi.org\/10.1590\/S1679-45082010RW1134.","journal-title":"Einstein"},{"issue":"23","key":"1960_CR40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s13643-021-01580-1","volume":"10","author":"P Klein","year":"2020","unstructured":"Klein P, Fairweather AK, Lawn S, Stallman HM, Cammell P. Structural stigma and its impact on healthcare for consumers with borderline personality: protocol for a scoping review. Syst Rev. 2020;10(23):1\u20137. https:\/\/doi.org\/10.1186\/s13643-021-01580-1.","journal-title":"Syst Rev"},{"key":"1960_CR41","doi-asserted-by":"crossref","unstructured":"Russell CL. An overview of the integrative research review. Progress Transplant. 2005;15(1):8\u201313. https:\/\/pubmed.ncbi.nlm.nih.gov\/15839365\/.","DOI":"10.7182\/prtr.15.1.0n13660r26g725kj"},{"key":"1960_CR42","doi-asserted-by":"publisher","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. BMJ. 2015;339:b2535. https:\/\/doi.org\/10.1136\/bmj.b2535.","DOI":"10.1136\/bmj.b2535"},{"key":"1960_CR43","doi-asserted-by":"publisher","unstructured":"Clarke CJ, Fox E, Long CG. Can teaching staff about the neurobiological underpinnings of borderline personality disorder instigate attitudinal change? J Intensive Care Med. 2015;11(1):43\u201351. https:\/\/doi.org\/10.1017\/S1742646414000132.","DOI":"10.1017\/S1742646414000132"},{"key":"1960_CR44","doi-asserted-by":"publisher","unstructured":"Commons Treloar AJ. Effectiveness of education programs in changing clinician's attitudes towards treating borderline personality disorder. Psychiatr Serv. 2009;60(8):1128\u201331. https:\/\/doi.org\/10.1176\/appi.ps.60.8.1128.","DOI":"10.1176\/appi.ps.60.8.1128"},{"key":"1960_CR45","doi-asserted-by":"crossref","unstructured":"Dickens GL, Lamont E, Mullen J, MacArthur N, Stirling FJ. Mixed-methods evaluation of an educational intervention to change mental health nurses' attitudes to people diagnosed with borderline personality disorder. J Clin Nurs. 2019;28:2613\u201323. https:\/\/dx.doi.org\/10.1111\/jocn.14847.","DOI":"10.1111\/jocn.14847"},{"key":"1960_CR46","doi-asserted-by":"publisher","unstructured":"Keuroghlian AS, Palmer BA, Choi-Kain LW, Borba CP, Links PS, Gunderson JG. The effect of attending Good Psychiatric Management (GPM) workshops on attitudes toward patients with borderline personality disorder. J Pers Disord. 2016;30(4):567\u201376. https:\/\/doi.org\/10.1521\/pedi_2015_29_206.","DOI":"10.1521\/pedi_2015_29_206"},{"key":"1960_CR47","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s40479-015-0030-0","volume":"2","author":"S Knaak","year":"2015","unstructured":"Knaak S, Szeto A, Fitch K, Modgill G, Patten S. Stigma towards borderline personality disorder: effectiveness and generalizability of an anti-stigma program for healthcare providers using a pre-post randomized design. Borderline Personal Disord Emot Dysregulation. 2015;2:1\u20138. https:\/\/doi.org\/10.1186\/s40479-015-0030-0.","journal-title":"Borderline Personal Disord Emot Dysregulation"},{"issue":"11","key":"1960_CR48","doi-asserted-by":"publisher","first-page":"865","DOI":"10.1097\/NMD.0000000000000893","volume":"206","author":"SR Masland","year":"2018","unstructured":"Masland SR, Price D, MacDonald J, Finch E, Gunderson J, Choi-Kain L. Enduring effects of one-day training in good psychiatric management on clinician attitudes about borderline personality disorder. J Nerv Ment Dis. 2018;206(11):865\u20139. https:\/\/doi.org\/10.1097\/NMD.0000000000000893.","journal-title":"J Nerv Ment Dis"},{"issue":"4","key":"1960_CR49","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1002\/pmh.1467","volume":"13","author":"M Pigot","year":"2019","unstructured":"Pigot M, Miller CE, Brockman R, Grenyer BFS. Barriers and facilitators to the implementation of a stepped care intervention for personality disorder in mental health services. Pers Ment Health. 2019;13(4):230\u20138. https:\/\/doi.org\/10.1002\/pmh.1467.","journal-title":"Pers Ment Health"},{"issue":"8","key":"1960_CR50","doi-asserted-by":"publisher","first-page":"623","DOI":"10.1111\/jpm.12248","volume":"22","author":"D Warrender","year":"2015","unstructured":"Warrender D. Staff nurse perceptions of the impact of mentalization-based therapy skills training when working with borderline personality disorder in acute mental health: a qualitative study. J Psychiatr Ment Health Nurs. 2015;22(8):623\u201333. https:\/\/doi.org\/10.1111\/jpm.12248.","journal-title":"J Psychiatr Ment Health Nurs"},{"key":"1960_CR51","unstructured":"Hong QN, Pluye P, Fabregues S, Bartlett G, Boardman F, Cargo M, et al. Mixed Methods Appraisal Tool Version 2018 (MMAT v.18) 2018. [2018 Aug 1; 2020 Mar 30]. Available from: http:\/\/mixedmethodsappraisaltoolpublic.pbworks.com\/w\/file\/fetch\/127916259\/MMAT_2018_criteria-manual_2018-08-01_ENG.pdf."},{"key":"1960_CR52","doi-asserted-by":"crossref","unstructured":"Peters M, Godfrey C, McInerney P, Munn Z, Tricco A, Khalil H. Chapter 11: Scoping reviews (2020 version). 2020. [2020 Jul 3; 30 Aug 2020] In: Aromataris E, Munn Z (Editors), Joanna Briggs Institute (JBI) manual for evidence synthesis 2020. Adelaide (AU): JBI. Available from: https:\/\/synthesismanual.jbi.global.","DOI":"10.46658\/JBIMES-20-12"},{"key":"1960_CR53","doi-asserted-by":"publisher","unstructured":"Aromataris EC, Fernandez R, Godfrey CM, Holly C, Kahlil H, Tungpunkom P. Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc. 2015;13:132\u201340. https:\/\/doi.org\/10.1097\/XEB.0000000000000055.","DOI":"10.1097\/XEB.0000000000000055"},{"key":"1960_CR54","volume-title":"Researching health: qualitative, quantitative and mixed methods","author":"M Saks","year":"2013","unstructured":"Saks M, Allsop J. Researching health: qualitative, quantitative and mixed methods. 2nd ed. London: SAGE; 2013.","edition":"2"},{"key":"1960_CR55","volume-title":"Handbook of research methods in health social sciences","author":"V Braun","year":"2019","unstructured":"Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. In: Liamputtong P, editor. Handbook of research methods in health social sciences. Singapore: Springer; 2019."},{"issue":"1","key":"1960_CR56","doi-asserted-by":"publisher","first-page":"120","DOI":"10.5172\/conu.2006.21.1.120","volume":"21","author":"M Hazelton","year":"2006","unstructured":"Hazelton M, Rossiter R, Milner J. Managing the \u2018unmanageable\u2019: training staff in the use of dialectical behaviour therapy for borderline personality disorder. Contemp Nurs. 2006;21(1):120\u201330. https:\/\/doi.org\/10.5172\/conu.2006.21.1.120.","journal-title":"Contemp Nurs"},{"issue":"6","key":"1960_CR57","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1521\/pedi.2011.25.6.806","volume":"25","author":"C Shanks","year":"2011","unstructured":"Shanks C, Pfohl B, Blum N, Black DW. Can negative attitudes toward patients with borderline personality disorder be changed? The effect of attending a STEPPS workshop. J Pers Disord. 2011;25(6):806\u201312. https:\/\/doi.org\/10.1521\/pedi.2011.25.6.806.","journal-title":"J Pers Disord"},{"issue":"1","key":"1960_CR58","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1027\/\/1015-5759.17.1.36","volume":"17","author":"C Cliffordson","year":"2001","unstructured":"Cliffordson C. Parents\u2019 judgements and students\u2019 self-judgements of empathy: the structure of empathy and agreement of judgements based in the Interpersonal Reactivity Index (IRI). Eur J Psychol Assess. 2001;17(1):36\u201347. https:\/\/doi.org\/10.1027\/\/1015-5759.17.1.36.","journal-title":"Eur J Psychol Assess"},{"issue":"5","key":"1960_CR59","first-page":"578","volume":"40","author":"M McAllister","year":"2002","unstructured":"McAllister M, Creedy DK, Moyle W, Farrugia C. Nurses\u2019 attitudes towards clients who self-harm. Methodol Issues Nurs Res. 2002;40(5):578\u201386.","journal-title":"Methodol Issues Nurs Res"},{"issue":"62","key":"1960_CR60","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1471-244X-12-62","volume":"12","author":"A Kassam","year":"2012","unstructured":"Kassam A, Papish A, Modgill G, Patten S. The development and psychometric properties of a new scale to measure mental illness related stigma by healthcare providers: the OMS-HC. BMC Psychiatr. 2012;12(62):1\u201312. https:\/\/doi.org\/10.1186\/1471-244X-12-62.","journal-title":"BMC Psychiatr"},{"key":"1960_CR61","doi-asserted-by":"publisher","unstructured":"Patten SB, Remillard A, Phillips L, Modgill G, Szeto AC, Kassam A, et al. Effectiveness of contact-based education for reducing mental illness-related stigma in pharmacy students. BMC Med Educ. 2012;12(120):1\u20139. https:\/\/doi.org\/10.1186\/1472-6920-12-120.","DOI":"10.1186\/1472-6920-12-120"},{"issue":"2","key":"1960_CR62","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5688\/aj720243","volume":"72","author":"JE Fincham","year":"2008","unstructured":"Fincham JE. Response rates and responsiveness for surveys, standards, and the journal. Am J Pharm Educ. 2008;72(2):1\u20133. https:\/\/doi.org\/10.5688\/aj720243.","journal-title":"Am J Pharm Educ"},{"issue":"8","key":"1960_CR63","doi-asserted-by":"publisher","first-page":"1162","DOI":"10.1176\/ps.2006.57.8.1162","volume":"57","author":"GA Aarons","year":"2006","unstructured":"Aarons GA. Transformational and transactional leadership: association with attitudes toward evidence-based practice. Psychiatr Serv. 2006;57(8):1162\u20139.","journal-title":"Psychiatr Serv"},{"issue":"1","key":"1960_CR64","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/1748-5908-3-1","volume":"3","author":"AL Kitson","year":"2008","unstructured":"Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implement Sci. 2008;3(1):1\u201312. https:\/\/doi.org\/10.1186\/1748-5908-3-1.","journal-title":"Implement Sci"},{"issue":"2","key":"1960_CR65","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1177\/053901847401300204","volume":"13","author":"H Tajfel","year":"1974","unstructured":"Tajfel H. Social identity and intergroup behaviour. Soc Sci Inf. 1974;13(2):65\u201393. https:\/\/doi.org\/10.1177\/053901847401300204.","journal-title":"Soc Sci Inf"},{"issue":"3","key":"1960_CR66","doi-asserted-by":"publisher","first-page":"166","DOI":"10.1108\/03090590710739250","volume":"31","author":"RF Korte","year":"2007","unstructured":"Korte RF. A review of social identity theory with implications for training and development. J Eur Ind. 2007;31(3):166\u201380. https:\/\/doi.org\/10.1108\/03090590710739250.","journal-title":"J Eur Ind"},{"issue":"10 Suppl 1","key":"1960_CR67","doi-asserted-by":"publisher","first-page":"S19","DOI":"10.1177\/070674371405901s06","volume":"59","author":"S Knaak","year":"2014","unstructured":"Knaak S, Modgill G, Patten S. Key ingredients of anti-stigma programs for health care providers: a data synthesis of evaluative studies. Can J Psychiatr. 2014;59(10 Suppl 1):S19\u201326. https:\/\/doi.org\/10.1177\/070674371405901s06.","journal-title":"Can J Psychiatr"}],"container-title":["Systematic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13643-022-01960-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13643-022-01960-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13643-022-01960-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T02:05:48Z","timestamp":1653876348000},"score":1,"resource":{"primary":{"URL":"https:\/\/systematicreviewsjournal.biomedcentral.com\/articles\/10.1186\/s13643-022-01960-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,30]]},"references-count":69,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1960"],"URL":"https:\/\/doi.org\/10.1186\/s13643-022-01960-1","relation":{},"ISSN":["2046-4053"],"issn-type":[{"value":"2046-4053","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,30]]},"assertion":[{"value":"26 August 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 April 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 May 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Because the manuscript does not contain individual person\u2019s data in any form, consent for publication is not needed.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Nil.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"108"}}