Multicomponent Approaches: Combining Actions for Greater Impact

Multicomponent interventions combine several anti‑stigma approaches (e.g., social contact + training + policy review). Evidence suggests these are often more effective - and more likely to produce sustained improvement - than single, standalone activities.

Why combining approaches helps

Multicomponent approaches work well because they:

Address multiple drivers of stigma (knowledge, emotions, behaviours, systems)

Reach people who respond differently to different methods

Reduce the risk that one weak element undermines the whole initiative

For example, social contact can shift empathy and reduce “distance”, education can correct myths, training can build practical behaviours, and structural change can embed new norms into routine practice.

What combinations work best

While many combinations can help, evidence suggests social contact‑based multicomponent approaches may be particularly effective. Core ingredients often include:

Personal testimony by trained and well supported people with lived and living experience

Multiple points of contact (video + in‑person, repeated contact)

Skills teaching for behaviour change

Myth refutation done carefully - explore the origin of the myth don’t just repeat it

Enthusiastic facilitation using person‑first perspectives

A focus on positive change 

If resources are limited, a useful “lighter” option is contact‑based education - where PWLE act as educators, teaching staff about stigma, care models, and lived realities. This can raise perceived status and disrupt “us/them” power dynamics.

A practical multicomponent model (example)

Understand and connect

  • Listening sessions / journey mapping with PWLE

  • Identify key stigma hotspots in service access or practice

Build capability

  • Short education module (stigma + effective support)

  • Behavioural skills training (language, active listening, open questions)

Change the system

  • Co‑produced review of one policy/procedure

  • Trial a structural change (e.g., revised access criteria, simplified process)

Sustain

  • Supervision/reflective practice support

  • Regular monitoring and feedback to staff and PWLE

What to watch for

Combining approaches can increase complexity. Success depends on:

  • Clear roles and leadership support

  • Realistic resourcing

  • A simple plan for monitoring and evaluation

  • Strong co‑production to ensure acceptability and safety

Quick reflection

If you combined just two approaches in the next six months, which pairing would have the biggest benefit in your setting - and why?