To explore the characteristics and compare clinical outcomes of non-Australian born (migrant) and Australian-born users of an Australian national digital mental health service. The characteristics and treatment outcomes of patients who completed online treatment at the MindSpot Clinic between January 2014 and December 2016 and reported a country of birth other than Australia were compared to Australian-born users. Data about the main language spoken at home were used to create distinct groups. Changes in symptoms of depression and anxiety were measured using the Patient Health Questionnaire-9 Item (PHQ-9), and Generalized Anxiety Disorder Scale – 7 Item (GAD-7), respectively. Of 52,020 people who started assessment at MindSpot between 1st January 2014 and 22nd December 2016, 45,082 reported a country of birth, of whom 78.6% (n = 35,240) were Australian-born, and 21.4% (n = 9842) were born overseas. Of 6782 people who completed the online treatment and reported country of birth and main language spoken at home, 1631 (24%) were migrants, 960 (59%) were from English-speaking countries, and 671 (41%) were from non-English speaking countries. Treatment-seeking migrant users reported higher rates of tertiary education than Australian-born users. The baseline symptom severity, and rates of symptom reduction and remission following online treatment were similar across groups. Online treatment was associated with significant reductions in anxiety and depression in migrants of both English speaking and non-English speaking backgrounds, with outcomes similar to those obtained by Australian-born patients. DMHS have considerable potential to help reduce barriers to mental health care for migrants.

中文翻译：

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全国数字心理健康服务的移民和澳大利亚出生用户的特征和治疗效果的比较。

探索特征并比较非澳大利亚出生的（移民）和澳大利亚出生的澳大利亚国家数字心理健康服务用户的临床结局。将2014年1月至2016年12月在MindSpot诊所完成在线治疗并报告出生地不是澳大利亚的患者的特征和治疗结果与澳大利亚出生的用户进行了比较。有关在家使用的主要语言的数据被用来创建不同的组。抑郁和焦虑症状的变化分别使用“患者健康问卷9”项（PHQ-9）和“广义焦虑症量表– 7项”（GAD-7）进行了测量。在2014年1月1日至2016年12月22日期间开始在MindSpot进行评估的52,020人中，有45,082人报告了出生国，其中78.6％（n = 35，240）是澳大利亚人，而21.4％（n = 9842）在国外出生。在完成在线治疗并报告了出生国和主要语言的国家的6782人中，有1631人（24％）是移民，960人（59％）来自英语国家，而671（41％）来自非英语国家。说英语的国家。寻求治疗的移民使用者报告的高等教育学历高于澳大利亚出生的使用者。基线症状严重程度以及在线治疗后症状减轻和缓解的比率在各组中相似。在线治疗与具有英语和非英语背景的移民的焦虑和抑郁明显减少有关，其结果与澳大利亚出生的患者所获得的结果相似。