Health Programming for Clergy: An Overview of Protestant Programs in the United States

Abstract

The health of clergy is important, and clergy may find health programming tailored to them more effective. Little is known about existing clergy health programs. We contacted Protestant denominational headquarters and searched academic databases and the Internet. We identified 56 clergy health programs and categorized them into prevention and personal enrichment; counseling; marriage and family enrichment; peer support; congregational health; congregational effectiveness; denominational enrichment; insurance/strategic pension plans; and referral-based programs. Only 13 of the programs engaged in outcomes evaluation. Using the Socioecological Framework, we found that many programs support individual-level and institutional-level changes, but few programs support congregational-level changes. Outcome evaluation strategies and a central repository for information on clergy health programs are needed.

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Notes

  1. 1.

    Very few evaluations are randomized controlled trials, and other issues involve not controlling for societal factors in changing behavior, the lack of a longitudinal analysis to evaluate health changes over time, and selection bias (Rothstein and Harrell 2009).

References

  1. Block, G., Block, T., Wakimoto, P., & Block, C. H. (2004). Demonstration of an emailed worksite nutrition intervention program. Prevention of Chronic Disease: Public Health Research, Practice, and Policy, 1, 1–13.

    Google Scholar 

  2. Byassee, J., & Jones, G. (2009). Methodists & microcredit. First things. http://www.firstthings.com/article/2009/10/methodists--microcredit. Retrieved 3 August 2009.

  3. Carroll, J. W. (2006). God’s potters: Pastoral leadership and the shaping of congregations. Grand Rapids, MI, William B. Eerdmans Pub

  4. Chalfant, H. P., Heller, P., Robers, A., Briones, D., Aguirre-Hochbaum, S., & Farr, W. (1990). The clergy as a resource for those encountering psychological distress. Review of Religious Research, 31, 305–313.

    Article  Google Scholar 

  5. Clergy Renewal Program. (2009). http://www.clergyrenewal.org/. Retrieved 3 August 2009.

  6. Emmons, K. M., Linnan, L. A., Shadel, W. G., Marcus, B., & Abrams, D. B. (1999). The working healthy project: A worksite health promotion trial targeting physical activity, diet, and smoking. Journal of Occupational and Environmental Medicine, 41, 545–555.

    PubMed  Article  Google Scholar 

  7. Flannelly, K. J., Weaver, A. J., Larons, D. B., & Koenig, H. G. (2002). A review of mortality research on clergy and other religious professionals. Journal of Religion and Health, 41, 57–67.

    Article  Google Scholar 

  8. Gunderson, G., & Pray, L. (2004). Leading causes of life. Memphis, TN: The Center of Excellence in Faith and Health, LeBonheur Healthcare

  9. King, H., & Bailar, J. C. (1969). The health of the clergy: A review of demographic literature. Demography, 6, 27–43.

    Article  Google Scholar 

  10. Kuhne, G. W., & Donaldson, J. F. (1995). Balancing ministry and management: An exploratory study of pastoral work activities. Review of Religious Research, 37(2), 147–163.

    Article  Google Scholar 

  11. Lee, C., & Iverson-Gilbert, J. (2003). Demand, support, and perception in family-related stress among protestant clergy. Family relations, 52(3), 249–257.

    Article  Google Scholar 

  12. Lindner, E. W. (2009). Yearbook of American & Canadian churches. Nashville: Abingdon.

    Google Scholar 

  13. Maddox, R. L. (2007). John Wesley on holistic health and healing. Methodist History, 46, 4–33.

    Google Scholar 

  14. McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15, 351–377.

    PubMed  Article  Google Scholar 

  15. Miller, W. R., & Rollnick, S. (2002). Motivational interviewing: Preparing people for change. New York: The Guilford.

    Google Scholar 

  16. Mountain Learning Center Retreat. (2009). http://www.pastor-care.com/home.html. Retrieved 3 August 2009.

  17. Nystad, W., Meyer, H. E., Nafstad, P., Tverdal, A., & Engeland, A. (2004). Body mass index in relation to adult asthma among 135,000 Norwegian men and women. American Journal of Epidemiology, 160, 969–976.

    PubMed  Article  Google Scholar 

  18. Ozminkowski, R. J., Dunn, R. L., Goetzel, R. Z., Cantor, R. I., Murnane, J., & Harrison, M. (1999). A return on investment evaluation of the Citibank, N.A., health management program. American Journal of Health Promotion, 14, 31–43.

    PubMed  Article  Google Scholar 

  19. Perez, A. P., Phillips, M. M., Cornell, C. E., Mays, G., & Adams, B. (2009). Promoting dietary change among state health employees in Arkansas through a worksite wellness program: The health employee lifestyle program (HELP). Prevention of Chronic Disease: Public Health Research, Practice, and Policy, 6, 1–8.

    Google Scholar 

  20. Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 19, 276–288.

    Article  Google Scholar 

  21. Prochaska, J. O., Butterworth, S., Redding, C. A., Burden, V., Perrin, N., Leo, M., et al. (2008). Initial efficacy of MI, TTM tailoring and HRI’s with multiple behaviors for employee health promotion. Preventive Medicine, 46, 226–231.

    PubMed  Article  Google Scholar 

  22. Proeschold-Bell, R. J., LeGrand, S., James, J., Wallace, A., Adams, C., & Toole, D. (2009). A theoretical model of the holistic health of United Methodist clergy. Journal of Religion and Health. doi:10.1007/s10943-009-9250-1.

  23. Proeschold-Bell, R. J., & LeGrand, S. (2010). High rates of obesity and chronic disease among United Methodist clergy. Obesity, 18(9), 1867–1870. doi:10.1038/oby.2010.102.

    PubMed  Article  Google Scholar 

  24. Rediger, G. L. (1997). Clergy killers: Guidance for pastors and congregations under attack. Louisville, KY, Westminister J. Knox Press

  25. Rediger, G. L. (2007). The toxic congregation: How to heal the soul of your church. Nashville: Abingdon.

    Google Scholar 

  26. Reger-Nash, B., Bauman, A., Cooper, L., Chey, T., & Simon, K. J. (2006). Evaluating communitywide walking interventions. Evaluation and Program Planning, 29, 251–259.

    Article  Google Scholar 

  27. Reynolds, S. L., & McIlvane, J. M. (2009). The impact of obesity and arthritis on active life expectancy in older Americans. Obesity, 17, 363–369.

    PubMed  Google Scholar 

  28. Rothstein, M. A., & Harrell, H. L. (2009). Health risk reduction programs in employer-sponsored health plans: Part 1- efficacy. Journal of Occupational and Environmental Medicine, 51, 943–950.

    PubMed  Article  Google Scholar 

  29. Rowatt, G. W. (2001). Stress and satisfaction in ministry families. Review & Expositor, 98(4), 523–543.

    Google Scholar 

  30. Serxner, S. A., Gold, D. B., Grossmeier, J. J., & Anderson, D. R. (2003). The relationship between health promotion program participation and medical costs: A dose response. Journal of Occupational and Environmental Medicine, 45, 1196–1200.

    PubMed  Article  Google Scholar 

  31. Stave, G., Muchmore, L., & Gardner, H. (2003). Quantifiable impact of the Contract for Health and Wellness: Health behaviors, health care costs, disability, and workers' compensation. Journal of Occupational and Environmental Medicine, 45, 109–117.

    Google Scholar 

  32. Taylor, H. A., Coady, S. A., Levy, D., Walker, E. R., Vasan, R. S., Liu, J., et al. (2009). Relationships of BMI to cardiovascular risk factors differ by ethnicity. Obesity. E-pub ahead of print 19 November 2009

  33. The United Methodist Church. (2008). The book of discipline of the United Methodist Church. Nashville: The United Methodist Publishing House.

    Google Scholar 

  34. U.S. Department of Labor. (2009). Occupational outlook handbook, 2008–2009 edition. Washington: Bureau of Labor Statistics.

    Google Scholar 

  35. United Methodist Book of Worship Committee. (1992). The United Methodist book of worship. Nashville: The United Methodist Publishing House.

    Google Scholar 

  36. US Census Bureau. (2009). Question & answer center. http://www.census.gov/population/www/index.html. Retrieved 6 July 2009.

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Acknowledgments

The authors gratefully acknowledge the support offered by the representatives of the programs included in this paper; their time and information was invaluable for this compilation. The authors would also like to acknowledge the insightful comments made by Monica Rivers and Howard Moore. This study was funded by a grant from the Rural Church Program Area of The Duke Endowment.

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Correspondence to Rae Jean Proeschold-Bell.

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Wallace, A.C., Proeschold-Bell, R.J., LeGrand, S. et al. Health Programming for Clergy: An Overview of Protestant Programs in the United States. Pastoral Psychol 61, 113–143 (2012). https://doi.org/10.1007/s11089-011-0382-3

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Keywords

  • Clergy
  • Health behavior
  • Evaluation
  • Health programs