Effective Rural Project Examples - Rural Health Information Hub

Active Aging for L.I.F.E.

Added February 2026

Need: To increase behaviors that will promote healthy aging in rural Oklahoma.
Intervention: Active Aging for L.I.F.E. offers a college class, lunch and learns, and a high school program that teaches students how their behaviors affect aging.
Results: High school students demonstrated more positive beliefs about growing older, better awareness of the role of physical and brain health, and an increased appreciation for older adults.

Updated/reviewed January 2026

Need: Improve health and wellness outcomes for those affected by trauma and adverse experiences.
Intervention: A language, traditions, and customs-specific evidence-based peer support model that trains local communities on education and prevention strategies to address and heal the effects of trauma.
Results: Peer-reviewed results show decreases in emergency room visits and hospitalizations, over 50% reduction of trauma symptomology, decreases in unhealthy substance use, and improvements in family and spiritual well-being. Model elements have adapted in Canada and several Lower 48 states.

Updated/reviewed January 2026

Need: To meet the health needs of an expanding older adult population in rural Livingston County, New York.
Intervention: In 2006, a federal grant was leveraged to create the Help For Seniors program that focused on EMT training for performing in-field health needs assessments for older adults and the support for a case management staff to address those screening results.
Results: Based on over 1,200 older adult evaluations and the training of nearly 200 EMTs, the project's results and capacity building became a foundation for continued similar county activities that are now supported by state funding.

Updated/reviewed November 2025

Need: To encourage farmers to make health and safety changes on their farms.
Intervention: Farm Dinner Theater is an event in which farmers and their families watch three 10-minute plays covering health and safety topics and then discuss solutions to the issues addressed in each.
Results: In a study, farmers who attended the plays were more likely to make changes and tell others what they learned, compared to farmers who received an educational packet with the same information.

Updated/reviewed November 2025

Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.

Updated/reviewed November 2025

Need: To increase access to medication treatment for opioid use disorder in rural Vermont.
Intervention: 2012-2016 implementation of a statewide hub-and-spoke treatment access system.
Results: The original system's increased treatment capacity and care coordination successes now are a permanent system of integrated care overseen by the Vermont state health department and Vermont Blueprint for Health.

Updated/reviewed October 2025

Need: The U.S. Associated Pacific Islands (USAPI) needed an efficient, effective, integrated method to improve primary care services that addressed the increased rates of non-communicable disease (NCD), the regional-specific phrase designating chronic disease.
Intervention: Through specialized training, multidisciplinary teams from five of the region's health systems implemented the Chronic Care Model (CCM), an approach that targets healthcare system improvements, uses information technology, incorporates evidence-based disease management, and includes self-management support strengthened by community resources.
Results: Aimed at diabetes management, teams developed a regional, culturally-relevant Non-Communicable Disease Collaborative Initiative that addresses chronic disease management challenges and strengthens healthcare quality and outcomes.

Updated/reviewed March 2025

Need: Due to West Virginia's high ranking for its use of smokeless tobacco, prevention and cessation education efforts were needed.
Intervention: Development and implementation of the Spit It Out-West Virginia program.
Results: Supported by a 2008-2010 grant allowing the program to be delivered to hundreds of people, 5 workplaces became tobacco free. The program continues to be delivered across the state and reaches hundreds with its face-to-face presentations and thousands with its specific media prevention and cessation messages.

Updated/reviewed November 2024

Need: Legal barriers often prevent low-income people in Southern Illinois from obtaining positive health outcomes despite receiving medical care.
Intervention: The Medical Legal Partnership of Southern Illinois (MLPSI) was formed to create a system where medical providers can refer patients in need of legal assistance to local attorneys.
Results: Over 5,700 patients have utilized MLPSI since its founding in 2002. The program has relieved over $8.1 million in medical debt for both hospitals and patients.

Updated/reviewed October 2024

Need: General surgeons are needed in rural communities.
Intervention: Oregon Health & Science University (OHSU) is sending residents to complete a general surgery rotation in rural southern Oregon.
Results: 19 graduates of the rural residency program are currently practicing in a rural setting. The residents remain more likely than other OHSU residents to enter general surgery practice and to serve in a community of fewer than 50,000 people.