ABSTRACT
Chronic stress is among the most costly health problems in terms of direct health costs, absenteeism, disability, and performance standards. The Reformed Church in America (RCA) identified stress among its clergy as a major cause of higher-than-average health claims and implemented HeartMath (HM) to help its participants manage stress and increase physiological resilience. The 6-week HM program Revitalize You! was selected for the intervention including the emWave Personal Stress Reliever technology. From 2006 to 2007, completion of a health risk assessment (HRA) provided eligible clergy with the opportunity to participate in the HM program or a lifestyle management program (LSM). Outcomes for that year were assessed with the Stress and Well-being Survey. Of 313 participants who completed the survey, 149 completed the Revitalize You! Program, and 164 completed the LSM. Well-being, stress management, resilience, and emotional vitality were significantly improved in the HM group as compared to the LSM group. In an analysis of the claims costs data for 2007 and 2008, 144 pastors who had participated in the HM program were compared to 343 non-participants (control group). Adjusted medical costs were reduced by 3.8% for HM participants in comparison with an increase of 9.0% for the control group. For the adjusted pharmacy costs, an increase of 7.9% was found compared with an increase of 13.3% for the control group. Total 2008 savings as a result of the HM program are estimated at $585 per participant, yielding a return on investment of 1.95:1. These findings show that HM stress-reduction and coherence-building techniques can reduce health care costs.
Subject(s)
Clergy/economics , Health Promotion/economics , Mental Health/statistics & numerical data , Stress, Psychological/economics , Stress, Psychological/prevention & control , Adaptation, Psychological , Adult , Clergy/statistics & numerical data , Cohort Studies , Cost-Benefit Analysis , Humans , Interpersonal Relations , Male , Middle Aged , Occupational Diseases/prevention & control , Program Evaluation , Resilience, Psychological , United States , Young AdultSubject(s)
Chaplaincy Service, Hospital/organization & administration , Clergy/economics , Institutional Practice/organization & administration , Career Mobility , Chaplaincy Service, Hospital/economics , Institutional Practice/economics , Salaries and Fringe Benefits , State Medicine/organization & administration , United KingdomSubject(s)
Catholicism , Clergy , Food Supply , Public Assistance , Relief Work , Starvation , Catholicism/history , Catholicism/psychology , Clergy/economics , Clergy/history , Clergy/legislation & jurisprudence , Clergy/psychology , Food Supply/economics , Food Supply/history , Food Supply/legislation & jurisprudence , History, 19th Century , Ireland/ethnology , Public Assistance/economics , Public Assistance/history , Public Assistance/legislation & jurisprudence , Relief Work/economics , Relief Work/history , Relief Work/legislation & jurisprudence , Social Responsibility , Social Welfare/economics , Social Welfare/ethnology , Social Welfare/history , Social Welfare/legislation & jurisprudence , Social Welfare/psychology , Starvation/economics , Starvation/ethnology , Starvation/history , Starvation/psychology , Voluntary Programs/economics , Voluntary Programs/history , Voluntary Programs/legislation & jurisprudenceSubject(s)
Islam , Marriage , Social Change , Women's Rights , Albania/ethnology , Civil Rights/economics , Civil Rights/education , Civil Rights/history , Civil Rights/legislation & jurisprudence , Civil Rights/psychology , Clergy/economics , Clergy/ethics , Clergy/history , Clergy/psychology , Clothing/history , Clothing/psychology , Cultural Characteristics , Culture , Divorce/economics , Divorce/ethnology , Divorce/history , Divorce/legislation & jurisprudence , Divorce/psychology , Family/ethnology , Family/psychology , History, 20th Century , Islam/history , Islam/psychology , Jurisprudence/history , Marriage/ethnology , Marriage/history , Marriage/legislation & jurisprudence , Marriage/psychology , Religion/history , Religion and Psychology , Religion and Sex , Social Change/history , Spouses/education , Spouses/ethnology , Spouses/history , Spouses/legislation & jurisprudence , Spouses/psychology , Women/education , Women/history , Women/psychology , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudenceSubject(s)
Clergy , Culture , Religion , Social Class , Urban Health , Urban Population , Volunteers , Cities/economics , Cities/ethnology , Cities/history , Cities/legislation & jurisprudence , Clergy/economics , Clergy/history , Clergy/legislation & jurisprudence , Clergy/psychology , Europe/ethnology , Fund Raising/economics , Fund Raising/history , Fund Raising/legislation & jurisprudence , Hierarchy, Social , History, 16th Century , History, 17th Century , Religion/history , Secularism/history , Urban Health/history , Urban Population/history , Urban Renewal/economics , Urban Renewal/education , Urban Renewal/history , Urban Renewal/legislation & jurisprudence , Volunteers/education , Volunteers/history , Volunteers/legislation & jurisprudence , Volunteers/psychologySubject(s)
Clergy , Prejudice , Religion , Social Values , Women's Rights , Attitude to Health/ethnology , Clergy/economics , Clergy/history , Clergy/legislation & jurisprudence , Clergy/psychology , Gender Identity , History, 17th Century , Mexico/ethnology , Religion/history , Social Change/history , Social Dominance , Social Justice/economics , Social Justice/education , Social Justice/history , Social Justice/legislation & jurisprudence , Social Justice/psychology , Social Perception , Social Values/ethnology , Women/education , Women/history , Women/psychology , Women's Health/economics , Women's Health/ethnology , Women's Health/history , Women's Health/legislation & jurisprudence , Women's Rights/economics , Women's Rights/education , Women's Rights/history , Women's Rights/legislation & jurisprudenceSubject(s)
Clergy , Conflict, Psychological , Marriage , Moral Obligations , Sexual Behavior , Social Class , Clergy/economics , Clergy/history , Clergy/legislation & jurisprudence , Clergy/psychology , Culture , Germany/ethnology , History, 16th Century , Interpersonal Relations , Marriage/ethnology , Marriage/history , Marriage/legislation & jurisprudence , Marriage/psychology , Politics , Protestantism/history , Protestantism/psychology , Religion/history , Sexual Behavior/ethnology , Sexual Behavior/history , Sexual Behavior/physiology , Sexual Behavior/psychology , Social Behavior , Social Change/history , Social Conditions/economics , Social Conditions/history , Social Conditions/legislation & jurisprudence , Social Identification , Social Problems/economics , Social Problems/ethnology , Social Problems/history , Social Problems/legislation & jurisprudence , Social Problems/psychology , Socioeconomic Factors , Spouses/education , Spouses/ethnology , Spouses/history , Spouses/legislation & jurisprudence , Spouses/psychologyABSTRACT
This article analyses the effects of the Victorian female civilizing mission, with its central motif of spiritual womanhood, in shaping women's aspirations towards the Anglican priesthood during the twentieth century. The considerable development of nineteenth-century women's ex officio ministry is documented, and the ensuing clash in early twentieth-century male/clerical and female perspectives on women's appropriate role within church life is analysed. The article concludes with a brief discussion of the legacy of the Victorian civilising mission evident within the post-1960 Anglican debate over women's ordination.