Evaluating the efficacy of a film based e-intervention designed to reduce intellectual disability stigma in Nigeria and Kenya

• Register: ISRCTN
• Last refreshed on: 1 April 2024
• Main ID: ISRCTN92574712
• Date of registration: 11/04/2018
• Prospective Registration: No
• Primary sponsor: University College London
• Public title: Evaluating the efficacy of a film based e-intervention designed to reduce intellectual disability stigma in Nigeria and Kenya
• Scientific title: Efficacy of a film-based e-intervention in reducing intellectual disability stigma among Nigerian and Kenyan Internet users: A randomised control trial.
• Date of first enrolment: 26/10/2016
• Target sample size: 796
• Recruitment status: Completed
• URL: https://www.isrctn.com/ISRCTN92574712
• Study type: Interventional
• Study design: Randomised controlled trial (Other)
• Phase: Not Applicable

Countries of recruitment

Kenya, Nigeria

Contacts

• Name: Katrina Scior

Key inclusion & exclusion criteria

Inclusion criteria: 1. Aged 18 years or over
2. English speaking
3. Nigerian or Kenyan citizen
4. Internet user
Exclusion criteria: Does not meet inclusion criteria

Age minimum:
Age maximum:
Gender: Both

Health Condition(s) or Problem(s) studied

Stigmatising attitudes towards people with intellectual disabilities in Nigeria and Kenya
Mental and Behavioural Disorders

Intervention(s)

Qualtrics, a web survey platform, will be used to randomly assign participants on a 1:1 ratio (using a block randomisation code embedded within the Qualtrics survey) to the experimental or control condition. This is a two site study. The experimental group will watch a 6-minute film guided by educational and indirect contact approaches. The education segment provides information about intellectual disability, its causes and consequences with an aim to counter stigmatising beliefs known to be common in Africa. This educational segment of the film is delivered by local experts to ensure its credibility. The indirect contact section features people with moderate intellectual disabilities from Nigeria/Kenya, talking about their experiences, hopes and aspirations, and demonstrating their capabilities. It will also highlight the magnitude of stigma they face in their respective countries. Separate films have been produced for the Nigerian and Kenyan studies to ensure credibility of both the experts and people with disabilities.
The control film is unrelated to intellectual disability and has been controlled for the following variables: length of film, and social and demographic characteristics of people featured in the film. The lengths of both the experimental and control films is 6 minutes to minimise the impact of poor internet connectivity and to avoid loss of interest among participants. Following the films, participants are asked to complete post-intervention measures, and if they consent will be contacted by email asking them to complete a follow-up survey a month later.

Primary Outcome(s)

Attitudes towards Intellectual Disabilities (ATTID) scale, which draws on a multidimensional understanding of attitudes, will be used as primary outcome measure. The ATTID assesses the cognitive, affective, and behavioural components of attitudes across five-factors: two factors (Discomfort and Sensitivity/Tenderness) in the affective dimension; two factors (Knowledge of Causes and Knowledge of Capacity and Rights) in the cognitive dimension; and one factor (Interaction) in the behavioural dimension. This study uses the ATTID short form which consists of 36 items, using a 5-point Likert scale (1 = agree completely to 5 = disagree completely; plus an option of 9 to indicate “I don’t know”/”not applicable”).
The causal beliefs listed in the ATTID will be supplemented with three items from the supernatural causes subscale of the Intellectual Disabilities Literacy Scale (IDLS) to tap into superstitious causal attributions common in African countries and implicated in intellectual disability stigma. Measures will be administered at three time points: baseline, post-intervention (T1), and 1-month follow-up (T2).

Secondary Outcome(s)

Socio-demographic data (age, gender, ethnicity, place of residence, religious affiliation, educational attainment, and prior contact with someone with ID) will also be recorded at T1.

Secondary ID(s)

8807/001

Source(s) of Monetary Support

University College London

Ethics review

Status:
Approval date:
Contact:

Old ethics approval format; UCL Research Ethics Committee Academic Services, 26/05/2016, 8807/001

Results

• Results available: Yes
• Date Completed: 31/07/2017