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

Promising Examples

Health Motivator Program
Updated/reviewed November 2020
  • Need: To increase physical activity and other healthy habits for older adults in West Virginia.
  • Intervention: Community members called Health Motivators lead senior centers and community groups in a monthly educational activity.
  • Results: In a 2016 survey, 97% of Health Motivators and 92% of group members said that their health improved because of the program.
funded by the Federal Office of Rural Health Policy School-Based Health Center Dental Outreach
Updated/reviewed July 2020
  • Need: To improve the oral health status of children ages 3 to 17 living in underserved rural areas of Louisiana.
  • Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
  • Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.
funded by the Federal Office of Rural Health Policy Prevention through Care Navigation Outreach Program
Updated/reviewed May 2020
  • Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
  • Intervention: Community Health Workers are utilized to create a system of coordinated care in Delta, Montrose, Ouray, and San Miguel counties.
  • Results: As of 2018, 2,709 people have been screened for diabetes and cardiovascular disease, with many at-risk patients lowering cholesterol, blood pressure, and A1C levels after engaging with a Community Health Worker.
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.
funded by the Federal Office of Rural Health Policy Youth4Health
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.
Communities that Care Coalition
Updated/reviewed May 2019
  • Need: A way to improve the health and well-being of young people by addressing substance abuse in rural areas of Massachusetts's Franklin County and the North Quabbin.
  • Intervention: A community-based prevention initiative was formed to reduce youth violence, delinquency, alcohol and tobacco use, and to promote proper nutrition and physical activity.
  • Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.
Munson Healthcare Charlevoix Hospital School Nurse Program
Updated/reviewed April 2019
  • 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 From CATCH to C.H.E.F.
Updated/reviewed January 2019
  • Need: To help children and families in Lincoln, rural Benton, and east Linn counties achieve higher-quality lives free of preventable diseases related to poor nutrition and obesity.
  • Intervention: Two programs were applied on a local level to provide physical activity, nutrition, and culinary education in a school and community 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

Heartland OK
Updated/reviewed November 2021
  • Need: To reduce rural Oklahoma patients' risks for heart disease and stroke.
  • Intervention: Heartland OK, which began in 5 rural counties, is a care coordination model.
  • Results: Using a team-based care model increases patients' ability to reduce their blood pressure or achieve blood pressure control.
Rapid HCV Testing as an HIV Testing Strategy in Rural Areas
Updated/reviewed November 2021
  • Need: To provide HIV testing in rural areas while navigating around HIV stigma.
  • Intervention: A pilot study to provide HCV (Hepatitis C Virus) rapid tests and then offer an HIV rapid test as well.
  • Results: An increase in the number of people tested for HCV and HIV.