Rural Project Examples Addressing Wellness, health promotion, and disease prevention

Communities that Care Coalition

Updated/reviewed April 2023

Need: To improve the health and well-being of young people in the rural area of Massachusetts's Franklin County and North Quabbin, and to reduce youth drug and alcohol use.
Intervention: A community-based prevention coalition was formed to improve youth health and well-being and reduce youth drug and alcohol use use. The coalition brings together stakeholders from across the community and uses the Communities That Care evidence-based community planning system.
Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.

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.

Updated/reviewed June 2022

Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of eastern Kentucky and Ohio.
Intervention: A web-based smoking cessation program that offered monetary incentives to reducing smoking.
Results: Participants significantly reduced smoking rates or quit altogether.

Updated/reviewed July 2020

Need: To improve the oral health status of children ages 3 to 17 living in rural areas of Louisiana.
Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.

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.

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.

Updated/reviewed April 2025

Need: Drowning was a leading cause of death for children in Alaska.
Intervention: Cold Water Safety and Survival for Educators workshops were developed in 1998, with help from a 4-year federal grant, to train educators to provide education and hands-on skills for school children and members of the public.
Results: The safety program was integrated into about 79% of Alaskan school curriculum and schools in other states, helping to train hundreds of educators and thousands of children on the importance of cold water safety.

Updated/reviewed April 2025

Need: Neonatal Intensive Care Units (NICUs) across the state of South Carolina were purchasing breast milk from out-of-state milk banks for preterm infants.
Intervention: The Mother's Milk Bank of South Carolina (MMBSC) opened 25 sites in South Carolina for breast milk to be donated, safely pasteurized, and delivered to NICUs across the state.
Results: Over 24,320,167 ounces of milk have been donated to MMBSC depot sites and over 14,932,920 ounces of milk have been delivered to South Carolina NICUs.

Updated/reviewed March 2025

Need: To educate people in rural Virginia who either have diabetes or are considered at high risk for developing it.
Intervention: Teleconferencing technology is used to offer diabetes education programs to people with diabetes or those at high risk for developing it. Health professionals are also indirectly trained in diabetes care and management.
Results: Participants reported better prevention practices and/or self-management of diabetes after being thoroughly educated about this condition.

Updated/reviewed January 2025

Need: To promote mental health and prevent substance use disorders in rural Oregon, Washington, Idaho, and Alaska.
Intervention: Coast to Forest strengthens local capacity through training, technical assistance, education, and community partnerships.
Results: In its five years of operation, the project has trained over 800 individuals across the Pacific Northwest in Mental Health First Aid, developed 100 county-level resource guides, organized a series of Community Conversations in five rural Oregon counties, and more.