260063 Testing a Community Coping Intervention for Somali Refugee Women

Monday, October 29, 2012 : 8:30 AM - 8:45 AM

Cheryl Robertson, PhD, MPH, RN , School of Nursing, University of Minnesota, Minneapolis, MN
Linda Halcon, PhD, MPH, RN , School of Nursing, University of Minnesota, Minneapolis, MN
Nadifa Osman, MSc , School of Nursing, University of Minnesota, Minneapolis, MN
Amin Mohamed, MPH , School of Nursing, University of Minnesota, Minneapolis, MN
Eunice Areba, BSN, PhD Student in Nursing , School of Nursing, University of Minnesota, Minneapolis, MN
Background: In a previous study the research team adapted the Health Realization Model community-oriented intervention to fit the Somali cultural context. The adaptation was based upon knowledge of local sociocultural variables that mitigate coping strategies including 1) Somali and Muslim norms, beliefs and values; 2) war-related sociocultural changes; and 3) resettlement related sociocultural changes. Purpose: This pilot study tested the culturally adapted Somali Health Realization intervention among resettled Somali refugee women who have experienced war trauma and associated psychosocial problems. The objective of the study was to assess the feasibility of conducting three-arm comparison group trial with this population. Theoretical/Conceptual Framework: Health Realization is a strengths-based stress and coping intervention to promote and enhance the use of internal and external coping resources and thus decrease the negative outcomes of stress. Participants: Somali community coordinators recruited seventy-five eligible Somali women refugees in the Minneapolis-St Paul metropolitan area via community venues. Methods: Three-group comparison trial pilot design; assigned three geographically distinct communities to different treatment conditions: 1) a Health Realization intervention condition (treatment), 2) a nutrition education condition (attention control condition), or 3) an evaluation-only control condition. Pre-post measures of depression and anxiety symptoms and coping strategies were administered to all three conditions. Results and Discussion: Multiple challenges to conducting a three-arm comparison group trial surfaced and were addressed. Data collection is complete and analysis is in process. Results are pending and will be reported. .

Learning Areas:
Public health or related nursing

Learning Objectives:
Describe three challenges to maintaining integrity in a three-arm comparison group study with Somali Refugees Evaluate the community-oriented approach to intervention for Somali women

Keywords: Refugees, Intervention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal investigator of several federally funded grants focusing on refugee health. My research focuses on development of strength-based community-oriented coping interventions for refugees with trauma histories.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.