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Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study

BACKGROUND: The COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migra...

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Autores principales: Lotito, Claudia, Turrini, Giulia, Purgato, Marianna, Bryant, Richard A., Felez-Nobrega, Mireia, Haro, Josep Maria, Lorant, Vincent, McDaid, David, Mediavilla, Roberto, Melchior, Maria, Nicaise, Pablo, Nosè, Michela, Park, A-La, McGreevy, Kerry R., Roos, Rinske, Tortelli, Andrea, Underhill, James, Martinez, Julian Vadell, Witteveen, Anke, Sijbrandij, Marit, Barbui, Corrado
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198022/
https://www.ncbi.nlm.nih.gov/pubmed/37208725
http://dx.doi.org/10.1186/s40359-023-01208-0
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author Lotito, Claudia
Turrini, Giulia
Purgato, Marianna
Bryant, Richard A.
Felez-Nobrega, Mireia
Haro, Josep Maria
Lorant, Vincent
McDaid, David
Mediavilla, Roberto
Melchior, Maria
Nicaise, Pablo
Nosè, Michela
Park, A-La
McGreevy, Kerry R.
Roos, Rinske
Tortelli, Andrea
Underhill, James
Martinez, Julian Vadell
Witteveen, Anke
Sijbrandij, Marit
Barbui, Corrado
author_facet Lotito, Claudia
Turrini, Giulia
Purgato, Marianna
Bryant, Richard A.
Felez-Nobrega, Mireia
Haro, Josep Maria
Lorant, Vincent
McDaid, David
Mediavilla, Roberto
Melchior, Maria
Nicaise, Pablo
Nosè, Michela
Park, A-La
McGreevy, Kerry R.
Roos, Rinske
Tortelli, Andrea
Underhill, James
Martinez, Julian Vadell
Witteveen, Anke
Sijbrandij, Marit
Barbui, Corrado
author_sort Lotito, Claudia
collection PubMed
description BACKGROUND: The COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group. METHODS: Participants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach. RESULTS: A total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes. CONCLUSIONS: The present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions. TRIAL REGISTRATION: Registration number 2021-UNVRCLE-0106707, February 11 2021. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40359-023-01208-0.
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spelling pubmed-101980222023-05-21 Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study Lotito, Claudia Turrini, Giulia Purgato, Marianna Bryant, Richard A. Felez-Nobrega, Mireia Haro, Josep Maria Lorant, Vincent McDaid, David Mediavilla, Roberto Melchior, Maria Nicaise, Pablo Nosè, Michela Park, A-La McGreevy, Kerry R. Roos, Rinske Tortelli, Andrea Underhill, James Martinez, Julian Vadell Witteveen, Anke Sijbrandij, Marit Barbui, Corrado BMC Psychol Research BACKGROUND: The COVID-19 pandemic has had major and potentially long-lasting effects on mental health and wellbeing across populations worldwide. However, these impacts were not felt equally, leading to an exacerbation of health inequalities, especially affecting vulnerable populations such as migrants, refugees and asylum seekers. Aiming to inform the adaptation and implementation of psychological intervention programmes, the present study investigated priority mental health needs in this population group. METHODS: Participants were adult asylum seekers, refugees and migrants (ARMs) and stakeholders with experience in the field of migration living in Verona, Italy, and fluent in Italian and English. A two-stage process was carried out to examine their needs using qualitative methods including free listing interviews and focus group discussions, according to Module One of the DIME (Design, Implementation, Monitoring, and Evaluation) manual. Data were analyzed using an inductive thematic analyses approach. RESULTS: A total of 19 participants (12 stakeholders, 7 ARMs) completed the free listing interviews and 20 participants (12 stakeholders and 8 ARMs) attended focus group discussions. Salient problems and functions that emerged during free listing interviews were discussed during the focus group discussions. During the COVID-19 pandemic, ARMs struggled with many everyday living difficulties in their resettlement country due to social and economic issues, revealing a strong influence of contextual factors in determining mental health. Both ARMs and stakeholders highlighted a mismatch between needs, expectations and interventions as factors that may hamper proper implementation of health and social programmes. CONCLUSIONS: The present findings could help in the adaptation and implementation of psychological interventions targeting the needs of asylum seekers, refugees and migrants aiming to find a match between needs, expectations, and the corresponding interventions. TRIAL REGISTRATION: Registration number 2021-UNVRCLE-0106707, February 11 2021. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40359-023-01208-0. BioMed Central 2023-05-19 /pmc/articles/PMC10198022/ /pubmed/37208725 http://dx.doi.org/10.1186/s40359-023-01208-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lotito, Claudia
Turrini, Giulia
Purgato, Marianna
Bryant, Richard A.
Felez-Nobrega, Mireia
Haro, Josep Maria
Lorant, Vincent
McDaid, David
Mediavilla, Roberto
Melchior, Maria
Nicaise, Pablo
Nosè, Michela
Park, A-La
McGreevy, Kerry R.
Roos, Rinske
Tortelli, Andrea
Underhill, James
Martinez, Julian Vadell
Witteveen, Anke
Sijbrandij, Marit
Barbui, Corrado
Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
title Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
title_full Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
title_fullStr Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
title_full_unstemmed Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
title_short Views and experiences of migrants and stakeholders involved in social and health care for migrants in Italy during the COVID-19 pandemic: a qualitative study
title_sort views and experiences of migrants and stakeholders involved in social and health care for migrants in italy during the covid-19 pandemic: a qualitative study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198022/
https://www.ncbi.nlm.nih.gov/pubmed/37208725
http://dx.doi.org/10.1186/s40359-023-01208-0
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