At follow-up, the meta-analysis revealed a medium effect on stigma stress (smd = − 0.40, 95%-CI − 0.83 to 0.04) which did not reach statistical significance and effects were highly heterogeneous ( I 2 = 78%; Fig. 2 ).
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Honest, Open, Proud to support disclosure decisions and to decrease stigma's impact among people with mental illness: conceptual review and meta-analysis of program efficacy.
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