Cluster-randomized trial comparing organizationally tailored versus standard approach for integrating an evidence-based cancer control intervention into African American churches

Lay Summary Researchers have become interested in studying how health promotion activities fit within the organizational setting where they are delivered. Health activities that are integrated into the host setting’s structures and routine operations are more likely to be fully executed, effective, and sustained. Unfortunately, we know little about how to achieve such integration. This is especially true when working outside of a healthcare system, in community organizations like churches. We report findings from a study that compared an approach to tailoring health promotion activities into their host settings, with a standard, non-tailored approach. The study was conducted in 14 African American churches randomly assigned to the tailored or standard group. The health promotion activity involved training lay people to conduct cancer educational workshops for church members. We measured the extent to which the churches integrated health promotion activities into their structures, processes, resources, and communication at the beginning and one year later. We found that while the churches had overall increases in these factors over time, those in the tailored group did not do so to a greater degree than those in the standard group. Even so, this approach to tailoring health promotion activities to the organizational setting merits future study.

Factors Associated with Burnout, Marital Conflict, and Life Satisfaction among Chinese American Church Leaders

Clergy and church leaders experience unique pressure and stressors associated with ministry. In this study, we examined protective and risk factors related to burnout, life satisfaction, and marital conflict in a sample of 124 Chinese American church leaders. We examined the role of self-compassion, self-criticism, and bicultural identity. Ministry leaders (i.e., full-time or part-time pastors, deacons, elders, ministers) aged 25 to 68 years from Chinese American churches in the United States completed surveys online. In the overall structural equation model, self-compassion and bicultural identity were associated with lower levels of burnout; both were not related to life satisfaction or marital conflict. In contrast, self-criticism was related to higher rates of marital conflict and lower levels of life satisfaction; it was not associated with ministry burnout. Self-compassion was inversely related to self-criticism. Our findings suggest that self-compassion and self-criticism have distinct implications for psychological functioning among Chinese American church leaders. Specifically, whereas self-compassion was a protective factor against ministry burnout, self-criticism was a risk factor for marital relationships and life satisfaction. Bicultural identity integration protected against ministry burnout and may be particularly helpful when working with diverse Chinese American churches. Practical implications for Chinese American clergy and ministry leaders were discussed.

 A Qualitative Examination of the Preparedness of African American Pastors to Address Issues of Addictions

This study qualitatively explored the preparedness of African American pastors to meet the needs of parishioners with addictions. Findings indicated that African American pastors do not always perceive themselves to be prepared to address issues of addiction, and existing cultural barriers challenge collaboration between human services practitioners and African American pastors. Findings also revealed that despite existing cultural barriers, African American pastors are willing to collaborate with professionals who offer educational opportunities in culturally relevant ways. Human services professionals’ ability to understand cultural nuances of African American pastors is of paramount concern to effectively enhance the quality of life for clients utilizing faith-based interventions to meet the needs of individuals with addiction. Recommendations for strategies for human service professionals to build collaborations with pastors of African American churches are provided.

Ecclesiology

This essay argues that Reinhold Niebuhr had a rich and theologically informed ecclesiology. The argument begins by briefly considering criticisms of Niebuhr’s ecclesiology before turning to a close reading of his writings on the American church. These writings are practical in nature and brief, which perhaps explains why they have received relatively little attention. In them, it becomes clear that Niebuhr embraced several doctrines associated with the Reformation churches, including a high view of the sacraments and the persistence of sin. For Niebuhr, grace and sin are central to the church’s identity as a communion of grace. Grace, he claims, has profound implications for the church in the United States. In a culture that emphasises merit, grace should give the church a critical task. Niebuhr’s vision of the church, then, is a sect-church, at once sacramental and critical. The essay concludes by sketching how Niebuhr’s ecclesiology relates to and informs contemporary American churches.

Christian Churches and the Antiidentist Revolution

The article analyzes the ideological contradictions of liberal democracy, or neoliberalism (antiidentism), and traditionalism (identism) on the example of Christian churches. Antiindentism considers traditional religiosity to be hostile: it should be reformed to conform to neoliberal values, and it should be banished from public space. At the same time, antiidentism does not want to eliminate religion, because it is one of the identities that have to be redone like other human identites. The article examines anti-Christian movements (like the “Black Lives Matter”) as well as conservative and liberal movements within various confessions. The authors emphasize that the antiidentist demands are based on the Christian values of respect for any person, for women and men, regardless of anything, for humane methods of raising children, mercy for any categories of people, regardless of their sexual orientation, etc. On the other hand, the demands of antiidentists go far beyond Christian principles and even common sense (not to quote inconvenient passages of the Bible, to change the rules of church life and the appointment of clergy). The article proposes a classification of confessions by direction and by territorial feature, depending on specifics of divisions based on the attitude to antiidentism (American Churches, the Catholic Church, Lutherans and Anglicans as well as diversity of Orthodox churches that are also touched by the antiidentist wave). The authors conclude that the Christian churches, despite the existence of liberal factions, are primarily a traditionalist force in modern politics. Because of fundamental ideological differences, the consolidation of diverse Christian forces is a difficult task. However, there is some progress in this direction. Evangelicals, traditional Catholics, who make up the majority of the Catholic Church, as well as the majority of Orthodox Christians, are a serious political and, what perhaps more important, ideological force.