Rural Health
Resources by State: North Carolina
Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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A Multicomponent Quality Improvement Intervention to Improve Blood Pressure and Reduce Racial Disparities in Rural Primary Care Practices
Assesses the effectiveness of a multicomponent practice-based quality improvement (QI) intervention to lower blood pressure of patients with uncontrolled hypertension and to determine if there would be a variation of effectiveness by race. Participants in the project included 525 adults with hypertension, providers and staff of which nearly 70% were African American. The study took place at primary care practices located in Lenoir County, an economically distressed county in Eastern North Carolina.
Author(s): Crystal W. Cené, Jacqueline R. Halladay, Ziya Gizlice, et al.
Citation: Journal of Clinical Hypertension, 19(4), 351-360
Date: 04/2017
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Assesses the effectiveness of a multicomponent practice-based quality improvement (QI) intervention to lower blood pressure of patients with uncontrolled hypertension and to determine if there would be a variation of effectiveness by race. Participants in the project included 525 adults with hypertension, providers and staff of which nearly 70% were African American. The study took place at primary care practices located in Lenoir County, an economically distressed county in Eastern North Carolina.
Author(s): Crystal W. Cené, Jacqueline R. Halladay, Ziya Gizlice, et al.
Citation: Journal of Clinical Hypertension, 19(4), 351-360
Date: 04/2017
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Substance Use in Rural Central Appalachia: Current Status and Treatment Considerations
Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Examines the factors in rural Central Appalachia that influence substance misuse and the treatments, strategies, and interventions to curb drug misuse and improve treatment outcomes. Discusses how the combination of poverty, work-related distress, lack of healthcare coverage, and the shortage of qualified providers of substance use treatments affect the need for a multifaceted policy approach in the region.
Author(s): Lara Moody, Emily Satterwhite, Warren K. Bickel
Citation: Rural Mental Health, 41(2), 123-135
Date: 04/2017
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Occupational Exposure to Pesticides and the Incidence of Lung Cancer in the Agricultural Health Study
Presents an exploration of incidents of lung cancer in agricultural workers due to exposure from pesticides. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Matthew R. Bonner, Laura E. Beane Freeman, Jane A. Hoppin, et al.
Citation: Environmental Health Perspectives, 125(4), 544-551
Date: 04/2017
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Presents an exploration of incidents of lung cancer in agricultural workers due to exposure from pesticides. Draws data from the Agricultural Health Study, which surveys agricultural workers in Iowa and North Carolina.
Author(s): Matthew R. Bonner, Laura E. Beane Freeman, Jane A. Hoppin, et al.
Citation: Environmental Health Perspectives, 125(4), 544-551
Date: 04/2017
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Rural Opioid Prevention and Treatment Strategies: The Experience in Four States
Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Sponsoring organization: Maine Rural Health Research Center
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Study examining strategies for dealing with the rural opioid crisis, including prevention, treatment, and recovery services. Uses data from interviews with key stakeholders in Indiana, North Carolina, Vermont, and Washington.
Additional links: Research and Policy Brief
Author(s): John A. Gale, Anush Y. Hansen, Martha Elbaum Williamson
Date: 04/2017
Sponsoring organization: Maine Rural Health Research Center
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The Association of Health Literacy and Blood Pressure Reduction in a Cohort of Patients with Hypertension: The Heart Healthy Lenoir Trial
Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Analyzes the impact of a multi-level quality improvement (QI) intervention, the Heart Healthy Lenoir (HHL) Study, with a focus on health literacy to improve systolic blood pressure (SBP) control in patients being treated in rural primary clinics of Eastern North Carolina. Discusses the components of the health literacy practice and patient level activities of the QI intervention. Offers a detailed table identifying the change in SBP by literacy level.
Author(s): Jacqueline R. Halladay, Katrina E. Donahue, Crystal W. Cené, et al.
Citation: Patient Education and Counseling, 100(3), 542-549
Date: 03/2017
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Craving to Make a Difference in a Rural Community
Describes efforts to combat hunger and food insecurity in Ashe County, North Carolina through the Food Pantry Project, a food access screening program located within the local hospital.
Author(s): Melissa Lewis, Patty Parsons
Citation: North Carolina Medical Journal, 78(4), 259-260
Date: 2017
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Describes efforts to combat hunger and food insecurity in Ashe County, North Carolina through the Food Pantry Project, a food access screening program located within the local hospital.
Author(s): Melissa Lewis, Patty Parsons
Citation: North Carolina Medical Journal, 78(4), 259-260
Date: 2017
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The Effect of a Weight Gain Prevention Intervention on Moderate-Vigorous Physical Activity among Black Women: The Shape Program
Examines if an effective weight gain prevention intervention, called the Shape Program, increased moderate to vigorous physical activity among overweight or obese African American women in rural North Carolina. Includes participant characteristics for the initial and 12 month assessment by age, education, poverty level, marital status, number of children in the household, employment status, and more.
Author(s): Mary L. Greaney, Sandy Askew, Sherrie F. Wallington, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 14, 139
Date: 2017
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Examines if an effective weight gain prevention intervention, called the Shape Program, increased moderate to vigorous physical activity among overweight or obese African American women in rural North Carolina. Includes participant characteristics for the initial and 12 month assessment by age, education, poverty level, marital status, number of children in the household, employment status, and more.
Author(s): Mary L. Greaney, Sandy Askew, Sherrie F. Wallington, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 14, 139
Date: 2017
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Farmers' Market Challenges in a Rural Setting: A Case Study of the Elaney Wood Heritage Farmers Market
Highlights challenges experienced by a farmers market in Snow Hill, North Carolina. Describes efforts to build both a customer base and a vendor base.
Date: 12/2016
Sponsoring organization: Rural Advancement Foundation International
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Highlights challenges experienced by a farmers market in Snow Hill, North Carolina. Describes efforts to build both a customer base and a vendor base.
Date: 12/2016
Sponsoring organization: Rural Advancement Foundation International
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Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
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Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
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