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medRxiv PreprintsInternational5 October 2026

Literacy and mental health: A feasibility and acceptability study among women in a low-income urban setting in North India

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Introduction Literacy is a determinant of mental health, wellbeing, and social participation. Although literacy interventions improve educational and socioeconomic outcomes, their effects on mental health and social participation are poorly evidenced. We aimed to assess the feasibility and acceptability of a group-based literacy and numeracy intervention and explore its effects on literacy, mental health, numeracy, wellbeing, and social participation. We also estimated implementation costs. Methods We conducted a mixed-methods study using an uncontrolled pre-post design among women in low-inco
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