Rural Project Examples: Tobacco use

Evidence-Based Examples

keepin' it REAL Rural
Updated/reviewed March 2022

Need: A drug and alcohol prevention program for middle school students that is specific to rural culture.
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 2022

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 June 2022

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 January 2022

Need: In the years prior to 2008, 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
Updated/reviewed October 2021

Need: To foster relationships with indigenous people in New Mexico to determine culturally appropriate practices in reducing nicotine addiction.
Intervention: TUPAC provides outreach, community programs, and cessation services.
Results: In fiscal year 2020, 1,938 QUIT NOW and DEJELO YA quit line enrollees stopped using tobacco, and over 4,520 tobacco users made progress on their path to quitting.

For examples from other sources, see: