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Rural Health
Resources by Topic: Wellness, health promotion, and disease prevention

Family-centered Program Deters Substance Use, Conduct Problems, and Depressive Symptoms in Black Adolescents
Demonstrates how a family-centered preventive intervention, the Strong African American Families–Teen (SAAF–T) program can reduce behavior problems, substance use, and symptoms of depression among black adolescents living in rural Georgia. Data was collected from 502 Black families randomly assigned to either a controlled condition or the SAAF-T program. Adolescents, ages 16 and 17 years, self-reported problem behaviors, substance use, and depression over a period of 22 months.
Author(s): Gene H. Brody, Yi-fu Chen, Steven M. Kogan, et al.
Citation: Pediatrics, 129(1) 108-115
Date: 01/2012
Type: Document
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Formative Research Conducted in Rural Appalachia to Inform a Community Physical Activity Intervention
Describes the perceived barriers to and facilitators of physical activity in rural Appalachia. Reviews organized programs for physical activity and suggests partnerships for physical activity programming. Table 3 lists the barriers and facilitators of physical activity.
Author(s): Tina M. Kruger, Mark Swanson, Rian E. Davis, et al.
Citation: American Journal of Health Promotion, 26(3), 143-151
Date: 01/2012
Type: Document
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Intervention Mapping as a Guide for the Development of a Diabetes Peer Support Intervention in Rural Alabama
Describes development of a culturally relevant program to improve diabetes self-management among medically underserved African American adults in Alabama's Black Belt. Discusses intervention mapping as a systematic process combining theory, empirical evidence from the literature, and data from the community, and shows how this may be a useful approach in developing and adapting programs.
Author(s): Andrea Cherrington, Michelle Y. Martin, Michaela Hayes, et al.
Citation: Preventing Chronic Disease, 9
Date: 01/2012
Type: Document
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Economic Impact of a Smoke-Free Ordinance on Bars and Restaurants in a Small, Rural, Missouri Community
Examines the economic impact of a city-wide smoke free ordinance in rural Kirksville, Missouri on bar and restaurant taxable sales revenues.
Author(s): Carolyn C. Cox, Noaman Kayani, Stanley R. Cowan, Leslie A. Moss
Citation: Missouri Medicine, 109(1), 75-78
Date: 2012
Type: Document
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Development of the Rural Active Living Perceived Environmental Support Scale (RALPESS)
Describes the development of the Rural Active Living Perceived Environmental Support Scale (RALPESS) survey instrument to measure perceptions of rural environments for physical activity. Includes definitions, characteristics, and items on each of the seven RALPESS factors: church facilities, town center connectivity, indoor areas, around your home/neighborhood, town center physical activity resources, school grounds, and outdoor areas.
Author(s): M. Reneé Umstattd, Stephanie L. Baller, Erin Hennessy, et al.
Citation: Journal of Physical Activity & Health, 9(5), 724-730
Date: 2012
Type: Document
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Childhood Obesity Prevention in Rural Settings: Background, Rationale, and Study Design of '4-Health,' a Parent-only Intervention
Summarizes the development of a parent-centered obesity intervention program, implementation of a 4-Health Educational program for children currently active in 4-H Youth Development programs, and evaluation of the outcome measures in children and parents of rural Montana.
Author(s): Wesley C. Lynch, Jill Martz, Galen Eldridge, et al.
Citation: BMC Public Health, 12, 255
Date: 2012
Type: Document
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Community Strategies to Address Cancer Disparities in Appalachian Kentucky
An overview of a community-based participatory research intervention in Appalachian Kentucky to address cancer disparities. Includes discussion of the perceptions and barriers to screening. Covers strategies for working in Appalachia, rural locations, and other traditionally undeserved communities. Table 3 lists characteristics and Figure 1 is an example focus group interview guide.
Author(s): Nancy E. Schoenberg, Britteny M. Howell, Nell Fields
Citation: Family & Community Health, 35(1), 31-43
Date: 2012
Type: Document
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Prevalence of Obesity Among Adults From Rural and Urban Areas of the United States: Findings From NHANES (2005–2008)
Examines rural and urban obesity rates using measured height and weight to calculate body mass index, rather than self-reported obesity rates. Also looks at demographics, diet, and physical activity as they relate to obesity for rural and urban residents. Uses data from the National Health and Nutrition Examination Survey (NHANES).
Author(s): Christie A. Befort, Niaman Nazir, Michael G. Perri
Citation: Journal of Rural Health, 28(4), 392-397
Date: 2012
Type: Document
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A Community-Driven Approach to Identifying "Winnable" Policies Using the Centers for Disease Control and Prevention's Common Community Measures for Obesity Prevention
Describes a community-based participatory research approach used in two rural North Carolina counties to select obesity prevention strategies, based on the Common Community Measures for Obesity Prevention (COCOMO). Discusses how COCOMO might be adapted for use in rural communities.
Author(s): Stephanie B. Jilcott Pitts, Lauren M. Whetstone, Jean R. Wilkerson, Tosha W. Smith, Alice S. Ammerman
Citation: Preventing Chronic Disease, 9
Date: 2012
Type: Document
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Effects of Rural Residence on VA Care of Persons Living with HIV
Reports on rural-urban differences in the treatment of veterans living with HIV.
Author(s): M.E. Ohl, B. Lund, P. Belperio, et al.
Date: 2012
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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