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Rural Project Examples: Schools

Evidence-Based Examples

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

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.

Promising Examples

Munson Healthcare Charlevoix Hospital School Nurse Program
Updated/reviewed February 2018
  • Need: School nurses to assess and care for students in rural Michigan schools who have limited access to healthcare.
  • Intervention: Munson Healthcare Charlevoix, a CAH in Northern Michigan, created the School Nurse Program to provide medical care and education to students, school staff, and families.
  • Results: The School Nurse Program brings healthcare to over 3,400 students in 8 schools every year and chronic absenteeism in participating schools has dramatically decreased.
funded by the Federal Office of Rural Health Policy School-Based Health Center Dental Outreach
Updated/reviewed January 2018
  • Need: To improve the oral health of children ages 3 to 13 living in underserved rural areas of Louisiana.
  • Intervention: Students enrolled in school-based health centers receive oral health assessments, fluoride varnishes, and dental referrals as part of a comprehensive physical exam by nurse practitioners.
  • Results: Results from the two most recent grant periods (2015-2016 and 2016-2017) included: 4,000 oral health exams, over 3,000 fluoride varnish applications, and 1500 dental referrals; the last great year seeing 68% of referrals completed, an 11% increase over the prior year.
funded by the Federal Office of Rural Health Policy Noble County Outreach Project
Updated/reviewed October 2017
  • Need: To help enroll and retain children and their families in health insurance in Noble County, Indiana.
  • Intervention: A school-based health insurance outreach program focused on connecting children to health insurance.
  • Results: More than 600 individuals have enrolled in health insurance.
funded by the Federal Office of Rural Health Policy Healthy Early Learning Project (HELP)
Updated/reviewed May 2017
  • 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.
funded by the Federal Office of Rural Health Policy Coast to Cascade Coordinated Approach to Child Health (CATCH) Program
Updated/reviewed November 2016
  • Need: To build up physical activity and healthy eating practices in order to reduce childhood obesity in rural Oregon communities.
  • Intervention: A national program was applied on a local level to provide physical activity and nutrition education in a school setting.
  • Results: The physical activity rate surpassed the Department of Health and Human Services recommended rate by 5%, and schools started serving healthier options in their cafeterias.

Other Project Examples

Hope Squad
Updated/reviewed March 2018
  • Need: To reduce youth suicide rates in Utah.
  • Intervention: Hope Squad is a statewide program that trains youth to look after their classmates and refer those with suicidal thoughts or other mental health concerns to adult advisors.
  • Results: Surveys indicate that Hope Squad members increase and retain their knowledge of suicide and increase help-seeking behaviors after completing training.
Schools as a Hub for Health
Updated/reviewed March 2018
  • Need: To improve health outcomes in rural Appalachian Ohio.
  • Intervention: Schools as a Hub for Health promotes holistic wellness for the whole community by creating or bringing in programs that support physical, mental, and social health.
  • Results: The project has gained administrator buy-in and was featured in a December 2016 County Health Rankings & Roadmaps webinar.
Hoonah Fun and Fit Partnership
Updated/reviewed February 2018
  • Need: Rural Alaskans are significantly more likely to be obese compared to the rest of the state.
  • Intervention: The rural community of Hoonah, AK, is creating more opportunities for participation in physical activities and community engagement through Hoonah Fun and Fit Partnership.
  • Results: Healthier school menus and various fitness options are being encouraged throughout the community. Community members have reported healthier lifestyles and higher levels of physical activity.