ArticleJMIR formative research2026
Text Messaging for Mental Health Promotion With Migrants Returning to Mexico: Content Development and Piloting With a Needs Assessment Approach.
Article in JMIR formative research, 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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5 authors.
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Abstract
Background: Returning migrants face a variety of challenges that limit their ability to integrate and adapt to Mexico. This represents a break in their life trajectory, with effects on family dynamics, mid- and long-term projects, and uncertainty about short-term plans. Objective: This study describes the coproduction approach used to design and develop a WhatsApp-based psychoeducational program entitled "Here Again: Coping With Return," which aims to promote the adoption of self-care behaviors to reduce the risk of mental health and substance use problems among returning migrants. Methods: The process included four phases: (1) a situational diagnosis of the needs of migrants in preventing mental health problems and reducing the risks associated with alcohol use, (2) the design and development of content, (3) evaluation by a group of experts in mental health and substance use, and (4) pilot testing. Results: The study identified 4 intervention pillars: emotional risk factors, coping strategies, barriers to care, and technological feasibility. Eighty WhatsApp messages were developed, focusing on mental health (n=52, 65%) and alcohol use (n=20, 25%) through a sequence of motivation, instruction, and reinforcement. Following an expert evaluation that simplified technical language, a pilot study with 14 migrants showed a 78.6% completion rate. Participants reported the successful application of emotional management tools and a preference for text-based messages over audiovisual content to conserve mobile data. Conclusions: This study describes the development of a psychoeducational program for returning migrants based on coproduction, integrating user needs and expert experience. The intervention addresses emotional management, self-care, and substance use prevention, using WhatsApp for its accessibility and low cost. The pilot results demonstrated high acceptability and a 78.6% retention rate over 16 weeks, highlighting that the culturally sensitive approach and accessible language enabled participants to apply mental health tools autonomously and effectively.
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