Rural Project Examples Addressing Wellness, health promotion, and disease prevention

Northeast Louisiana Regional Pre-Diabetes Prevention Program

Updated/reviewed March 2024

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 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 reduce smoking.
Results: Participants significantly reduced smoking rates or quit altogether.

Updated/reviewed December 2019

Need: To educate youth about obesity and healthy lifestyle choices.
Intervention: An educational program about healthy living was implemented in Lincoln and Claiborne Parishes in Louisiana for youth ages 9-18.
Results: Youth4Health program produced greater awareness and participation in healthier lifestyles by target youth and their families, as well as church congregations.

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.

Added February 2026

Need: To improve hypertension in rural Iowa patients.
Intervention: Promise Community Health Center offers team-based care to help patients manage hypertension.
Results: The center increased its hypertension control rate from 73% in 2022 to 84% in 2024.

Updated/reviewed February 2026

Need: To increase physical activity and quality of life in rural Cuba, New Mexico.
Intervention: Step Into Cuba works to make the community more pedestrian-friendly by creating and improving hiking trails and other places to walk.
Results: This program has led to new or improved trails, sidewalks and crosswalks, lighting on streets, walking groups, and walking events, among other achievements.

Updated/reviewed February 2026

Need: To educate people in rural Virginia who either have diabetes or are considered at high risk for developing it.
Intervention: Teleconferencing technology is used to offer diabetes education programs to people with diabetes or those at high risk for developing it. Health professionals are also indirectly trained in diabetes care and management.
Results: Participants reported better prevention practices and/or self-management of diabetes after being thoroughly educated about this condition.

Updated/reviewed January 2026

Need: To promote mental health and prevent substance use disorders in rural Oregon, Washington, Idaho, and Alaska.
Intervention: Coast to Forest strengthened local capacity through training, technical assistance, education, and community partnerships.
Results: Since the project's launch in 2020, it trained over 800 individuals across the Pacific Northwest in Mental Health First Aid, developed 100 county-level resource guides, organized a series of Community Conversations in five rural Oregon counties, and more.

Updated/reviewed January 2026

Need: To improve people's health in a rural 16-county region in Illinois.
Intervention: A coalition of local health departments and healthcare facilities coordinates regional efforts, which are implemented locally by health community coalitions.
Results: HSIDN has created toolkits, developed resource guides, and provided wellness trainings, among other initiatives.

Updated/reviewed January 2026

Need: Rural cancer survivors report lower levels of physical activity and higher rates of psychosocial distress compared to their urban counterparts.
Intervention: Researchers collaborated with a rural-serving organization in northeast Texas to test a 3-month intervention which enhanced an existing exercise program with behavioral health education, yoga, and home-based exercise components.
Results: Program participants were twice as likely to report meeting physical activity recommendations at post-intervention than participants in a control group and reported significant reductions in psychosocial distress.