ArticleFrontiers in psychology2026
"It's the modern way of doing things": a qualitative study of user-experience, acceptability, and content validity of a digital mental health screener for refugees.
Article in Frontiers in psychology, 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: Digital mental health tools hold potential to bridge barriers to services, and efficient screening could facilitate access and assessment. An internet-based tiered assessment procedure (i-TAP) screening for common psychiatric symptoms among refugees has been developed and validated in previous work. Further validation requires investigation of acceptability and content validity, which in turn can inform potential implementation. Aim: This study aimed to explore the user experience with the i-TAP among individuals with a refugee background in Sweden, with a particular focus on acceptability and content validity. Methods: In conjunction with a psychometric validation study of the i-TAP, semi-structured interviews were conducted with 71 adult participants with a refugee background living in Sweden. Interviews were conducted in Arabic, Dari, Farsi and Swedish, and analysed using reflexive thematic analysis. Results: Four themes were generated. Two themes addressed the content and usability of the i-TAP: Conclusion: Participants mainly found the i-TAP to be relevant and easy to use, and the digital format familiar. Items were comprehensible and relevant topics were covered, supporting content validity. Concurrent and prospective acceptability was high; however, with the prerequisite that screening must lead to action. The results highlighted the importance of trust and language when addressing mental health. We suggest developments to increase usability and comprehensiveness, and discuss considerations important for implementation.
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