Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study
Background Migrants and refugees with low language proficiency (LLP) in the dominant language of their host country have a higher risk of suffering from certain mental health disorders compared with non-migrant populations. They are also more likely to experience a lack of access to mental healthcar...
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2025-07-01
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| Series: | BMJ Open |
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| author | Fang Wang Mike Mösko Demi Krystallidou Yuhui Chen Liza G G van Lent Saskia Hanft-Robert Ilaria Galasso Barbara Schouten Antoon Cox Sona Hodakova Chiara Rao Koen Kerremans Raquel Lázaro Gutiérrez Özlem Temizöz Dalia Mankauskienė Łucja Biel Emilio Di Maria Julia van Weert Melanie de Looper Gian Hernandez Gaukhar Orkashbayeva Tobias Kleineidam Angeliki Tsoukaneli Mehmet Uygun Ily Hollebeke Beatrice Bünsch Leon Köchel Mia Mengtong Li Mara Morelli Stefania Muzi Cecilia Serena Pace Carlotta Gualco Nijolė Maskaliūnienė Katarzyna Czarnocka-Gołębiewska Urszula Okulska-Łukawska Argnieszka Biernacka Aleksandra Kalata-Zawłocka Agnieszka Słopień Natalia Pytlińska Monika Šavelová Andrej Birčák Daniela Müglová Carmen Valero Garcés Carmen Pena Díaz Elena Alcalde Peñalver Cristina Álvaro Aranda Silvia Damianova Radeva Sabine Braun Jaleh Delfani Graham Hieke Elena Davitti Constantin Orasan Lieven Buysse |
| author_facet | Fang Wang Mike Mösko Demi Krystallidou Yuhui Chen Liza G G van Lent Saskia Hanft-Robert Ilaria Galasso Barbara Schouten Antoon Cox Sona Hodakova Chiara Rao Koen Kerremans Raquel Lázaro Gutiérrez Özlem Temizöz Dalia Mankauskienė Łucja Biel Emilio Di Maria Julia van Weert Melanie de Looper Gian Hernandez Gaukhar Orkashbayeva Tobias Kleineidam Angeliki Tsoukaneli Mehmet Uygun Ily Hollebeke Beatrice Bünsch Leon Köchel Mia Mengtong Li Mara Morelli Stefania Muzi Cecilia Serena Pace Carlotta Gualco Nijolė Maskaliūnienė Katarzyna Czarnocka-Gołębiewska Urszula Okulska-Łukawska Argnieszka Biernacka Aleksandra Kalata-Zawłocka Agnieszka Słopień Natalia Pytlińska Monika Šavelová Andrej Birčák Daniela Müglová Carmen Valero Garcés Carmen Pena Díaz Elena Alcalde Peñalver Cristina Álvaro Aranda Silvia Damianova Radeva Sabine Braun Jaleh Delfani Graham Hieke Elena Davitti Constantin Orasan Lieven Buysse |
| collection | DOAJ |
| description | Background Migrants and refugees with low language proficiency (LLP) in the dominant language of their host country have a higher risk of suffering from certain mental health disorders compared with non-migrant populations. They are also more likely to experience a lack of access to mental healthcare due to language-related and culture-related barriers. As part of the MentalHealth4All project, a digital multilingual communication and information platform was developed to promote access to mental healthcare for LLP migrants and refugees across Europe. This paper describes the study protocol for evaluating the platform in practice, among both health and/or social care providers (HSCPs) and LLP migrants and refugees.Methods and analysis We will conduct a pretest–post-test cross-national survey study to evaluate the platform’s effect evaluation (primary objective) and process evaluation (secondary objective). The primary outcomes (measured at T0, T2 and T3) are four dimensions of access to mental healthcare services: availability, approachability, acceptability and appropriateness of mental healthcare. Secondary outcomes (measured at T2) are: actual usage of the platform (ie, tracking data), perceived ease of use, usefulness of content, comprehensibility of information, attractiveness of content and emotional support. Participants will be recruited from nine European countries: Belgium, Germany, Italy, Lithuania, the Netherlands, Poland, Slovakia, Spain and the UK. Using convenience sampling through professional networks/organisations and key figures, we aim to include at least 52 HSCPs (ie, 6–10 per country) and 260 LLP migrants (ie, 30–35 per country). After completing a pretest questionnaire (T0), participants will be requested to use the platform, and HSCPs will participate in an additional personalised training (T1). Next, participants will fill out a post-test questionnaire (T2) and will be requested to participate in a second post-test questionnaire (T3, about 6–8 weeks after T2) to answer additional questions on their experiences through a brief phone interview (T3 is optional for migrants/refugees).Ethics and dissemination For all nine countries, the ethical review board of the participating university (hospital) has assessed and approved the protocol. If successful, the MentalHealth4All platform will be made publicly available to help improve access to mental healthcare services, as well as HSCPs’ cultural competencies in delivering such services, for any LLP migrants and refugees across Europe (and beyond). Findings will also be disseminated through peer-reviewed journals and conferences.Registration details The ‘MHealth4All project’ was prospectively registered on Open Science Framework, DOI: 10.17605/OSF.IO/U4XSM. |
| format | Article |
| id | doaj-art-734ea42655da45f480f9eb92b7060879 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-734ea42655da45f480f9eb92b70608792025-08-20T03:33:26ZengBMJ Publishing GroupBMJ Open2044-60552025-07-0115710.1136/bmjopen-2024-095868Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study Fang WangMike Mösko0Demi KrystallidouYuhui ChenLiza G G van Lent1Saskia Hanft-Robert2Ilaria GalassoBarbara Schouten3Antoon Cox4Sona Hodakova5Chiara Rao6Koen Kerremans7Raquel Lázaro Gutiérrez8Özlem Temizöz9Dalia Mankauskienė10Łucja Biel11Emilio Di Maria12Julia van WeertMelanie de LooperGian HernandezGaukhar OrkashbayevaTobias KleineidamAngeliki TsoukaneliMehmet UygunIly HollebekeBeatrice BünschLeon KöchelMia Mengtong LiMara MorelliStefania MuziCecilia Serena PaceCarlotta GualcoNijolė MaskaliūnienėKatarzyna Czarnocka-GołębiewskaUrszula Okulska-ŁukawskaArgnieszka BiernackaAleksandra Kalata-ZawłockaAgnieszka SłopieńNatalia PytlińskaMonika ŠavelováAndrej BirčákDaniela MüglováCarmen Valero GarcésCarmen Pena DíazElena Alcalde PeñalverCristina Álvaro ArandaSilvia Damianova RadevaSabine BraunJaleh DelfaniGraham HiekeElena DavittiConstantin OrasanLieven BuysseApplied Human Sciences, Magdeburg-Stendal University of Applied Sciences, Stendal, GermanyCommunication Science, University of Amsterdam, Amsterdam, The NetherlandsDepartment for Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyCommunication Science, University of Amsterdam, Amsterdam, The NetherlandsDepartment of Linguistics & Literary Studies, Brussels Centre for Language Studies, Vrije Universiteit Brussel, Brussels, BelgiumTranslation Studies, Constantine the Philosopher University, Nitra, SlovakiaDepartment of Linguistics & Literary Studies, Brussels Centre for Language Studies, Vrije Universiteit Brussel, Brussels, BelgiumDepartment of Linguistics & Literary Studies, Brussels Centre for Language Studies, Vrije Universiteit Brussel, Brussels, BelgiumDepartment of Modern Philology, FITISPos-UAH Group, University of Alcala, Alcala de Henares, SpainCentre for Translation Studies, School of Languages and Literature, University of Surrey, Guildford, UKInstitute for Literary, Cultural and Translation Studies, Faculty of Philology, Vilnius University, Vilnius, LithuaniaInstitute of Applied Linguistics, University of Warsaw, Warszawa, PolandUniversity of Genoa, Genova, ItalyBackground Migrants and refugees with low language proficiency (LLP) in the dominant language of their host country have a higher risk of suffering from certain mental health disorders compared with non-migrant populations. They are also more likely to experience a lack of access to mental healthcare due to language-related and culture-related barriers. As part of the MentalHealth4All project, a digital multilingual communication and information platform was developed to promote access to mental healthcare for LLP migrants and refugees across Europe. This paper describes the study protocol for evaluating the platform in practice, among both health and/or social care providers (HSCPs) and LLP migrants and refugees.Methods and analysis We will conduct a pretest–post-test cross-national survey study to evaluate the platform’s effect evaluation (primary objective) and process evaluation (secondary objective). The primary outcomes (measured at T0, T2 and T3) are four dimensions of access to mental healthcare services: availability, approachability, acceptability and appropriateness of mental healthcare. Secondary outcomes (measured at T2) are: actual usage of the platform (ie, tracking data), perceived ease of use, usefulness of content, comprehensibility of information, attractiveness of content and emotional support. Participants will be recruited from nine European countries: Belgium, Germany, Italy, Lithuania, the Netherlands, Poland, Slovakia, Spain and the UK. Using convenience sampling through professional networks/organisations and key figures, we aim to include at least 52 HSCPs (ie, 6–10 per country) and 260 LLP migrants (ie, 30–35 per country). After completing a pretest questionnaire (T0), participants will be requested to use the platform, and HSCPs will participate in an additional personalised training (T1). Next, participants will fill out a post-test questionnaire (T2) and will be requested to participate in a second post-test questionnaire (T3, about 6–8 weeks after T2) to answer additional questions on their experiences through a brief phone interview (T3 is optional for migrants/refugees).Ethics and dissemination For all nine countries, the ethical review board of the participating university (hospital) has assessed and approved the protocol. If successful, the MentalHealth4All platform will be made publicly available to help improve access to mental healthcare services, as well as HSCPs’ cultural competencies in delivering such services, for any LLP migrants and refugees across Europe (and beyond). Findings will also be disseminated through peer-reviewed journals and conferences.Registration details The ‘MHealth4All project’ was prospectively registered on Open Science Framework, DOI: 10.17605/OSF.IO/U4XSM.https://bmjopen.bmj.com/content/15/7/e095868.full |
| spellingShingle | Fang Wang Mike Mösko Demi Krystallidou Yuhui Chen Liza G G van Lent Saskia Hanft-Robert Ilaria Galasso Barbara Schouten Antoon Cox Sona Hodakova Chiara Rao Koen Kerremans Raquel Lázaro Gutiérrez Özlem Temizöz Dalia Mankauskienė Łucja Biel Emilio Di Maria Julia van Weert Melanie de Looper Gian Hernandez Gaukhar Orkashbayeva Tobias Kleineidam Angeliki Tsoukaneli Mehmet Uygun Ily Hollebeke Beatrice Bünsch Leon Köchel Mia Mengtong Li Mara Morelli Stefania Muzi Cecilia Serena Pace Carlotta Gualco Nijolė Maskaliūnienė Katarzyna Czarnocka-Gołębiewska Urszula Okulska-Łukawska Argnieszka Biernacka Aleksandra Kalata-Zawłocka Agnieszka Słopień Natalia Pytlińska Monika Šavelová Andrej Birčák Daniela Müglová Carmen Valero Garcés Carmen Pena Díaz Elena Alcalde Peñalver Cristina Álvaro Aranda Silvia Damianova Radeva Sabine Braun Jaleh Delfani Graham Hieke Elena Davitti Constantin Orasan Lieven Buysse Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study BMJ Open |
| title | Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study |
| title_full | Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study |
| title_fullStr | Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study |
| title_full_unstemmed | Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study |
| title_short | Evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across Europe (MentalHealth4All): study protocol for a pretest–post-test cross-national survey study |
| title_sort | evaluating an intervention to promote access to mental healthcare for low language proficient migrants and refugees across europe mentalhealth4all study protocol for a pretest post test cross national survey study |
| url | https://bmjopen.bmj.com/content/15/7/e095868.full |
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