Health Realization Community Coping Intervention for Somali Refugee Women

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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.

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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(s): Strengths-Based Approaches
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
Strength of Evidence: Suggestive
Population(s): Refugees
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: