{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T14:05:01Z","timestamp":1784037901594,"version":"3.55.0"},"reference-count":22,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"ALF medicine 2025","award":["FoUI-1002488"],"award-info":[{"award-number":["FoUI-1002488"]}]},{"name":"The Health and Medical Care Administration","award":["2022-2024"],"award-info":[{"award-number":["2022-2024"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,6,9]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"\n Introduction<\/jats:title>\n Immigrants access mental healthcare at lower rates than native-born individuals, highlighting the need for interventions and systematic assessments of scalability to reach underserved populations.<\/jats:p>\n <\/jats:sec>\n \n Aim<\/jats:title>\n \n This study (ClinicalTrials.gov ID:\n NCT06193161<\/jats:ext-link>\n ) evaluates outreach procedures and the characteristics of the first 100 immigrants who sought internet-based treatment in Sweden for post-traumatic stress disorder. It also assesses the feasibility of a battery of outreach assessment variables for systematic use in clinical research.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Recruitment strategies included targeted social media advertisements, a dedicated study webpage and psychoeducational materials. Individuals completed a comprehensive set of outreach assessment variables, including immigrant status, treatment history and mental health indicators.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Digital advertisements for 6\u2009days resulted in the enrolment of 100 immigrants including both voluntary and forcibly displaced migrant groups. The enrolled sample represented diverse cultural backgrounds as captured by the screening assessment battery.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Additional efforts are needed to engage socioeconomically diverse and non-English-speaking immigrant populations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/bmjph-2025-003156","type":"journal-article","created":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T13:10:19Z","timestamp":1784034619000},"page":"e003156","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["First 100 migrants seeking culturally inclusive internet-based treatment for PTSD: a Mind the Gap pilot outreach study"],"prefix":"10.1136","volume":"4","clinical-trial-number":[{"clinical-trial-number":"nct06193161","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct06193161","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5552-2952","authenticated-orcid":false,"given":"Karolina","family":"S\u00f6rman","sequence":"first","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitya","family":"Jayaram-Lindstr\u00f6m","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moa","family":"Pont\u00e9n","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Bragesj\u00f6","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karoline","family":"Kolaas","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Kraepelien","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"El Alaoui","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josefin","family":"S\u00e4rnholm","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5348-051X","authenticated-orcid":false,"given":"Olof","family":"Molander","sequence":"additional","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,14]]},"reference":[{"key":"2026071406100923000_4.3.e003156.1","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1038\/s44220-024-00336-9","article-title":"A systematic review of protective and promotive factors in refugee mental health","volume":"2","author":"Nickerson","year":"2024","journal-title":"Nat Mental Health"},{"key":"2026071406100923000_4.3.e003156.2","first-page":"241","article-title":"Labour market integration of the foreign-born: A key issue for financing the welfare state","volume":"26","author":"Hammarstedt","year":"2019","journal-title":"Socialvetenskaplig Tidskr"},{"key":"2026071406100923000_4.3.e003156.3","unstructured":"Statistics Sweden . Foreign-born in sweden. Available: https:\/\/www.scb.se, https:\/\/www.scb.se\/hitta-statistik\/sverige-i-siffror\/manniskorna-i-sverige\/utrikes-fodda-i-sverige\/ [Accessed 15 Feb 2025]."},{"key":"2026071406100923000_4.3.e003156.4","unstructured":"Tran C , Morad S . First-and second-generation immigrants in sweden: a study on self-employment. Available: https:\/\/www.diva-portal.org\/smash\/record.jsf?pid=diva2:1668973 [Accessed 26 Feb 2026]."},{"key":"2026071406100923000_4.3.e003156.5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1038\/s41746-021-00498-1","article-title":"Cultural adaptation of internet- and mobile-based interventions for mental disorders: a systematic review","volume":"4","author":"Spanhel","year":"2021","journal-title":"NPJ Digit Med"},{"key":"2026071406100923000_4.3.e003156.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-021-02065-1"},{"key":"2026071406100923000_4.3.e003156.7","unstructured":"World Health Organization . 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