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Rural Project Examples: Population health

Evidence-Based Examples

Sickness Prevention Achieved through Regional Collaboration (SPARC, Inc.®)
Updated/reviewed July 2019
  • Need: Population-based rates of adult vaccinations and cancer screenings are low, with fewer than 40% of older adults up to date with routinely recommended prevention services. Delivery rates are lower still in low-income and minority communities.
  • Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
  • Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.
Helping Kids PROSPER
Updated/reviewed June 2019
  • 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.
Chronic Disease Self-Management Program
Updated/reviewed October 2018
  • Need: To help people with chronic conditions learn how to manage their health.
  • Intervention: A small-group 6-week workshop for individuals with chronic conditions to learn skills and strategies to manage their health.
  • Results: Participants have better health and quality of life, including reduction in pain, fatigue, and depression.
Fit & Strong!®
Updated/reviewed August 2018
  • 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.

Effective Examples

funded by the Federal Office of Rural Health Policy Health Coaches for Hypertension Control
Updated/reviewed December 2019
  • 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.
HEAR on the Farm
Added November 2019
  • Need: To increase use of hearing protection among farmers and farmworkers.
  • Intervention: Researchers mailed an assortment of hearing protection devices to farmers and provided web-based information about hearing conservation to see which method or combination of methods was most effective.
  • Results: All participants increased their use of hearing protection. The largest increase occurred in those who received hearing protection devices in the mail.
Heart Healthy Lenoir
Updated/reviewed November 2019
  • Need: In rural eastern North Carolina, Lenoir County residents experience significantly higher rates of cardiovascular disease, stroke, and obesity rates compared to other parts of the state and nation.
  • Intervention: A community-based research project was designed to develop and test better ways to tackle cardiovascular disease, from prevention to treatment.
  • Results: The end goal includes the development of long-lasting strategies and approaches within the community to help decrease the risk and disparities in risk of cardiovascular disease.
funded by the Federal Office of Rural Health Policy I Got You: Healthy Life Choices for Teens (IGU)
Updated/reviewed September 2019
  • Need: To improve awareness of behavioral and mental health issues by students in rural, east central Mississippi.
  • Intervention: An intensive community mental health outreach program was implemented for students in rural Mississippi.
  • Results: As of 2018, 6,000 7th and 8th grade students are given mental health education on a variety of topics which improves their ability to recognize mental health issues, high risk behaviors, and their self-concept.
Rural Restaurant Healthy Options Program
Updated/reviewed September 2019
  • Need: Obesity is a widespread epidemic in the United States, especially in rural areas. Due to small profit margins and fear of losing customers, small owner-operated rural restaurants hesitate to make health-conscious changes to their menus.
  • Intervention: The Healthy Options Program offered an economical and low-maintenance program for owner-operated restaurants in Iowa to increase awareness of already existing healthy menu options and substitutions.
  • Results: Restaurants received positive feedback and experienced no financial loss. Customers noticed and appreciated the healthy option reminders, and ordering behavior improved.
funded by the Federal Office of Rural Health Policy Regional Oral Health Pathway
Updated/reviewed August 2019
  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program has increased oral health visits in the area and has provided residents with valuable information on oral health resources and services.