Rural Project Examples: Tobacco use

Evidence-Based Examples

keepin' it REAL Rural
Updated/reviewed March 2021

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.

Franklin Cardiovascular Health Program (FCHP)
Updated/reviewed February 2021

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.

Contingency Management Smoking Cessation in Appalachia
Updated/reviewed April 2020

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.

Spit It Out-West Virginia
Updated/reviewed February 2020

Need: McDowell County, West Virginia, had high rates of tobacco use.
Intervention: The Spit It Out-West Virginia program (2008-2010) was created to increase access to tobacco cessation and prevention resources.
Results: Hundreds of people were provided with tobacco cessation efforts, 5 workplaces became tobacco free, and tobacco control efforts continue today.

Tobacco Use Prevention and Control (TUPAC) Program
Added October 2019

Need: To reduce non-ceremonial use of tobacco among American Indians in New Mexico.
Intervention: TUPAC provides outreach, community programs, and cessation services.
Results: 139 people have received cessation services so far, and 7 rural communities received an award to work on cigarette/e-cigarette policy changes.

For examples from other sources, see: