Rural Health
Resources by Type: Document
Learning Modalities During COVID-19 and Adolescent Mental Health in North Carolina
Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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Examines virtual, hybrid, and in-person learning modalities and their impact on adolescent mental health during the COVID-19 pandemic. Analyzes mental health emergency department (ED) visits in North Carolina alongside county-level information on learning modalities used over time. Provides rural versus urban data on impacts of learning modality on mental health.
Author(s): Justin Cole Gilbert, Martie P. Thompson, Sophia Ryan, Manan Roy
Citation: Journal of School Health, 96(1), e70093
Date: 01/2026
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A Scoping Review Comparing Individual and Multi-Level Physical Activity Interventions in Rural Women in the United States
Scoping review comparing the outcomes of 38 individual and multi-level physical activity interventions for rural women. Discusses aspects of physical activity intervention research including population groups studied, characteristics of effective programs, and priorities for continued physical activity intervention research.
Author(s): Katrina L. Wilhite, Alexis Thrower, Sarah Modlin, et al.
Citation: BMC Public Health, 25, 4211
Date: 12/2025
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Scoping review comparing the outcomes of 38 individual and multi-level physical activity interventions for rural women. Discusses aspects of physical activity intervention research including population groups studied, characteristics of effective programs, and priorities for continued physical activity intervention research.
Author(s): Katrina L. Wilhite, Alexis Thrower, Sarah Modlin, et al.
Citation: BMC Public Health, 25, 4211
Date: 12/2025
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Measuring State Flex Program Impact: Tools to Support Outcome Measurement and Evaluation
Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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Toolkit designed to help State Flex Programs (SFPs) with manage and document project performance and comply with the Federal Office of Rural Health Policy's expectations regarding outcome measurement and reporting. Provides blank worksheets for SFPs as they work through the steps for their projects, as well as links to outcome measurement resources.
Additional links: Webinar Recording
Author(s): John Gale, Bridget Harr
Date: 12/2025
Sponsoring organization: Flex Monitoring Team
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All Texas Access Report for Fiscal Year 2025
Reports on access to mental health services for rural Texans. Includes information on service availability, objectives and strategies, and challenges and strengths in each region in Texas.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Reports on access to mental health services for rural Texans. Includes information on service availability, objectives and strategies, and challenges and strengths in each region in Texas.
Date: 12/2025
Sponsoring organization: Texas Health and Human Services
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Advancing Trauma Systems in the United States: Bridging Disparities Through State-Level Legislation and a Health Systems Approach
Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, e70073
Date: 12/2025
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Discusses disparities in trauma care in rural and urban communities in the United States. Examines weaknesses in the current trauma system and provides associated legislative solutions. Offers policy strategies for rural regions and trauma systems with limited capacity.
Author(s): Bilal Irfan, Zain Hashmi, Tatiana Ramos, Molly Jarman
Citation: Health Services Research, e70073
Date: 12/2025
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Data Book: Beneficiaries Dually Eligible for Medicare and Medicaid
Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2022 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 15 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 12/2025
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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Provides an overview of dual-eligible beneficiaries who receive benefits from both Medicare and Medicaid. Analyzes data from calendar year 2022 to examine beneficiary demographics, eligibility pathways, utilization and spending patterns, and more. Exhibit 6 on page 15 includes a breakdown of beneficiaries based on urban or rural residence.
Date: 12/2025
Sponsoring organizations: Medicaid and CHIP Payment and Access Commission, Medicare Payment Advisory Commission
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Examining Rural Disparities in Cigarette Smoking Among U.S. Women by Chronological Age: 2002–2022
Presents a study on rural disparities in rates of cigarette smoking among women from 2002 to 2022. Draws data from the National Survey on Drug Use and Health and examines correlative factors, such as age, educational attainment, and income, among others.
Author(s): Stephen T. Higgins, Tyler G. Erath, Fang Fang Chen, Michael J. DeSarno
Citation: Preventive Medicine, 201, 108359
Date: 12/2025
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Presents a study on rural disparities in rates of cigarette smoking among women from 2002 to 2022. Draws data from the National Survey on Drug Use and Health and examines correlative factors, such as age, educational attainment, and income, among others.
Author(s): Stephen T. Higgins, Tyler G. Erath, Fang Fang Chen, Michael J. DeSarno
Citation: Preventive Medicine, 201, 108359
Date: 12/2025
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Who is Performing Routine Screening Endoscopy in Kansas Rural Communities
Examines the types of healthcare practitioners who perform endoscopic screening procedures in rural communities in Kansas. Utilizes survey data from 542 practicing physicians and provides information on their demographics, medical specialty, confidence in performing endoscopic procedures, and more.
Author(s): Todd T. Savolt, Jared Reyes, Siman Antar, Kyle Vincent
Citation: American Journal of Surgery, 250, 116511
Date: 12/2025
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Examines the types of healthcare practitioners who perform endoscopic screening procedures in rural communities in Kansas. Utilizes survey data from 542 practicing physicians and provides information on their demographics, medical specialty, confidence in performing endoscopic procedures, and more.
Author(s): Todd T. Savolt, Jared Reyes, Siman Antar, Kyle Vincent
Citation: American Journal of Surgery, 250, 116511
Date: 12/2025
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Early Adoption of Telehealth/Remote Patient Monitoring and Hospital Revenue Changes During COVID-19
Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Evaluates telehealth and remote patient monitoring use between 2019 and 2020 among 1,742 rural and urban hospitals to determine the impact of COVID-19 on utilization and revenue. Discusses potential policy measures given study findings.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Citation: Journal of Telemedicine and Telecare, 31(10)
Date: 12/2025
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Co-Creating and Disseminating Substance Use and Vaping Educational Videos, Question Prompt Lists, and Other Resources in Partnership with Community Organizations and Youth in Western North Carolina
Describes the development of and evaluates the social media reach of a youth empowerment program addressing substance use in rural North Carolina. Discusses the inclusion of youth in the development process.
Author(s): Betsy Sleath, Abena A. Adjei, Jeremy Lowery, et al.
Citation: PEC Innovation, 7
Date: 12/2025
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Describes the development of and evaluates the social media reach of a youth empowerment program addressing substance use in rural North Carolina. Discusses the inclusion of youth in the development process.
Author(s): Betsy Sleath, Abena A. Adjei, Jeremy Lowery, et al.
Citation: PEC Innovation, 7
Date: 12/2025
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