Health Realization Community Coping Intervention for Somali Refugee Women

Cheryl L. Robertson, Linda Halcon, Sarah J. Hoffman, Nadifa Osman, Amin Mohamed, Eunice Areba, Kay Savik, Michelle A. Mathiason

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Pages (from-to)1077-1084
Number of pages8
JournalJournal of Immigrant and Minority Health
Issue number5
StatePublished - Oct 1 2019

Bibliographical note

Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.


  • Coping intervention
  • Health Realization
  • Refugee
  • Resilience
  • Somali

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