Rural Health
Resources by State: Kentucky
Cancer Curriculum for Appalachian Kentucky Middle and High School
Results of an online survey sent to 21 science and health teachers in Appalachian Kentucky, consisting of questions on existing cancer education efforts, relevance of cancer education, and feasibility of a curriculum of this type being used in the classroom.
Author(s): Lauren Hudson, Katherine Sharp, Chris Prichard, et al.
Citation: Journal of Appalachian Health, 3(1), 43-55
Date: 2021
Type: Document
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Results of an online survey sent to 21 science and health teachers in Appalachian Kentucky, consisting of questions on existing cancer education efforts, relevance of cancer education, and feasibility of a curriculum of this type being used in the classroom.
Author(s): Lauren Hudson, Katherine Sharp, Chris Prichard, et al.
Citation: Journal of Appalachian Health, 3(1), 43-55
Date: 2021
Type: Document
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Cost-Effectiveness of Scaling Up HCV Prevention and Treatment in the United States for People Who Inject Drugs
Highlights the cost-effectiveness of combining medication-assisted treatment (MAT) and syringe-service programs (SSP) with hepatitis C (HCV) treatment for people who inject drugs. Compares services for patients in rural Perry County, KY; and urban San Fransisco, CA.
Author(s): Carolina Barbosa, Hannah Fraser, Thomas J. Hoerger, et al.
Citation: Addiction, 114(12), 2267-2278
Date: 12/2020
Type: Document
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Highlights the cost-effectiveness of combining medication-assisted treatment (MAT) and syringe-service programs (SSP) with hepatitis C (HCV) treatment for people who inject drugs. Compares services for patients in rural Perry County, KY; and urban San Fransisco, CA.
Author(s): Carolina Barbosa, Hannah Fraser, Thomas J. Hoerger, et al.
Citation: Addiction, 114(12), 2267-2278
Date: 12/2020
Type: Document
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"We're, Like, the Most Unhealthy People in the Country": Using an Equity Lens to Reduce Barriers to Healthy Food Access in Rural Appalachia
Examines barriers and facilitators for accessing healthy food in Martin County, Kentucky. Aims to develop socially-, culturally-, and historically-informed policy, systems, and environmental (PSE) interventions to reduce obesity in Appalachia and other areas.
Author(s): Kathryn Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Examines barriers and facilitators for accessing healthy food in Martin County, Kentucky. Aims to develop socially-, culturally-, and historically-informed policy, systems, and environmental (PSE) interventions to reduce obesity in Appalachia and other areas.
Author(s): Kathryn Cardarelli, Emily DeWitt, Rachel Gillespie, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Buprenorphine Dispensing in an Epicenter of the U.S. Opioid Epidemic: A Case Study of the Rural Risk Environment in Appalachian Kentucky
Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
Type: Document
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Explores buprenorphine dispensing practices among pharmacists in rural, Appalachian Kentucky, highlighting issues related to buprenorphine dispensing hesitancy. Identifies themes from interviews with 14 pharmacists operating in 12 rural, Appalachian Kentucky counties and discusses dispensing risk environment. Reviews factors influencing hesitancy, including national and state-level drug policy, stigma, and continuing impacts of the opioid epidemic.
Author(s): Hannah LF Cooper, David H. Cloud, Patricia R. Freeman, et al.
Citation: International Journal of Drug Policy, 85, 102701
Date: 11/2020
Type: Document
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A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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Implementation of Flex EMS Supplemental Funding Projects: Year One Activities
Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the first-year implementation efforts of the eight Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes each grant project, the impact of COVID-19 and other challenges on project implementation, and factors that facilitated implementation. Includes recommendations for grantees.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster
Date: 10/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Willingness to Participate in At-Home HIV Testing Among Young Adults Who Use Opioids in Rural Appalachia
Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, gender, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
Type: Document
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Explores a study on the willingness of people who use drugs to take at-home HIV tests in rural Appalachian Kentucky. Breaks down data by participant's age, gender, and syringe usage, among others.
Author(s): April M. Ballard, Regine Haardöerfer, Nadya Prood, et al.
Citation: AIDS and Behavior, 25, 699-708
Date: 09/2020
Type: Document
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The Improved Health Outcomes Program (iHOP): A Unique Model to Promote Provider-Driven Research in a Medicaid Population
Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
Type: Document
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Describes the iHOP program, a grant-funded partnership between a Medicaid managed care insurer, the University of Louisville, and healthcare providers in Kentucky. The program operated from 2007-2018 and was designed to address the healthcare needs of Medicaid and uninsured populations across the state. Includes information on specific project initiatives, including those focused on special populations such as refugees, Latinos, and rural individuals.
Author(s): Tara J. Schapmire, Jill Bell, Mark. P. Pfeifer
Citation: International Journal of Environmental Research and Public Health, 17(14), 5079
Date: 07/2020
Type: Document
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