Effectiveness of Role Play on Attitudes to Mental Illness

Effectiveness of Role Play on military capabilitys to Mental diseaseEFFECTIVENESS OF ROLE PLAY ON ATTITUDE TOWARDS MENTAL na utilisea A PREEXPERIMENTAL STUDY*Mr. G. Balamurugan, Head, Dept. of Mental Health Nursing, M.S. Ramaiah Institute of Nursing didactics and Research, Bangalore 54.IntroductionThe problem of stigmatization of psychological maladyes is one of the reasons for exclusion from the sociable disembodied spirit of ill people. The lack of substantial knowledge concerning kind disorders is semiconducting to emerging of stereotypes and discrimination against the noeticly ill.(alex) Decades of research halt established that the macrocosm holds negative beliefs about Persons with mental diseasees, among them that such(prenominal) individuals be dangerous, Unpredictable, unattractive, and unworthy and are unlikely to be productive members of their communities (otto).Moreover, these negative perceptions chip in been remarkably regular despite advances in scien tific arrest of mental illnesses and ex tennersive efforts to advance public understanding.(7,8).It is unlikely that these negative strengths and misperceptions emerge full blown in adulthood. Rather, they likely have their roots in childhood and developstep by step through childhood and adolescence. Psychiatrically labelled children, then, may face misunderstandings and negative statuss by their peers. Ostracism, rejection, teasing, and damage to self-esteem, as well as reluctance to seek or accept mental health treatment, are among the possible consequences (912).These consequences may be particularly relevant during adolescence and preadolescence, a period in which onset of a variety of psychiatric disorders peaks and children are acutely attuned to the judgments of their peers. Accordingly, it is important to understand much about the knowledge and berths of youths associate to mental illnesses and peers who may manifest such illnesses. (Otto)Overall, seemed to indicate t hat even young children view mental illnesses as in some manner less desirable than other kinds of health conditions.(otto)Role of education has been cited as intrinsic to reduce stigma towards mentally ill.tarun .Psycho education is among the most effectuateive of the evidence-based practices that have emerged in both clinical trials and community settings. Because of the exibility of the model, which incorpo tramps both illness-specific information and tools for managing related circumstances, psycho education has broad potential for many forms of illnesses and varied life challenges. EllenEducation is integral to reducing stigma toward the mentally ill. Nurses educators have a key role in delivering education that reduces that stigma.It is well established that experiential rules of teaching are more effective than instructional methods and are favorite(a) by the students. Aspegren KThe effect of roleplay simulations with patients and actors has been considered in several studies. MinoWe were unable to find any studies that explored whether roleplay had an impact on adolescents of high schooltime school. In the light of the importance of stigma with in mental health and the shortfall of evidence related to both how educational experiences influence attitudinal increment and the effect of role-play, we decided to explore come on the effect that role-play has on attitude of adolescents. The vast spread use of roleplaying for teaching and the fact that these sessions were judged to be memorable to students pass on indicated that this was an appropriate focus.No previous study has explored the effect of interpolation such as role-play on high school student attitudinal development in India.Despite the many studies of public attitudes toward mental illnesses, relatively some have examined the views of the high school children. This study was intended to increase understanding of schoolchildren views of mental illness by demonstrating a role play f or the high school students toward mental Illnesses.TopicA preexperimental study to assess the persuasiveness of bring on attitude towards mental illness among adolescents canvas in a selected high school at, Bettahalasoor, Bangalore, Karnataka, India.ObjectiveTo find the effectiveness of wreak on attitude towards mental illness among adolescents.To find relationship between selected socio demographic variables and the pure tone of attitude.Materials and MethodsSample Bettahalasur is small resolution located nearly 50 km away from Bangalore. This village has population of 3573 residing in 900 families, in which around 20% were adolescents. Moreover it has higher literacy rate compared to Karnataka. In 2011, literacy rate of Bettahalasur village was 82.80 % compared to 75.36 % of Karnataka(Census, 2011) Census. (2011). The required sample size 30 was estimated by G*Power 3.1.6.2 version based on of 0.05, power of 0.95 and with the effect size of 0.7. Random table was used to select 10th standard students studying in selected high school at Betthalsur, Bangalore, and Karnataka.Measures A Socio Demographic tool was constructed by the investigators, which consists of 11 items. To assess the quality of attitude towards mental illness among adolescents, an attitude scale (likert type) was constructed by the investigators and was validated by the experts. The scale contains ten domineering and ten negative items. For the items the responses given were totally disagree, close disagree, neutral, almost agree and totally agree which was scored as 1, 2, 3, 4, and 5 respectively for the ordained items whereas reverse scoring was done for the negative items. Total score range of mountainss from 20 100 and is categorized into negative, neutral and positive attitude in the range of 20 40, 41 60 and 61 100 respectively.Procedures After obtaining the positive permission from the concerned school authorities, pre turn out was conducted followed with 45 min of Roleplay which was conducted by the IVth yr BSc Nursing students regarding the attitude towards mental illness. The post test was conducted afterwards 7 days. Collected data were analysed with appropriate descriptive and illative statistics.ResultsSociodemographic detailsHalf of the subjects are aged 15 years, and 57% of them are females. Around 90 % of them are belongs to Hindu religion and have atomic family type. Only two percent of the subject has a family history of mental illness.Effectiveness of Role play dishearten 1 Mean, SD, t order of attitude before and after roleplayn = 30 interrogatoryMEANSDt valuepBefore66.938.7653.1320.004After73.337.545Table 1 show that the enhancement of mean attitude before the role-play (66.93+8.765) and after the role-play (73.33+7.545) is statistically significant. (t=3.132, p=0.004). Similarly 73% of subject had positive attitude before the role-play and the same was increased to 97% after the role-play (Fig 1). It revealed that the Role -play is an effective method to change the quality of attitude towards mental illness among adolescents. theatrical role of Attitude before and after roleplay strain 1 Quality of attitude towards mental illness before and after roleplayDISCUSSIONFigure 1 shows that 73 % of adolescents who had positive attitude in the pre-test similar purpose was describe by (Otto et al 2004) wherein he reported results revealed high treaty on many items indicating positive attitudes toward mental illness , also 90% of students agreed that people with mental illness deserve respect, that more should be done to help people with a mental illness determine better, and that jokes about mental illness are hurtful and the students also verbalised strong acceptance of people with mental illness. After the role-play the percentage of adolescents who has positive was increased from 73% to 97 %, similarly the neutral attitude was lessen from 27% to 3%. This result is contradictory to (Roberts LM 2008) wh erein he reported that Single high-intensity routine teaching sessions such as role-play involving metal illness do not influence student attitudes.Relationship between Selected Socio-Demographic Variables and Quality of AttitudeMale adolescents (70.69+10.012) are having higher attitude than female (63.94+6.823) counterparts (t=2.197, p=0.036). Remaining other socio demographic variables are not associated with attitude.Summary and demonstrationThe findings of some positive impact on stigma scores from private experience ,however, supports previous findings that psychiatric rotations and specific education programs can be effective in reducing stigma and suggests that one way in which these rotations work is through delivery of contact and personal experience of individuals with mental illness. Although this findings was limited, it may indicate future avenues educators could explore in the development of programs knowing to reduce stigma in high school students. We recommend fur ther research into the use of clinical placements and patient attachment exercises to provide students with these experiences at an early stage in their careers and the use of literature and film to reflect the personal experience. Further work should be undertaken to explore factors that may rationalize the large variation demonstrated in the student scores. It is likely that it is not experience parse that is implicated in the development of attitudes but the quality and nature of this experience. Other factors such as exposure to media images of illness have previously been implicated in psychiatric stigma, and their effect should be further explored with the high school students.Thus the study conducted in the high school for the adolescents of high school education on the effectiveness of role-play their quality of attitude towards metal illness, reveals that it is an effective method to change the quality of attitude towards mental illness among adolescents. While the study is limited in its single set approach, we believe such teaching undertaken at the high school level is similar to that delivered at other high schools also. We encourage other schools to use this approach in evaluation of novel teaching approaches and the assessment of unwitting outcomes.ReferencesSadock B.J., Sadock V.A., Kaplan sadocks synopsis of psychiatry. 10th edition. Philadelphia Lippincott willimams Wilkins 2007, .Townsend M.C. Psychiatric mental health nursing. quaternate edition, Philadelphia F.A.Davis 2003,.Asha K. Human rights and persons with mental illness in India. Frontline Magazine. Volume 18- Issue 17, August.18-31, 2001. universal resource locator from http//www.bpaindia.org/Enewsletterfinal%20Report%20April%20-%20June%2007.pdfAspegren K. BEME guide no. 2 teaching and learning communication skills in medicine a review with quality grading of articles. Dundee, Scotland Association for medical checkup Education in Europe, 1999.Mino Y, Yasuda N, Tsuda T, Shimo dera S. Effects of a one-hour educational program on medical students attitudes to mental illness. Psychiatry Clin Neurosci 200155501-7Census. (2011). Bettahalasur Population Bangalore, Karnataka. Retrieved from http//www.census2011.co.in/data/village/612895-bettahalasur-karnataka.html