Rural Project Examples: Health conditions
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.
Project C.A.R.E.
Updated/reviewed October 2024
- Need: There is a lack of dementia-specific support for rural caregivers.
- Intervention: Project C.A.R.E. was created to meet the needs of caregivers of those with Alzheimer's or other dementias, targeting rural North Carolina.
- Results: Under Project C.A.R.E., rural families receive information and referrals as well as individualized care consultation from dementia-trained family consultants.
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.
Texas C-STEP Project: Cancer Screening, Training, Education and Prevention Program
Updated/reviewed September 2023
- Need: Improve screening rates for rural uninsured/underinsured patients in counties surrounding Bryan-College Station, Texas.
- Intervention: An academic center's nursing and family medicine training programs partnered with its public health program to obtain state grant funds for execution of a coordinated cancer prevention and detection program.
- Results: In 5 years of colorectal screening efforts, 18 cases of colorectal cancer were diagnosed in addition to detection of precancerous lesions in 25% of nearly 2000 screening colonoscopies. In 3 years of women's health screening, 18 cases of breast cancer and 141 precancerous cervical lesions were also detected. Due to the initial success of the project, the program continues.
ALProHealth
Updated/reviewed March 2023
- Need: To improve access to healthy food and physical activity in rural Alabama.
- Intervention: Researchers hold focus groups with community members to identify issues of the most concern and then help them implement appropriate interventions like installing playground equipment.
- Results: From 2014 to 2018, 14 coalitions implemented 101 interventions in 16 communities.
Prevention through Care Navigation Outreach Program

Updated/reviewed May 2020
- Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
- Intervention: Community Health Workers are utilized to create a system of coordinated care in Delta, Montrose, Ouray, and San Miguel counties.
- Results: As of 2018, 2,709 people have been screened for diabetes and cardiovascular disease, with many at-risk patients lowering cholesterol, blood pressure, and A1C levels after engaging with a Community Health Worker.
For examples from other sources, see: