Journal of Immigrant and Minority Health
Volume 21, Issue 5, 2019, Pages 1077-1084

Health Realization Community Coping Intervention for Somali Refugee Women (Article)

Robertson C.L.* , Halcon L. , Hoffman S.J. , Osman N. , Mohamed A. , Areba E. , Savik K. , Mathiason M.A.
  • a School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States
  • b School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States
  • c School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States
  • d School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States, Government of Somalia, Mogadishu, Somalia
  • e School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States
  • f School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States
  • g School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States
  • h School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, United States

Abstract

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 (p = 0.038), seeking social support (p = 0.042), positive reappraisal (p = 0.001); and Refugee Appraisal and Coping Experience Scale-Internal subscale (p = 0.045). The HR intervention also demonstrated improvement in depression symptom ratings (p = 0.079). 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. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.

Author Keywords

Somali Resilience Coping intervention Health Realization Refugee

Index Keywords

controlled study female major clinical study outcome assessment stress social support refugee attention Article nutrition mental health human adult
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053049738&doi=10.1007%2fs10903-018-0804-8&partnerID=40&md5=3936851d08d9151e1ab103f708fb2784
DOI: 10.1007/s10903-018-0804-8
ISSN: 15571912
Original Language: English