Previously submitted to: Journal of Medical Internet Research (no longer under consideration since Dec 07, 2025)
Date Submitted: Jan 9, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Evaluation of inclusive educational videos on mental health(care) by migrants in Europe: A MentalHealth4All think-aloud study
ABSTRACT
Background:
Migrants face higher risks of developing some mental health issues, such as posttraumatic stress disorder and psychosis, compared to individuals without a migrant or refugee background. However, they can encounter significant barriers to accessing mental healthcare, due to language difficulties, lack of qualified interpreters, stigma, and system-related barriers. Furthermore, limited knowledge of the healthcare system further restricts access. Providing culturally-tailored online multilingual health materials can enhance migrants’ access to mental healthcare, with co-created animated videos being a promising medium.
Objective:
Therefore, this study aimed to 1) identify key factors influencing the evaluation of educational videos on mental health by migrants and their healthcare providers, focusing on critical mental health themes, and 2) actively involve these groups in co-creating the videos based on feedback.
Methods:
Eight animated videos were developed through an iterative process involving the entire multidisciplinary MentalHealth4all consortium, including numerous feedback sessions. The videos were evaluated using a hybrid approach that combined think-aloud observations and interviews with migrants (N = 31) and their healthcare providers (N = 35).
Results:
Thematic coding of the verbatim transcribed interviews highlighted four essential aspects: comprehensibility, attractiveness, reliability, and relevance, with specific elements identified for both migrants and for their healthcare providers.
Conclusions:
These insights can guide the creation of effective health information materials for migrants facing mental health challenges.
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Copyright
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