{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:47:30Z","timestamp":1785934050351,"version":"3.56.0"},"reference-count":52,"publisher":"BMJ","issue":"3","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"unspecified","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Swedish research council","award":["2018-05763"],"award-info":[{"award-number":["2018-05763"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,6,24]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children with a migrant background are at increased risk for mental health issues. Despite this, they often use mental healthcare less than the majority population in the host countries.\u202fThis study evaluated if\u202fparticipating\u202fin a multilingual health communication for migrant parents improved their\u202fself-reported\u202fknowledge of children\u2019s primary mental healthcare, influenced their perceived barriers to accessing care and if it was perceived as relevant and acceptable.\u202f<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The\u202fhealth communication\u202fwas implemented in a diverse municipality in Stockholm, Sweden. We applied a\u202fconvergent parallel\u202fmixed-methods\u202fdesign to collect data with questionnaires before the intervention,\u202fimmediately\u202fafter and at 4-month follow-up, together with interviews with a subsample of parents at follow-up. Main outcome variables were knowledge on where to seek mental healthcare, perceived barriers to mental healthcare and acceptance and relevance of the\u202fhealth communication.\u202f\u202f<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 101 parents\u202fparticipated\u202fin the health communication, with 80 completing the baseline questionnaire and 47 completing the follow-up. Parental knowledge of where to seek mental healthcare for their children increased significantly after the intervention and participants reported less shame associated with seeking care and fewer language-related difficulties at follow-up.\u202fIn the interviews,\u202fthe parents described\u202fhaving limited\u202fknowledge\u202fof mental health in children and available mental health services. They\u202fappreciated the health communication, including\u202flearning about available mental health services for children\u202fand found it well aligned with their needs.\u202f\u202f<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study showed that health\u202fcommunication\u202fmay\u202freduce individual-level\u202fbarriers, such as limited knowledge of available services and low mental health literacy, while also improving parental awareness and\u202fperceptions\u202fof seeking care for their children. The findings suggest responsiveness and motivation among parents for similar interventions.\u202f<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2025-003272","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:00:25Z","timestamp":1785931225000},"page":"e003272","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging barriers: a mixed-methods study on using health communication to increase knowledge on mental health services among migrant parents in Sweden"],"prefix":"10.1136","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5585-2487","authenticated-orcid":false,"given":"Ana","family":"Hagstr\u00f6m","sequence":"first","affiliation":[{"name":"Learning, Informatics, Ethics and Management (Lime), Karolinska Institutet, Stockholm, Sweden"},{"name":"Centre for Epidemiology and Community Medicine, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1246-5804","authenticated-orcid":false,"given":"Anna-Clara","family":"Hollander","sequence":"additional","affiliation":[{"name":"Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0918-547X","authenticated-orcid":false,"given":"Karima","family":"Viksten Assel","sequence":"additional","affiliation":[{"name":"Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3827-6841","authenticated-orcid":false,"given":"Henna","family":"Hasson","sequence":"additional","affiliation":[{"name":"Learning, Informatics, Ethics and Management (Lime), Karolinska Institutet, Stockholm, Sweden"},{"name":"Centre for Epidemiology and Community Medicine, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6203-0676","authenticated-orcid":false,"given":"Hanna","family":"Augustsson \u00d6fverstr\u00f6m","sequence":"additional","affiliation":[{"name":"Learning, Informatics, Ethics and Management (Lime), Karolinska Institutet, Stockholm, Sweden"},{"name":"Centre for Epidemiology and Community Medicine, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"2026080505001300000_4.3.e003272.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60051-2"},{"key":"2026080505001300000_4.3.e003272.2","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.jaac.2019.11.011","article-title":"Systematic Review and Meta-analysis: The Prevalence of Mental Illness in Child and Adolescent Refugees and Asylum Seekers","volume":"59","author":"Blackmore","year":"2020","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"2026080505001300000_4.3.e003272.3","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1007\/s00127-021-02145-2","article-title":"Mental health service use among migrant and Swedish-born children and youth: a register-based cohort study of 472,129 individuals in Stockholm","volume":"57","author":"Gubi","year":"2022","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"2026080505001300000_4.3.e003272.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2018.01.038"},{"key":"2026080505001300000_4.3.e003272.5","doi-asserted-by":"crossref","DOI":"10.1186\/s12992-018-0370-9","article-title":"Use of health services among international migrant children - 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