Health Realization (HR) is a strengths-based stress and coping intervention used to promote the use of internal and external coping resources. Our three-arm comparison group trial examined the effects of a culturally adapted Somali HR intervention on coping and mental health outcomes in 65 Somali refugee women post-resettlement. Subjects participated one of three conditions: HR intervention, nutrition attention-control, and evaluation-control. The HR intervention significantly affected multiple dimensions of coping: WAYS-distancing, seeking social support, positive reappraisal; and Refugee Appraisal and Coping Experience Scale-Internal subscale. The HR intervention also demonstrated improvement in depression symptom ratings. We discuss findings from the pilot, challenges encountered conducting a three-arm comparison group trial, and implications for further research involving the HR intervention with culturally diverse refugee communities.
Robertson, C. L., Halcon, L., Hoffman, S. J., Osman, N., Mohamed, A., Areba, E., … & Mathiason, M. A. (2019). Health realization community coping intervention for Somali refugee women. Journal of Immigrant and Minority Health, 21(5), 1077-1084.
About This Study:
Intervention Duration: 8 weeks
Relevant ORR Program: Ethnic Community Self-Help Program, Preferred Communities, Refugee Health Promotion, Refugee Support Services
Study Type: Impact evaluation
Full Text Availability: Free
Direction of Evidence: Positive impact
Gender(s) of Participants: Female
Age(s) of Participants: Adults
Region(s) of Origin of Participants: Africa
Relevant Evidence Summaries:
The evidence was reviewed and included in the following summaries: