Rural Project Examples Addressing Aging and aging-related services

StrongPeople™ Program
Updated/reviewed July 2023

Need: Few older adults, particularly women and those in rural areas, participate in healthy living interventions.
Intervention: Health educators lead community-based healthy living classes, which include strength training, aerobic exercise, dietary skill building, and/or civic engagement, depending on the program.
Results: StrongPeople™ programs have been shown to improve weight, diet, physical activity, strength, cardiovascular health profile, physical function, pain, depression, and/or self-confidence in midlife and older adults.

Fit & Strong!®
Updated/reviewed August 2020

Need: Osteoarthritis is a chronic condition which often causes multiple related disabilities in older adults.
Intervention: An 8-week physical activity, behavior change, and falls prevention program geared to older adults with osteoarthritis.
Results: Participants gained confidence with increased exercise, lessened stiffness, improved joint pain and improved lower extremity strength and mobility.

Care for Our Elders/Wakanki Ewastepikte
Updated/reviewed June 2023

Need: To provide Lakota elders with tools and opportunities for advance care planning.
Intervention: An outreach program in South Dakota helps Lakota elders with advance care planning and wills by providing bilingual brochures and advance directive coaches.
Results: Care for Our Elders saw an increase in the number of Lakota elders understanding the differences between a will and a living will and the need to have end-of-life discussions with family and healthcare providers.

LIFE - Living well through Intergenerational Fitness and Exercise
Updated/reviewed November 2022

Need: Older adults in rural Iowa have inadequate access to physical activity specialists and/or exercise facilities, which limits their ability to remain sufficiently active.
Intervention: Iowa State University implemented an intergenerational "exergaming" program to encourage fun and safe physical fitness among rural older adults.
Results: Pilot studies showed that older adults demonstrated increases in strength, flexibility, activity levels, and confidence in their ability to be physically active. Younger adults experienced reduced ageism and increased knowledge and expectations of aging.

Livingston County Help For Seniors
Updated/reviewed May 2020

Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
Intervention: The Help for Seniors program was developed and using its 'vodcasts,' local EMTs were trained in geriatric screening methods and health needs treatment.
Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.

SASH® (Support and Services at Home)
Updated/reviewed March 2023

Need: In Vermont, the growing population of older adults, coupled with a lack of a decentralized, home-based system of care management, poses significant challenges for those who want to remain living independently at home.
Intervention: SASH® (Support and Services at Home), based in affordable housing and their surrounding communities throughout the state, works with community partners to help older adults and people with disabilities receive the care they need so they can continue living safely at home.
Results: Compared to their non-SASH peers, SASH participants have been documented to have better health outcomes, including fewer falls, lower rates of hospitalizations, fewer emergency room visits, and lower Medicare and Medicaid expenditures.

Age-Friendly and Dementia-Friendly Winnemucca
Updated/reviewed August 2023

Need: To educate rural community members about Alzheimer's disease and other dementias and to support older adults in need.
Intervention: A community group formed in Winnemucca, Nevada, to discuss topics like health, housing, social events, community improvement, education, and transportation for older adults. The group also provides outreach to older adults, caregiver support, and a variety of of educational activities and events.
Results: The group's efforts have led to many changes for community welfare and safety as well as opportunities for education and activities.

CAPABLE (Community Aging in Place—Advancing Better Living for Elders)
Updated/reviewed July 2023

Need: To help older adults age in place.
Intervention: For five months, CAPABLE participants receive home visits from a registered nurse, occupational therapist, and home repair services.
Results: There are currently over 35 CAPABLE sites across the country, 11 of which are located in rural communities.

Hospital2Home
Updated/reviewed April 2023

Need: To prevent hospital readmissions and improve the recovery process for older adults in rural southern Ohio.
Intervention: Hospital2Home identifies individuals who have an elevated risk of hospital readmission and provides vouchers for services like personal care and home-delivered meals.
Results: In each of the six years the program has been in operation, over 85% of participants have avoided readmission in the first two months after hospital discharge.

Right Side Up Falls Prevention
Updated/reviewed March 2023

Need: Falling is one of the leading causes of morbidity and mortality in adults over the age of 65.
Intervention: The Right Side Up program was implemented in rural Otter Tail County to address the prevention and management of falls and risk for falls through in-home assessments given by interdisciplinary healthcare professionals and students.
Results: Short-term outcomes revealed 100% of participants found the visit and recommendations for falls prevention to be helpful, and 78% implemented these recommendations.

Rural Project Examples: Aging and aging-related services