Conducting Rural Health Research, Needs Assessments, and Program Evaluations – Resources

An Updated Model of Rural Hospital Financial Distress
Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health
Date: 10/2024
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Conducting Culturally Responsive Evaluation Engagement with Tribal and Native Communities
Analyzes evaluation methods used to track Native or Indigenous Tribal human trafficking programs during their formation, implementation, and maturation phases. Examines how Native or Indigenous Tribal governments and organizations use culturally informed practices to address human trafficking.
Author(s): Ada Pecos Melton, Rita Martinez, Christina Melander, Elizabeth Tibaduiza, Rebecca Pfeffer
Date: 09/2024
Sponsoring organization: Administration for Children and Families
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The Implicit and Explicit Exclusion of People with Disabilities in Clinical Trials
Reports on barriers for people with disabilities in participating in clinical research trials and offers recommendations to various federal agencies for removing those barriers. Discusses rural concerns including opportunities for participation due to distance.
Date: 08/2024
Sponsoring organization: National Council on Disability
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Implementing Evidence-Based Practices in Rural Settings: A Scoping Review of Theories, Models, and Frameworks
Scoping review of literature on theories, models, and frameworks commonly used in rural health research. Includes 61 articles published since 1998. Discusses Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM), Community-Based Participatory Research (CBPR), Consolidated Framework for Implementation Research (CFIR), and Promoting Action on Research Implementation in Health Services (iPARIHS).
Author(s): Robert E. Brady, Kathleen D. Lyons, Courtney J. Stevens, et al.
Citation: Frontiers in Health Services, 4, 1326777
Date: 07/2024
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Same People, Different Results: Categorizing Cancer Registry Cases Across the Rural-Urban Continuum
Evaluates patient categorization results produced by applying 9 U.S. rural-urban indexes to 1,569 Wisconsin Pancreatic Cancer Registry patients. Discusses indexes' consistency of results, geographic scale, and other concerns related to their application to cancer research.
Author(s): Andrea M. Schiefelbein, John K. Krebsbach, Amy K. Taylor, et al.
Citation: Wisconsin Medical Journal, 123(2), 78-87
Date: 05/2024
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A Standard Framework for Evaluating Large Health Care Data and Related Resources
Identifies a set of actions, criteria, and tools that can be used in evaluating large healthcare data and related resources. Includes information on evaluating data coverage and representativeness, including the availability of information on rural or urban location.
Author(s): Suad El Burai Felix, Hussain Yusuf, Matthew Ritchey, et al.
Citation: MMWR Supplements, 73(Suppl. 3), 1-13
Date: 05/2024
Sponsoring organization: Centers for Disease Control and Prevention
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RE-AIM For Rural Health Innovations: Perceptions of (Mis) Alignment Between the RE-AIM Framework and Evaluation Reporting in the Department of Veterans Affairs Enterprise-Wide Initiatives Program
Interviewed 48 Department of Veterans Affairs (VA) Office of Rural Health's (ORH) Enterprise-Wide Initiatives (EWI) team members on perceptions of, as well as barriers and facilitators to, implementation of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) method of evaluation. Discusses the benefits and challenges of implementing a shared framework across diverse initiatives.
Author(s): Emily E. Chasco, Jennifer Van Tiem, Nicole Johnson, et al.
Citation: Frontiers in Health Services, 4, 1278209
Date: 04/2024
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Evaluation of Respondent-Driven Sampling in Seven Studies of People Who Use Drugs from Rural Populations: Findings from the Rural Opioid Initiative
Examines the efficacy of respondent-driven sampling (RDS) to recruit people who use drugs (PWUD) in rural populations. Analyzes 7 Rural Opioid Initiative studies that occurred between 2018-2020 and performs statistical analyses to observe RDS-generated validity in population-level prevalence estimates.
Author(s): Abby E. Rudolph, Robin M. Nance, Georgiy Bobashev, et al.
Citation: BMC Medical Research Methodology, 24, 94
Date: 04/2024
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A Strategy To Support Perinatal Mental Health By Collaborating With Tribal Communities In Montana
Describes a community-based participatory approach with Montana tribal communities to create an online guide of mental health resources for prenatal to age three populations. Discusses the outcomes of collaboration, the Two-Eyed Seeing approach for health promotion, and opportunities for including cultural knowledge and values in future health promotion work.
Author(s): Amy Stiffarm, Stephanie Morton, Dawn Gunderson, et al.
Citation: Health Affairs, 43(4)
Date: 04/2024
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Reaching the Unheard: Overcoming Challenges in Health Research with Hard-to-Reach Populations
Analyzes strategies to engage hard-to-reach populations in health research. Discusses two case studies focused on specific issues in health research: breast cancer screening among rural and urban Mexican women in Illinois and mental health needs of Afghan refugees in Oklahoma. Provides reflection on issues such as cultural competency, language used in research, cultural identity and representation of research staff, choosing appropriate research sites, and more.
Author(s): Venera Bekteshi, Munjireen Sifat, Darla E. Kendzor
Citation: International Journal for Equity in Health, 23, 61
Date: 03/2024
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