Rural Project Examples Addressing Population health

Updated/reviewed March 2026

Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.

Updated/reviewed March 2026

Need: To increase access to medical screening for miners in New Mexico.
Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.

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 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 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 August 2024

Need: Expand healthcare access for the more remote residents of 3 frontier counties in north central Idaho.
Intervention: With early federal grant-funding, a consortium of healthcare providers and community agencies used a hybrid Community Health Worker model to augment traditional healthcare delivery services in order to offer a comprehensive set of health-related interventions to frontier area residents.
Results: With additional private grant funding, success continued to build into the current model of an established and separate CHW division within the health system's population health department.

Updated/reviewed October 2026

Need: To prevent or slow the progression of diabetes for at-risk residents in Rural Northeast Louisiana.
Intervention: The North Louisiana Regional Alliance developed a program that offered screenings, education, and an intense course for participants throughout the Northeast Louisiana region to lower the risk of diabetes.
Results: The program saw an overall decrease in blood sugar levels in residents who participated in their initiatives.

Updated/reviewed March 2026

Need: To reduce smoking rates of pregnant adult and adolescent women in Appalachian regions of eastern Kentucky and Ohio.
Intervention: In 2009, a web-based smoking cessation program offered monetary incentives to reduce smoking.
Results: Participants significantly reduced smoking rates or quit altogether.

Rural Project Examples: Population health