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Table 5 Proportion of scores, percentage change and significance (Chi-squared) of responses to every question between baseline and follow-up

From: A quantitative analysis of human rights-related attitude changes towards people with mental health conditions and psychosocial, intellectual, or cognitive disabilities following completion of the WHO QualityRights e-training in Ghana

  

% of responses (417 matched pairs)

% Improvement in mean item attitude score

Pearson Chi-Square (*** = p < 0.0001)

  

0 (SD)*

1 (D)

2 (Neutral)

3 (A)

4 (SA)

a. Nothing can be improved within mental health services without additional resources

Baseline

12.7

42.5

3.8

26.2

14.7

21.05

79.71***

Follow-up

31.7

39.8

5.0

15.8

7.7

b. The service environment has little to do with people’s mental health and well-being

Baseline

33.2

42.3

4.1

16.3

4.1

14.50

53.35***

Follow-up

47.2

34.1

3.6

12.2

2.9

c. People with dementia should always live in group homes where staff can take care of them

Baseline

15.9

33.7

10.8

30.0

9.6

36.23

338.11***

Follow-up

37.2

36.5

8.4

12.5

5.5

d. People with psychosocial disabilities/mental health conditions should not be hired in work requiring direct contact with the public

Baseline

45.9

30.8

7.7

10.6

5.0

43.44

208.58***

Follow-up

62.1

25.9

5.5

3.8

2.6

e. Taking medication is the most important factor to help people with mental health conditions get better

Baseline

12.9

34.1

13.9

26.4

12.7

43.43

383.10***

Follow-up

42.9

37.4

6.5

8.2

5.0

f. You can only inspire hope once a person is no longer experiencing symptoms

Baseline

26.0

39.2

7.9

20.4

6.5

34.39

199.88***

Follow-up

47.0

33.3

6.5

8.2

5.0

g. People using mental health services should be empowered to make their own decisions about their treatment. [Reverse-scored]

Baseline

30.7

40.5

7.1

16.0

5.7

52.90

439.51***

Follow-up

67.9

23.2

3.4

3.1

2.4

h. Following advice of other people who have experienced mental health issues is too risky

Baseline

19.5

55.9

13.3

9.1

2.2

26.43

153.81***

Follow-up

38.2

45.9

7.5

6.5

1.9

i. The opinions of health practitioners about care and treatment should carry more weight than those of a person with an intellectual disability

Baseline

10.3

30.0

13.3

30.5

16.0

47.69

677.11***

Follow-up

41.3

32.9

8.2

13.5

4.1

j. It is acceptable to pressure people using mental health services to take treatment that they don’t want

Baseline

36.4

41.8

7.6

10.1

4.2

57.66

388.47***

Follow-up

70.0

22.7

3.9

2.4

1.0

k. Persons with mental health conditions should not be given important responsibilities

Baseline

34.0

45.3

7.4

8.9

4.4

44.00

229.45***

Follow-up

58.0

32.1

4.6

3.9

1.4

l. When people experience a crisis, health practitioners or families should make decisions based on their ideas about what is best for them

Baseline

9.7

19.5

7.0

45.9

18.0

42.32

576.12***

Follow-up

37.6

26.1

6.3

23.4

6.6

m. People with intellectual disabilities have the right to make their own decisions, even if I don’t agree with them. [Reverse-scored]

Baseline

18.7

48.1

13.2

16.7

3.2

40.13

422.26***

Follow-up

50.2

38.3

3.4

5.9

2.2

n. Controlling people using mental health services is necessary to maintain order

Baseline

11.7

25.9

17.0

33.7

11.7

40.57

455.79***

Follow-up

39.8

32.2

7.1

16.3

4.6

o. The use of seclusion and restraint is needed if people using mental health services become threatening

Baseline

8.2

12.5

8.5

45.1

25.7

49.81

860.60***

Follow-up

39.5

27.6

9.0

16.8

7.1

p. People at risk of harming themselves or others should be isolated in a locked room

Baseline

18.7

29.9

8.5

27.4

15.5

41.62

290.92***

Follow-up

40.5

34.1

6.6

14.4

4.4

q. Involuntary admission does more harm than good [reverse-scored]

Baseline

7.5

20.2

16.7

40.4

15.2

32.09

439.55***

Follow-up

35.6

31.5

8.0

16.6

8.3

  1. *Where 0 indicates ‘strongly disagree’ for all items except reverse-scored, where it indicates ‘strongly agree’. A lower score always indicates an attitude in line with human rights
  2. ***p < 0.0001