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Rural Project Examples: Children and youth

Evidence-Based Examples

ANGELS: Antenatal & Neonatal Guidelines, Education and Learning System
Updated/reviewed August 2017
  • Need: Arkansas had high rates of low birthweight babies, and women in rural areas had difficulty accessing specialty obstetric care.
  • Intervention: The University of Arkansas for Medical Sciences created the ANGELS telemedicine program to increase access to care for pregnant rural women in an effort to improve outcomes for high-risk pregnancies.
  • Results: ANGELS has increased access to care and reduced infant mortality for rural Arkansas women through a variety of programs and has been recognized by various organizations as a model program.
Helping Kids PROSPER
Updated/reviewed January 2017
  • Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
  • Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
  • Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.

Effective Examples

Strong African American Families-Teen Program
Updated/reviewed April 2018
  • Need: There is a lack of interventions that addresses teenager behavioral problems, particularly for rural African American adolescents.
  • Intervention: Rural, locally trained leaders administered five 2-hour meetings for teenagers and their primary caregivers. Trainings focused on reducing risks that prevent positive development, specifically sexual risk-taking that can lead to HIV and other STIs.
  • Results: Teens reported reduced conduct problems, depressive symptoms, and substance abuse. Families were strengthened, and SAAF-T reduced unprotected intercourse and increased condom efficacy.
keepin’ it REAL Rural
Updated/reviewed March 2018
  • Need: A drug and alcohol prevention program for middle school students that is specific to rural culture in Pennsylvania and Ohio.
  • Intervention: An adaptation of the evidence-based keepin' it REAL curriculum was customized for rural middle school students.
  • Results: Students showed a reduction in all substance use and less personal acceptability of substance use.
funded by the Federal Office of Rural Health Policy Perinatal Health Partners Southeast Georgia
Updated/reviewed March 2018
  • Need: In the 11 rural southeast Georgia counties, high-risk pregnant women potentially face adverse birth outcomes, including maternal or infant mortality, low birthweight, very low birthweight, or other medical or developmental problems.
  • Intervention: An in-home nursing case management program for high-risk pregnant women in order to maximize pregnancy outcomes for mothers and their newborns.
  • Results: Mothers carry their babies longer and the babies are larger when born, leading to improved health outcomes.
Children's Mercy Allergy, Asthma, and Immunology Telemedicine
Added August 2017
  • Need: To increase access to an allergy/asthma/immunology specialist for children in rural Kansas and Missouri.
  • Intervention: Children's Mercy Kansas City offers a telemedicine option for allergy/asthma/immunology visits.
  • Results: In 2017, Children's Mercy had 338 encounters from patients in rural counties. Patients and their families report satisfaction with the telemedicine visits, which a six-month study found to be as effective as in-person visits.
HEALTH-COP Obesity Prevention
Updated/reviewed August 2017
  • Need: Many physicians want to help rural children who are overweight or obese develop healthy lifestyles, and these physicians would benefit from receiving training on specific ways to instruct, motivate, and manage the healthcare of these children.
  • Intervention: A virtual learning network called Healthy Eating Active Living TeleHealth Community of Practice (HEALTH-COP) was created to educate rural physicians and provide peer support.
  • Results: Studies showed an increase in health and wellness topics covered by physicians during children's clinic visits. This likely contributed to healthier eating habits and more active lifestyles that were found when these children were reassessed 3 months later.

Promising Examples

Communities that Care Coalition
Updated/reviewed May 2018
  • Need: A way to improve the health and well-being of young people by addressing substance abuse in rural areas of Massachusetts's Franklin County and the North Quabbin.
  • Intervention: A community-based prevention initiative was formed to reduce youth violence, delinquency, alcohol and tobacco use, and to promote proper nutrition and physical activity.
  • Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.
funded by the Federal Office of Rural Health Policy Healthy Early Learning Project (HELP)
Updated/reviewed May 2018
  • Need: An ongoing health need to alleviate early childhood obesity in the rural Kansas counties of Marshall and Nemaha.
  • Intervention: 5 distinct physical and nutritional programs were introduced to 9 preschool sites through the overarching Healthy Early Learning Project (HELP).
  • Results: HELP comprehensively increased children's physical activity and healthy food consumption and established a sustainable presence at each preschool site.
Contingency Management Smoking Cessation in Appalachia
Updated/reviewed April 2018
  • Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of Eastern Kentucky and Ohio.
  • Intervention: A web-based smoking cessation program that offered monetary incentives to reducing smoking.
  • Results: Participants significantly reduced smoking rates or quit altogether.