Digital Lifestyle Intervention for Mental Health Among Migrants: Randomized Controlled Trial

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorKarolinska Institutet

About this trial

Migrant populations experience elevated levels of psychological distress while facing barriers to accessing mental health care. Lifestyle factors such as physical activity, sleep, diet, and social engagement are closely linked to mental health and represent promising targets for preventive interventions. Digital delivery may increase accessibility and reduce structural barriers to care.

The aim of this study is to evaluate the feasibility, acceptability, and efficacy of a culturally and linguistically adapted digital lifestyle intervention for migrants experiencing moderate psychological distress in Sweden. Participants (N = 240) will be randomized to an 8-week digital lifestyle intervention or to a wait-list control receiving a general lifestyle module. A nested pilot study (N = 30) will first assess feasibility and acceptability.

Outcomes include general psychological health, quality of life, depression, anxiety, stress, and lifestyle behaviors. Assessments will be conducted at baseline, post-treatment (8 weeks), 2-month follow-up, and 6-month follow-up.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Migrant living in Sweden

Age 18 years or older

Moderate psychological distress (PHQ-9 ≥10, GAD-7 ≥10, or PSS-4 ≥8)

Ability to read and write in easy Swedish or English

Disqualifiers

Severe psychiatric disorder

Severe depression or suicide risk

Severe medical illness

Alcohol dependency

Trial design

Design model

Parallel

Treatments tested in this trial

  • Digital Lifestyle Intervention

    Behavioral

    An 8-week culturally and linguistically adapted digital lifestyle intervention delivered via an online platform. The program includes psychoeducation and behavioral strategies targeting physical activity, sleep, diet, tobacco and alcohol use, and social engagement. Participants receive weekly guidance and feedback from a licensed psychologist or supervised psychology trainee.

Treatment groups

240 Participants
are divided into 2 treatment groups
Group A: Digital Lifestyle InterventionExperimental treatment 1 intervention
Group B: Wait-list ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Kessler Psychological Distress Scale (K10)

The Kessler Psychological Distress Scale (K10) is a 10-item self-report measure assessing psychological distress (anxiety and depressive symptoms) during the past 4 weeks. Each item is rated on a 5-point scale, and total scores range from 10 to 50, with higher scores indicating greater psychological distress.

Time frame
Baseline to post-treatment (8 weeks)

Secondary outcomes

1

Kessler Psychological Distress Scale (K10)

The Kessler Psychological Distress Scale (K10) is a 10-item self-report measure assessing psychological distress (anxiety and depressive symptoms) during the past 4 weeks. Each item is rated on a 5-point scale, and total scores range from 10 to 50, with higher scores indicating greater psychological distress.

Time frame
2-month follow-up, and 6-month follow-up
2

Generalized Anxiety Disorder-7 (GAD-7)

Severity of anxiety symptoms measured with the Generalized Anxiety Disorder-7 (GAD-7).

Time frame
Baseline, post-treatment (8 weeks), 2-month follow-up, and 6-month follow-up
3

Perceived Stress Scale-4 (PSS-4)

Perceived stress measured with the Perceived Stress Scale-4 (PSS-4)

Time frame
Baseline, post-treatment (8 weeks), 2-month follow-up, and 6-month follow-up
4

12-Item Short-Form Health Survey (SF-12)

Health-related quality of life measured with the 12-Item Short-Form Health Survey (SF-12).

Time frame
Baseline, post-treatment (8 weeks), 2-month follow-up, and 6-month follow-up

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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