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Rural Health Information Hub

Rural Project Examples: Evidence-Based

Browse rural projects that meet this collection's highest level of evidence. For each example listed, a review study of the approach has been published.

Updated/reviewed January 2023

  • Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
  • Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
  • Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.

Updated/reviewed August 2020

  • Need: Osteoarthritis is a chronic condition which often causes multiple related disabilities in older adults.
  • Intervention: An 8-week physical activity, behavior change, and falls prevention program geared to older adults with osteoarthritis.
  • Results: Participants gained confidence with increased exercise, lessened stiffness, improved joint pain and improved lower extremity strength and mobility.

Added June 2007

  • Need: Population-based rates of adult vaccinations and cancer screenings are low.
  • Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
  • Results: SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched in both rural and urban communities across the United States.