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Rural Health
Resources by State: Iowa

The Impact of Internet Connectivity When Conducting a Virtual Clinical Trial with Participants Living in Rural Areas
Evaluates the effectiveness of virtual randomized clinical trials for research involving rural family caregivers. Analyzes notes across 1,003 visits with research participants in Minnesota, Iowa, and Wisconsin to identify internet reliability issues and impact on the research. Discusses internet access a social determinant of health.
Author(s): Diane E. Holland, Catherine E. Vanderboom, Jay Mandrekar, et al.
Citation: Contemporary Clinical Trials Communications, 42, 101366
Date: 12/2024
Type: Document
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I-CASH Annual Report 2024
Iowa's Center for Agricultural Safety and Health's (I-CASH) annual report on statewide prevention and education programs addressing agricultural safety and health from 2023-2024. Highlights the organization's connection and engagement projects, describes recent efforts to provide agricultural solutions, and includes a list of seasonal campaigns and accomplishments.
Date: 11/2024
Type: Document
Sponsoring organization: Iowa's Center for Agricultural Safety and Health
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Increasing Digital Equity to Promote Online Smoking Cessation Program Engagement among Rural Adults: A Randomized Controlled Pilot Trial
Evaluates 3 digital access interventions for a smoking cessation program among 90 rural adults. Discusses trial engagement among the 3 intervention types, smoking cessation-related outcomes, and patient experience.
Author(s): Sydney Kelpin, Tabetha A. Brockman, Paul A. Decker, et al.
Citation: Communications Medicine, 4, 194
Date: 10/2024
Type: Document
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Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery
Examines the presence of family medicine (FM) physicians and obstetricians (OBs) during labor and delivery. Utilizes survey data from 849 clinicians at 39 Iowa hospitals to analyze hospitals with FMs, OBs, or both and the association to safety culture and caesarean birth rates. Discusses the importance of FM physicians having intrapartum training and the impact on rural access to to pregnancy care.
Author(s): Emily White VanGompel, Lavisha Singh, Francesca Carlock, et al.
Citation: The Annals of Family Medicine, 22(5), 375-382
Date: 09/2024
Type: Document
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Challenges and Opportunities in Rural Health Care: Chelsea Lensing
A video recording of a podcast episode that discusses mental healthcare access in rural Iowa. Features Chelsea Lensing, economics professor at Coe College in Iowa, who studies disparities in healthcare access in rural versus urban populations. Transcript available below video.
Author(s): Paul Yeager, Chelsea Lensing
Date: 09/2024
Type: Video/Multimedia
Sponsoring organization: Iowa PBS
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A National Study of Firearm Exposure and Safety Training Among Rural Youth
Examines firearm exposure and related safety training in rural adolescents. Utilizes survey data from 3,206 adolescents aged 13 to 18 who attended the 2021 National FFA Convention & Expo in Iowa. Provides data breakdowns according to demographics, firearm use, hunting experience, firearm safety experiences, age when exposed to firearms, and more.
Author(s): Jamie L. Koopman, Benjamin M. Linden, Megan R. Sinik, et al.
Citation: Injury Epidemiology, 11, 47
Date: 09/2024
Type: Document
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Changes in Substance Use Diagnoses in the Great Plains during the COVID-19 Pandemic
Analyzed 109,671 patient visits for alcohol use disorder, opioid use disorder, or stimulant use disorder in 7 Great Plains states between March 2019 and March 2021 to report on demographic and geographic pattern disruptions in healthcare during the COVID-19 pandemic. Includes discussion of metropolitan and nonmetropolitan residency on data and policy implications regarding access to care.
Author(s): Ahmed Nahian, Lisa M. McFadden
Citation: Healthcare, 12(16)
Date: 08/2024
Type: Document
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Rural Health Equity in HHS Region 7
Presentation slides that provide highlights related to rural health equity in the U.S. Department of Health and Human Services (HHS) Region 7, which consists of Iowa, Nebraska, Missouri, and Kansas. Discusses issues such as COVID-19 health equity funding, housing, farmworker and immigrant health, maternal healthcare access, and more.
Author(s): Whitney Zahnd
Date: 07/2024
Type: Presentation Slides
Sponsoring organization: Iowa College of Public Health
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Variation in Dentist Participation Between Dental Medicaid Managed Care Organizations
Examines the variation in Medicaid managed care organization (MCO) participation among private practice dentists in Iowa. Describes factors associated with Medicaid MCO participation, including dentists' personal and practice characteristics, including practice type, rural or urban location, and dental Health Professional Shortage Area (HPSA) designation.
Author(s): Pamela C. Nwachukwu, Peter C. Damiano, Steven Levy, et al.
Citation: Journal of Public Health Dentistry,
Date: 07/2024
Type: Document
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Caregiver Recruitment Strategies for Interventions Designed to Optimize Transitions from Hospital to Home: Lessons from a Randomized Trial
Compares in-person and virtual recruitment strategies for a video-based intervention for family caregivers (FCGs) to improve transitional palliative care for critically ill patients in rural Minnesota, Wisconsin, and Iowa. Includes data on effectiveness of each strategy and diversity of recruited FCGs.
Author(s): Allison M. Gustavson, Molly J. Horstman, et al.
Citation: Trials, 25, 454
Date: 07/2024
Type: Document
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