Utilization of Mobile Mental Health Services among Syrian Refugees and Other Vulnerable Arab Populations—A Systematic Review
Open accessAbstract
The global refugee crisis is at its most critical state in history; Syria alone has produced 12 million internally displaced persons, with another 5 million refugees seeking protection across the globe. Faced with the heavy burden of mental distress carried by a massive refugee influx, many host nations lack the service capacity to respond adequately. While mobile mental health (mMHealth) applications and platforms have the potential to augment screenings and interventions for vulnerable populations, an insufficient gender and cultural adaptation of technology may drastically hamper its uptake in Arab refugees. Reporting only papers originating from Middle Eastern and/or Arab nations or refugee host nations, this systematic review evaluates the available literature published between 2000 and 2019 on the usage acceptability of mMHealth in Syrian refugees and other vulnerable Arab populations. We conducted a systematic review in PubMed, PsychInfo, Association of Computing Machinery (ACM) and the Directory of Open Access Journals (DOAJ) using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify studies that addressed mMHealth implementation in these populations; of a total of 607 articles identified, only 10 (1.6%) available, unique articles met our search criteria. These studies discussed the feasibility and efficacy of mMHealth applications and the barriers to their uptake. The few existing studies show positive impacts of mMHealth on the access to services and on treatment outcomes but also reveal a paucity of literature on mMHealth for vulnerable Arab populations. These findings indicate a critical need for research on the barriers to mMHealth uptake, to bolster service capacity in the Arab Region and in the refugee diaspora of other, non-Arab host countries.
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Literature on mobile mental health acceptance among Syrian refugees underscores the importance of refraining from pathologizing responses to significant adversity and using terminology that resonates with participants' experiences and cultural context.
“Literature on mobile mental health acceptance among Syrian refugees underscores the importance of refraining from pathologizing responses to significant adversity, advocating instead for the utilization of terminology that resonates with the participants’ experiences and cultural context [67].”
From Effects of a self-guided digital mental health self-help intervention for Syrian refugees in Egypt: A pragmatic randomized controlled trial (2024) · cites this paper as [67]
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- Authors
- Ashfaq, A., Esmaili, S., Najjar, M., Batool, F., Mukatash, T., Al-Ani, H. A., & Koga, P. M.
- Affiliations
- Kaiser Permanente (US)
- University of California, Davis (US)
- Corresponding author
- Ashfaq, Adeel
- Koga, Patrick Marius
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-02-18
- Volume
- 17
- Issue
- 4
- Pages
- 1295
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7068284
- OpenAlex
- W3008772916
- Cited by
- 63
- References
- 32
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 18 · 2023: 14 · 2022: 8 · 2021: 8 · 2020: 2
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- mobile mental health, Syrian refugees, Arab refugees, technology acceptance, barriers to uptake, cultural adaptation, access to mental health care, refugee mental health, vulnerable populations, Arab world
- MeSH terms
- Adult, Child, Cross-Sectional Studies, Female, Humans, Mental Health Services, Refugees, Syria, Telemedicine, Arabs, Vulnerable Populations, Mobile Applications
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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