Strategies for Designing Clergy and Spouse Obesity-Related Programs

Am J Health Promot. 2021 Mar;35(3):399-408. doi: 10.1177/0890117120960574. Epub 2020 Sep 28.

Abstract

Purpose: Clergy have influence on the health of congregations and communities yet struggle with health behaviors. Interventions tailored to their occupation-specific demands and unique needs may provide a solution. Qualitative methods were used to identify opportunities and resources for the development of an effective obesity-related program for clergy.

Approach: Ninety-minute focus groups were held with clergy (3 groups) and spouses (3 separate groups). Discussion explored: Program target(s); Opportunities and barriers that influence diet, physical activity, and stress-reduction practices; Empowering and culturally relevant health promotion strategies.

Setting: All study activities took place in Memphis, TN.

Participants: Eighteen clergy and fourteen spouses participated. All clergy were male, all spouses were female.

Method: Previous research with clergy informed the interview guide and the PEN-3 framework aided in organizing the coding of clergy and spouse focus groups. Focus groups were audio recorded and transcripts analyzed using NVivo® 12.

Results: Themes included: 1) Intervention targets-clergy, spouses, congregations; 2) Opportunities and barriers-making time, establishing boundaries, church traditions, individuals who support and hinder behavior change; 3) Intervention strategies-tools for healthy eating, goal setting, camaraderie, combining face-to-face with eHealth modalities.

Conclusion: The relationship between clergy, spouse, and congregation make it important for obesity-related programs to target the unique needs of both clergy and spouses. Strategies should focus on healthy eating and personal connections no matter the modality used.

Keywords: clergy; faith-based; men’s health; nutrition; pastor; physical activity; qualitative research.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clergy*
  • Female
  • Focus Groups
  • Health Promotion
  • Humans
  • Male
  • Obesity / prevention & control
  • Spouses*