Cited by 63Digital Mental Health InterventionsMigration, Health and TraumaMobile Health and mHealth Applications

Utilization of Mobile Mental Health Services among Syrian Refugees and Other Vulnerable Arab Populations—A Systematic Review

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Ashfaq, Adeel, Esmaili, Shawn, Najjar, Mona, Batool, Farva, Mukatash, Tariq, Al-Ani, Hadeer Akram, Koga, Patrick Marius·2020·International Journal of Environmental Research and Public Health

Abstract

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].”

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  1. [22]Joseph S. Gender and Family in the Arab World Arab Women. Between Defiance and Restraint Olive Branch Press New York, NY, USA 1996 194 202

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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)
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
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

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