Rae Jean Proeschold-Bell

Journal article Hepatology · June 2020 Featured Publication BACKGROUND AND AIMS: Hepatitis C virus (HCV) and alcohol use are patient risk factors for accelerated fibrosis progression, yet few randomized controlled trials have tested clinic-based alcohol interventions. APPROACH AND RESULTS: A total of 181 patients w ... Full text Link to item Cite

Are changes in positive mental health associated with increased likelihood of depression over a two year period? A test of the mental health promotion and protection hypotheses.

Journal article J Affect Disord · June 1, 2020 Featured Publication This paper investigates the mental health promotion and protection (MHPP) model of reducing depression. Data are from the Clergy Health Initiative Longitudinal Survey of United Methodist ministers in North Carolina that included the Mental Health Continuum ... Full text Link to item Cite

Using a holistic health approach to achieve weight-loss maintenance: results from the Spirited Life intervention.

Journal article Transl Behav Med · February 3, 2020 Featured Publication Weight-loss maintenance is essential to sustain the health benefits of weight loss. Studies with lower intensity intervention supports under real-world conditions are lacking. This study examined changes in weight and cardiometabolic biomarkers among Spiri ... Full text Link to item Cite

A prospective study of clergy spiritual well-being, depressive symptoms, and occupational distress.

Journal article Psychology of Religion and Spirituality · January 1, 2020 Featured Publication Work, when stressful, can be dispiriting. There are bidirectional and longitudinal links between occupational stress and depressive symptoms. Also, higher levels of religious participation are associated with lower levels of depressive symptoms and work di ... Full text Cite

Putting virtues in context: engaging the VIA classification of character strengths in caregiving for orphans and vulnerable children across cultures

Journal article Journal of Positive Psychology · November 2, 2019 Featured Publication The VIA Classification of Character Strengths has broken important ground for measuring character strengths across cultures. Because the VIA Classification is a closed system of abstract strengths, however, it is unknown how end-users engage strengths in p ... Full text Open Access Cite

Caring and thriving: An international qualitative study of caregivers of orphaned and vulnerable children and strategies to sustain positive mental health

Journal article · March 1, 2019 Featured Publication © 2018 Background: Child well-being is associated with caregiver mental health. Research has focused on the absence or presence of mental health problems, such as depression, in caregivers. However, positive mental health – defined as the presence of posit ... Full text Open Access Cite

Persistent Depressive Symptoms in a Population With High Levels of Occupational Stress: Trajectories Offer Insights Into Both Chronicity and Resilience.

Journal article J Psychiatr Pract · November 2018 Featured Publication Religious participation and spirituality are linked to good mental health. However, clergy may experience more depression than is observed in the general population, which may be due in part to high job strain. The objectives of this study were to identify ... Full text Link to item Cite

The Hepatitis C-Alcohol Reduction Treatment (Hep ART) intervention: Study protocol of a multi-center randomized controlled trial.

Journal article Contemp Clin Trials · September 2018 Featured Publication INTRODUCTION: Among patients with hepatitis C virus (HCV) infection, alcohol synergistically increases the risk of cirrhosis, hepatocellular carcinoma, and death. Randomized controlled trials of integrated models of HCV-alcohol treatment have been recommen ... Full text Link to item Cite

A 2-Year Holistic Health and Stress Intervention: Results of an RCT in Clergy.

Journal article Am J Prev Med · September 2017 Featured Publication INTRODUCTION: This study sought to determine the effect of a 2-year, multicomponent health intervention (Spirited Life) targeting metabolic syndrome and stress simultaneously. DESIGN: An RCT using a three-cohort multiple baseline design was conducted in 20 ... Full text Link to item Cite

Prospective Associations Between Depressive Symptoms and the Metabolic Syndrome: the Spirited Life Study of Methodist Pastors in North Carolina.

Journal article Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · August 2017 Featured Publication BackgroundMetabolic syndrome (Met-S) has a robust concurrent association with depression. A small, methodologically limited literature suggests that Met-S and depression are reciprocally related over time, an association that could contribute to t ... Full text Cite

Design and preliminary analysis of a vaginal inserter for speculum-free cervical cancer screening.

Journal article PLoS One · 2017 Featured Publication OBJECTIVE: Cervical cancer screening usually requires use of a speculum to provide a clear view of the cervix. The speculum is one potential barrier to screening due to fear of pain, discomfort and embarrassment. The aim of this paper is to present and dem ... Full text Link to item Cite

Using effort-reward imbalance theory to understand high rates of depression and anxiety among clergy.

Journal article J Prim Prev · December 2013 Featured Publication The clergy occupation is unique in its combination of role strains and higher calling, putting clergy mental health at risk. We surveyed all United Methodist clergy in North Carolina, and 95% (n = 1,726) responded, with 38% responding via phone interview. ... Full text Link to item Cite

Use of a randomized multiple baseline design: rationale and design of the spirited life holistic health intervention study.

Journal article Contemp Clin Trials · July 2013 Featured Publication Clergy suffer from high rates of obesity, chronic disease, and depression, and simultaneously underestimate the toll these take on their daily functioning. Health interventions are needed for clergy and may be tailored to their occupational context and the ... Full text Link to item Cite

An integrated alcohol abuse and medical treatment model for patients with hepatitis C.

Journal article Dig Dis Sci · April 2012 Featured Publication BACKGROUND: Patients with chronic hepatitis C virus (HCV) infection have high rates of alcohol consumption, which is associated with progression of fibrosis and lower response rates to HCV treatment. AIMS: This prospective cohort study examined the feasibi ... Full text Open Access Link to item Cite

An interrupted time series evaluation of a hepatitis C intervention for persons with HIV.

Journal article AIDS Behav · November 2011 Featured Publication Accurate HCV knowledge is lacking among high-risk groups, including people with HIV/AIDS (PLWHA). Liver disease primarily due to HCV has emerged as a serious cause of mortality among PLWHA. We used an Interrupted Time Series design to evaluate a social-eco ... Full text Link to item Cite

A theoretical model of the holistic health of United Methodist clergy.

Journal article J Relig Health · September 2011 Featured Publication Culturally competent health interventions require an understanding of the population's beliefs and the pressures they experience. Research to date on the health-related beliefs and experiences of clergy lacks a comprehensive data-driven model of clergy hea ... Full text Link to item Cite

A cross-site, comparative effectiveness study of an integrated HIV and substance use treatment program.

Journal article AIDS Patient Care STDS · October 2010 Featured Publication Co-occurrence of HIV and substance abuse is associated with poor outcomes for HIV-related health and substance use. Integration of substance use and medical care holds promise for HIV patients, yet few integrated treatment models have been reported. Most o ... Full text Open Access Link to item Cite

Attitudes and behaviors that differentiate clergy with positive mental health from those with burnout

Journal article Journal of Prevention & Intervention in the Community Featured Publication Clergy provide significant support to their congregants, sometimes at a cost to their mental health. Identifying the factors that enable clergy to flourish in the face of such occupational stressors can inform prevention and intervention efforts to support ... Cite