442 Community mental health for migrant women in Barcelona - “self-care among women” - a mixed-methods process evaluation of a pilot psychological intervention

Sep 30, 2026

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The study assessed the contextual fit, acceptability, and feasibility of the “Self-Care Among Women” community-based group psychological intervention for migrant women in Barcelona, Spain, inspired by Group Problem Management Plus. A mixed-methods process evaluation was conducted from November 2023 to December 2024. Eligibility used GHQ-12, WHODAS 2.0, and clinical observations; outcomes involved structured observation, logsheets, focus groups, facilitator interviews, and three-time-point clinical measures. Findings showed 90% retention across four multicultural groups, meaningful social tie formation, improved clinical outcomes, and actionable implementation mechanisms.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages1

Reading Time3 min

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Aim

Methods

Results

Mechanisms of change

Conclusions

vi56 European Journal of Public Health, Vol. 35, Supplement 6, 2025 Abstract citation ID: ckaf180.154 442 Community mental health for migrant women in Barcelona (“self-care among women”): a mixed-methods process evaluation of a pilot psychological intervention Alba Cuxart-Graell1,2, Helena Sainz-Elías2,3, Fajar Matloob Ahmed Butt3, Carla Cisneros Pinet4,5, Siham Ben Chahbar Bourbatat6, Irene de Gracia Alcaide4,5, Isabel Monter Alavedra4,5, Helena Marti-Soler1, Maria Marti-Castaner7, Laura Giménez1, Paula Cristbal-Narváez3,8, Yolanda Osorio Lopez9, Stella Evangelidou1 1Barcelona Institute for Global Health, Barcelona, Spain 2Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain 3Research and Development Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain 4Institut Catal de la Salut (ICS), Barcelona, Spain 5Fundaci Institut Universitari per a la recerca a l’Atenci Primaria de Salut Jordi Gol i􀀃 Gurina (IDIAPJGol), Barcelona, Spain 6Associaci Intercultural Dilegs de Dona, Barcelona, Spain 7Department of Public Health, Danish Research Centre for Migration, Ethnicity and Health (MESU), University of Copenhagen, Copenhagen, Denmark 8Instituto de Salud Carlos III, Centre for Biomedical Research on Mental Health (CIBERSAM), Madrid, Spain 9Servicio de Atencin a la Migracin en Salud Mental (SATMI), Parc Sanitari Sant Joan de Déu, Barcelona, Spain OP 22: Mental Health 4, B302 (FCSH), September 4, 2025, 14:45 - 15:45 Aim: This study aims to assess the contextual fit, acceptability and feasibility of the “Self-Care Among Women” community-based group psychological intervention, inspired by Group Problem Management Plus, targeting migrant women in Barcelona, Spain. Methods: A mixed-methods process evaluation study was conducted from November 2023 to December 2024 to evaluate the pilot implementation of the intervention. Eligibility for participation was assessed through GHQ-12, WHODAS 2.0 and clinical observations. Process outcome measures were collected through structured observation and logsheets, as well as focus group discussions with women and interviews with facilitators – community psychologists and intercultural mediators. Clinical outcomes were measured at three time points. A grounded theory approach was employed to analyse the qualitative data. Results: A total of 30 migrant women participated in four multicultural intervention groups, with a retention of 90% . Our results showed that the intervention addressed the diverse needs of migrant women through an intersectional lens, providing resources to cope with adversity while genuinely promoting social ties among women with diverse cultural backgrounds. Clinical outcomes showed a considerable improvement. Mechanisms of change suggested the need for integrating intercultural mediators in the facilitation of such interventions to bridge communication and cultural perspectives, and generate bonds. However, this requires strong institutional commitment to ensure their presence at public services. Further, established community-based referral networks can facilitate migrant women’s navigation through relevant resources. In a highly culturally diverse urban context, communitybased mental health can enhance reachability. Such approaches can amplify migrants’ perspectives of wellbeing while breaking stereotypes around women’s position in certain communities. Conclusions: Within the framework of prevention of psychiatric disorders and?mental health promotion, “Self-Care among Women” proposes mechanisms of innovative change in migrant mental health.

FAQs

What intervention was evaluated in the study?

The study evaluated “Self-Care Among Women,” a community-based group psychological intervention for migrant women in Barcelona, Spain, inspired by Group Problem Management Plus.

How was participation eligibility determined?

Eligibility was assessed using GHQ-12, WHODAS 2.0, and clinical observations.

What were the key findings on feasibility and outcomes?

A total of 30 migrant women participated in four multicultural groups with 90% retention. The intervention supported social ties across diverse cultural backgrounds and showed considerable improvement in clinical outcomes.

Sep 30, 2026

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