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Development and Testing of a Community-Based Intervention to Address Intimate Partner Violence among Rohingya and Syrian Refugees: A Social Norms-Based Mental Health-Integrated Approach

Author

Listed:
  • Leah Emily James

    (Institute of Behavioral Science, University of Colorado, Boulder, CO 80309, USA
    James, L.E. and Welton-Mitchell, C. are both first authors as co-PIs and equal contributors to the research project and manuscript. First author names have been listed alphabetically.)

  • Courtney Welton-Mitchell

    (Institute of Behavioral Science, University of Colorado, Boulder, CO 80309, USA
    Colorado School of Public Health, Environmental and Occupational Health, Anschutz Medical Campus, Aurora, CO 80045, USA
    James, L.E. and Welton-Mitchell, C. are both first authors as co-PIs and equal contributors to the research project and manuscript. First author names have been listed alphabetically.)

  • Saja Michael

    (ABAAD, Beirut, Lebanon)

  • Fajar Santoadi

    (Tenaganita, Petaling Jaya 46000, Selangor, Malaysia)

  • Sharifah Shakirah

    (Tenaganita, Petaling Jaya 46000, Selangor, Malaysia)

  • Hasnah Hussin

    (Tenaganita, Petaling Jaya 46000, Selangor, Malaysia)

  • Mohammed Anwar

    (Tenaganita, Petaling Jaya 46000, Selangor, Malaysia)

  • Lama Kilzar

    (ABAAD, Beirut, Lebanon)

  • Alexander James

    (Institute of Behavioral Science, University of Colorado, Boulder, CO 80309, USA)

Abstract
Intimate partner violence (IPV) is the leading form of gender-based violence globally and increases during times of conflict and displacement. To reduce IPV and encourage help-seeking, a two-phase community-based intervention was co-designed with Rohingya in Malaysia and Syrians in Lebanon. Three day workshops, utilizing a social norms-based mental health-integrated approach, were implemented for women and men in each country ( n = 148). Pre- to post-measures indicated reductions in beliefs about acceptability of violence and rigid gender norms, and improvements in mental health, functioning, coping, and self-efficacy for women and men following workshop participation. Workshop participation was also associated with increased help-seeking intent, for both mental health and IPV (victims and perpetrators). Workshops included community design of poster campaigns to address IPV, which were then tested in each setting using a randomized controlled trial in Malaysia ( n = 240) and a matched cluster comparison in Lebanon ( n = 260). Women in both settings found IPV less acceptable in the poster condition. Help-seeking preferences were also influenced by the poster for women and men in both countries. This participatory intervention research can provide a roadmap for use in other settings, emphasizing the value of community-generated solutions to IPV among displaced populations.

Suggested Citation

  • Leah Emily James & Courtney Welton-Mitchell & Saja Michael & Fajar Santoadi & Sharifah Shakirah & Hasnah Hussin & Mohammed Anwar & Lama Kilzar & Alexander James, 2021. "Development and Testing of a Community-Based Intervention to Address Intimate Partner Violence among Rohingya and Syrian Refugees: A Social Norms-Based Mental Health-Integrated Approach," IJERPH, MDPI, vol. 18(21), pages 1-25, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11674-:d:673767
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    References listed on IDEAS

    as
    1. Melissa Meinhart & Ilana Seff & Katrina Troy & Samantha McNelly & Luissa Vahedi & Catherine Poulton & Lindsay Stark, 2021. "Identifying the Impact of Intimate Partner Violence in Humanitarian Settings: Using an Ecological Framework to Review 15 Years of Evidence," IJERPH, MDPI, vol. 18(13), pages 1-19, June.
    2. Andrew Corley & Nancy Glass & Mitima Mpanano Remy & Nancy Perrin, 2021. "A Latent Class Analysis of Gender Attitudes and Their Associations with Intimate Partner Violence and Mental Health in the Democratic Republic of Congo," IJERPH, MDPI, vol. 18(8), pages 1-14, April.
    3. Jewkes, Rachel K. & Levin, Jonathan B. & Penn-Kekana, Loveday A., 2003. "Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study," Social Science & Medicine, Elsevier, vol. 56(1), pages 125-134, January.
    4. Wallerstein, N. & Duran, B., 2010. "Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 40-46.
    5. Rassil Barada & Alina Potts & Angela Bourassa & Manuel Contreras-Urbina & Krystel Nasr, 2021. "“I Go up to the Edge of the Valley, and I Talk to God”: Using Mixed Methods to Understand the Relationship between Gender-Based Violence and Mental Health among Lebanese and Syrian Refugee Women Engag," IJERPH, MDPI, vol. 18(9), pages 1-16, April.
    6. Soomro, Yasir Ali, 2018. "Does subliminal advertisement affect consumer behavior? An exploratory comparative analysis between marketing and non-marketing professionals," MPRA Paper 92124, University Library of Munich, Germany.
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    Cited by:

    1. Stacey A Shaw & ChenYing Lee & Maryam Ahmadi & Hamid Karim Shor Muluk & Zakaria Mohamed Jibril & Latifa Ahmadi & Lynette Randall & Chongming Yang & Louisa Gilbert, 2023. "A randomized controlled trial testing the feasibility, acceptability, and preliminary effects of a mental health Screening, Brief Intervention, and Referral to Treatment among refugees in Malaysia," International Journal of Social Psychiatry, , vol. 69(8), pages 1898-1908, December.
    2. Lindsay Stark & Ilana Seff & Massy Mutumba & Emma Fulu, 2023. "Intimate Partner Violence and Mental Health: Deepening Our Understanding of Associations, Pathways, and Prevention in Low- and Middle-Income Countries," IJERPH, MDPI, vol. 20(2), pages 1-4, January.

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