ArticleFrontiers in digital health2026
Film-based cultural narrative intervention to enhance mental health literacy and resilience in indigenous adolescents: a mixed-methods co-design study.
Article in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Indigenous adolescents in low- and middle-income countries experience heightened mental health risks while having limited access to culturally appropriate interventions. Mental health literacy, stigma, and resilience are critical determinants of help-seeking and long-term well-being, yet culturally grounded interventions addressing these factors remain scarce. Objective: This study aimed to co-design and evaluate a culturally sensitive, film-based intervention to improve mental health literacy, reduce stigma, and enhance resilience among Indigenous adolescents in Indonesia. Methods: This study employed a mixed-methods sequential exploratory design. A 20-minute short film co-created with Indigenous youth and grounded in local narratives was delivered alongside a facilitated group discussion. Seventy-two Indigenous adolescents (mean age 15.4 years; 52.8% female) were assigned to an intervention group ( Results: The intervention group showed significant improvements in mental health literacy, substantial reductions in stigma, and moderate gains in resilience compared with controls ( Conclusions: A co-designed, film-based intervention effectively improved mental health literacy, reduced stigma, and enhanced resilience among Indigenous adolescents. This culturally grounded and scalable approach offers a promising strategy for mental health promotion in marginalized communities, warranting further evaluation with larger samples and longer follow-up.
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