Rural Project Examples: Health conditions
Effective Examples
Strong African American Families-Teen Program
Updated/reviewed May 2023
- Need: There is a lack of interventions that addresses teenager behavioral problems, particularly for rural African American adolescents.
- Intervention: Rural, locally trained leaders administered five 2-hour meetings for teenagers and their primary caregivers. Trainings focused on reducing risks that prevent positive development, specifically sexual risk-taking that can lead to HIV and other STIs.
- Results: Teens reported reduced conduct problems, depressive symptoms, and substance abuse. Families were strengthened, and SAAF-T reduced unprotected intercourse and increased condom efficacy.
New Mexico Mobile Screening Program for Miners
Updated/reviewed December 2022
- Need: To increase access to medical screening for miners in New Mexico.
- Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
- Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.
Vivir Mejor! (Live Better!) System of Diabetes Prevention and Care
Updated/reviewed August 2022
- Need: To address high rates of diabetes in rural Hispanic/Latino populations near the U.S.-Mexico border.
- Intervention: A comprehensive, culturally competent diabetes education program was implemented in Santa Cruz County, Arizona.
- Results: Since 2012, this program has helped participants better manage their diabetes and increase healthy living behaviors.
Trinity Hospital Twin City's Fit for Life
Updated/reviewed November 2018
- Need: To reduce obesity among adults in rural east central Ohio.
- Intervention: Fit for Life Replication Project for Expansion was developed to make it possible to lose weight through practicing healthier lifestyle behaviors.
- Results: Out of the 443 adults who have completed the program, 81% experienced weight loss, a tangible result of the program's overarching goal to enhance levels of health and fitness.
Promising Examples
Nurse Navigator and Recovery Specialist Outreach Program
Updated/reviewed December 2024
- Need: To properly address and treat patients who have concurrent substance use disorders and chronic healthcare issues.
- Intervention: A referral system utilizes community health workers (CHWs) in a drug and alcohol treatment setting. A registered nurse helps with providers' medication-assisted treatment programs.
- Results: This program has reduced hospital emergency visits and hospital readmissions for patients since its inception.
Tomah Hearing Loss Prevention Outreach
Updated/reviewed November 2024
- Need: Farmers are highly susceptible to permanent hearing loss due to prolonged exposure to loud machinery and livestock.
- Intervention: Faculty and students from the audiology department at the University of Wisconsin-Madison supplied earplugs, free hearing testing, and hearing loss prevention education to attendees and participants at an annual tractor pull event.
- Results: Between 2014 and 2019, the audiology team distributed more than 16,000 pairs of earplugs; attendees were receptive to the hearing loss prevention education provided by the team.
Healthy Early Learning Project (HELP)
Updated/reviewed August 2024
- Need: An ongoing health need to alleviate early childhood obesity in the rural Kansas counties of Marshall and Nemaha.
- Intervention: 5 distinct physical and nutritional programs were introduced to 9 preschool sites through the overarching Healthy Early Learning Project (HELP).
- Results: HELP comprehensively increased children's physical activity and healthy food consumption and established a sustainable presence at each preschool site.
Cross-Walk: Integrating Behavioral Health and Primary Care
Updated/reviewed May 2024
- Need: To address and treat substance use disorder (SUD) and depression in the Upper Great Lakes region.
- Intervention: Cross-Walk, a program that integrates behavioral healthcare into primary care services, was developed in Michigan's Marquette County.
- Results: The collaborative efforts strengthened care management services in local healthcare facilities as primary care patients were referred to a behavioral health specialist.
Northeast Louisiana Regional Pre-Diabetes Prevention Program
Updated/reviewed March 2024
- Need: To prevent or slow the progression of diabetes for at-risk residents in Rural Northeast Louisiana.
- Intervention: The North Louisiana Regional Alliance developed a program that offered screenings, education, and an intense course for participants throughout the Northeast Louisiana region to lower the risk of diabetes.
- Results: The program saw an overall decrease in blood sugar levels in residents who participated in their initiatives.
TelePrEP
Updated/reviewed March 2024
- Need: To prevent new cases of HIV in rural Iowa.
- Intervention: TelePrEP provides preventive care via telehealth and prescription delivery.
- Results: Between February 2017 and August 2020, TelePrEP received 456 referrals, with 403 patients completing an initial visit.
For examples from other sources, see: