Evidence map›Paper›PMID 35564397›Full record

ArticleInternational journal of environmental research and public health2022

Assessing Virtual Mental Health Access for Refugees during the COVID-19 Pandemic Using the Levesque Client-Centered Framework: What Have We Learned and How Will We Plan for the Future?

Michaela Hynie, Annie Jaimes, Anna Oda, Marjolaine Rivest-Beauregard, Laura Perez Gonzalez, Nicole Ives, Farah Ahmad, Ben C H Kuo, Neil Arya, Nimo Bokore and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  10. Barriers to Long COVID Care in the U.S.: An Application of Levesque et al.'s Access Framework.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  11. Article
  12. Virtual Care and Compassion for Migrants and Refugees: A Scoping Review.Journal of immigrant and minority health · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Michaela HynieDepartment of Psychology, York University, Toronto, ON M3J 1P3, Canada.
Annie JaimesDepartment of Psychoeducation, Sherbrooke University, Sherbrooke, QC J1K 2R1, Canada.
Anna OdaCenter for Refugee Studies, York University, Toronto, ON M3J 1P3, Canada.
Marjolaine Rivest-BeauregardDepartment of Psychiatry, McGill University, Montreal, QC H3A 1A1, Canada.
Laura Perez GonzalezCenter for Refugee Studies, York University, Toronto, ON M3J 1P3, Canada.
Nicole IvesSherpa University Institute, Montreal, QC H3N 1Y9, Canada.ORCID 0000-0003-2772-1310
Farah AhmadSchool of Health Policy and Management, York University, Toronto, ON M3J 1P3, Canada.ORCID 0000-0001-9747-1148
Ben C H KuoDepartment of Psychology, University of Windsor, Windsor, ON N9B 3P4, Canada.
Neil AryaDepartment of Family Medicine, McMaster University, Hamilton, ON L8S 3L8, Canada.ORCID 0000-0001-9524-1146
Nimo BokoreSchool of Social Work, Carleton University, Ottawa, ON K1S 5B6, Canada.ORCID 0000-0003-4251-0490
Kwame McKenzieWellesley Institute, Toronto, ON M5A 2E7, Canada.
York University · CAMcGill University · CACarleton University · CAMcMaster University · CAUniversité de Sherbrooke · CAUniversity of Windsor · CAWellesley Institute · CA

Funding

CIHR 173101
6 · The paper itself

Abstract

During the COVID-19 pandemic, mental health services rapidly transitioned to virtual care. Although such services can improve access for underserved populations, they may also present unique challenges, especially for refugee newcomers. This study examined the multidimensional nature of access to virtual mental health (VMH) care for refugee newcomers during the COVID-19 pandemic, using Levesque et al.'s Client-Centered Framework for Assessing Access to Health Care. One hundred and eight structured and semi structured interviews were conducted in four Canadian provinces (8 community leaders, 37 newcomer clients, 63 mental health or service providers or managers). Deductive qualitative analysis, based on the Client-Centered Framework, identified several overarching themes: challenges due to the cost and complexity of using technology; comfort for VMH outside clinical settings; sustainability post-COVID-19; and communication and the therapeutic alliance. Mental health organizations, community organizations, and service providers can improve access to (virtual) mental health care for refugee newcomers by addressing cultural and structural barriers, tailoring services, and offering choice and flexibility to newcomers.

Indexed as

COVID-19RefugeesCanadaHealth Services AccessibilityHumansMental HealthPandemicsCanadaclient-centered frameworkmental health care accessrefugeestelemedicinevirtual therapy

Identifiers

PMID35564397
PMCPMC9103707
OpenAlexW4224230222

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.