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
Original Paper


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.


Somali Refugee Health Realization Coping intervention Resilience 



This research was supported in part by a grant from the NIH/NINR.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Cheryl L. Robertson
    • 1
  • Linda Halcon
    • 1
  • Sarah J. Hoffman
    • 1
  • Nadifa Osman
    • 1
    • 2
  • Amin Mohamed
    • 1
  • Eunice Areba
    • 1
  • Kay Savik
    • 1
  • Michelle A. Mathiason
    • 1
  1. 1.School of NursingUniversity of MinnesotaMinneapolisUSA
  2. 2.Government of SomaliaMogadishuSomalia

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