Rural Project Examples: Health conditions
Promising Examples
Health without Borders
Updated/reviewed January 2024
- Need: To improve the health of communities in the south central region of New Mexico.
- Intervention: A program was developed to specifically address diabetes prevention and control, behavioral healthcare, and immunization in Luna County.
- Results: During the program, 1,500 immunizations were distributed, baseline measurements of participants improved, and 935 new patients were seen for behavioral health issues.
Project C.A.R.E.
Updated/reviewed October 2023
- 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 underserved 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.
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.
The Rural Virtual Infusion Program
Updated/reviewed April 2020
- Need: Allow rural cancer patients in a region inclusive of 26 counties in Iowa, Minnesota, and South Dakota to have access to tertiary-level chemotherapy regimens in rural infusion centers.
- Intervention: With telehealth-based oversight from a tertiary care oncology team, 3 rural infusion teams were trained to coordinate cancer treatment plans and administer complex chemotherapy regimens.
- Results: Almost 130 patients were transitioned to receive chemotherapy in a rural infusion center, translating to over 1,000 infusion visits and saving patients/families nearly 65,000 trip miles, 1,800 travel hours and $71,000.
Youth4Health
Updated/reviewed December 2019
- Need: To educate youth about obesity and healthy lifestyle choices.
- Intervention: An educational program about healthy living was implemented in Lincoln and Claiborne Parishes in Louisiana for youth ages 9-18.
- Results: Youth4Health program produced greater awareness and participation in healthier lifestyles by target youth and their families, as well as church congregations.
Other Project Examples
Riverfront Talks: Substance Matters Podcast
Updated/reviewed December 2024
- Need: To reduce stigma around mental illness and substance use in North Carolina.
- Intervention: The Beaufort County Behavioral Health Task Force created the Riverfront Talks: Substance Matters podcast to interview people with lived experience.
- Results: As of December 2024, the podcast has 11 episodes.
Heartland OK
Updated/reviewed November 2024
- Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
- Intervention: Heartland OK was a care coordination model in 20 counties.
- Results: Using a team-based care model increased patients' ability to reduce their blood pressure or achieve blood pressure control.
One Health Recovery Doulas
Updated/reviewed November 2024
- Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
- Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
- Results: A team of nine recovery doulas (or doulas-in-training) employed by One Health offer services in 13 rural Montana counties. Recovery doulas have provided essential support to women with substance use disorder, survivors of sexual abuse, unhoused individuals, and individuals facing other complex challenges.
For examples from other sources, see: