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Rural Health Information Hub

Rural Health
Resources by Topic: Appalachia

Check with the Intended Audience First! Content Validation as a Method for Inclusive Research for Primary Care Engagement in Rural Appalachia
Results of a study intended to develop and content validate a survey to assess engagement and burnout, referral practices, and self-efficacy and confidence in making referrals based on social determinants of health among primary care providers and clinic staff in Appalachian North Carolina. Uses data from 10 participants, collected between August and November 2022.
Author(s): Sydeena E. Isaacs, Jennifer Schroeder Tyson, Ashley Parks, Danielle Adams
Citation: Journal of Appalachian Health, 6(1):69–89
Date: 04/2024
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Moving Toward Equity: An Evaluation Toolkit
Discusses how equity is connected to health outcomes for Ohio citizens and ways public health partners can evaluate progress when implementing initiatives to improve equity for disadvantaged populations, including those in rural and Appalachian areas. Focuses on assessment and planning, equitable evaluation plans, quality improvement, and collecting data.
Author(s): Carrie Almasi, Édith Nkenganyi, Tonni Oberly, Jacob Santiago
Date: 04/2024
Sponsoring organization: Health Policy Institute of Ohio
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Identifying Priority Geographic Locations for Diabetes Self-Management Education and Support Services in the Appalachian Region
Examines the relationship among diabetes self-management education and support (DSMES) services, economic distress, and diabetes prevalence in Appalachia. Includes maps presenting these relationships as well as discussion about providing access to DSMES services.
Author(s): Jacob T. Wittman, Dayna S. Alexander, Melissa Bing, et al.
Citation: Preventing Chronic Disease, 21
Date: 04/2024
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Access to Capital and Credit for Entrepreneurs and Small Businesses in Appalachia
Reports on small business, entrepreneurship, and capital supply and demand in Appalachia. Describes regional and national trends, and identifies contributing factors. Includes data comparisons by level of rurality, and discusses characteristics and challenges of rural areas throughout.
Date: 04/2024
Sponsoring organization: Appalachian Regional Commission
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Ohio Health Policy Brief: Connections Between Water Quality and Health
Examines water quality in Ohio, the health impacts of polluted water, and water policy to address potential harm. Provides data on harmful algal bloom, percent of households without complete plumbing facilities by county type, per capita H2Ohio funding for lead service line replacements by county type, and counties with drinking water violations. Includes discussion about environmental health disparities in disadvantaged populations, such as Appalachian and rural.
Author(s): Lexi Chirakos, Robin Blair-Ackison, Tonni Oberly, Jacob Santiago, Anna Sheeran
Date: 03/2024
Sponsoring organization: Health Policy Institute of Ohio
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Kentucky Outreach Service Kiosk (KyOSK) Study Protocol: A Community-Level, Controlled Quasi-Experimental, Type 1 Hybrid Effectiveness Study to Assess Implementation, Effectiveness and Cost-Effectiveness of a Community-Tailored Harm Reduction Kiosk on HIV, HCV and Overdose Risk in Rural Appalachia
Reports on study design and implementation of a kiosk-based harm reduction intervention focused on HIV, hepatitis C, and overdose risk in rural Appalachia. Describes characteristics of two selected Appalachian Kentucky counties, eligibility criteria, data collection procedures, and study outcome measurement.
Author(s): April M Young, Jennifer R Havens, Hannah L F Cooper, et al.
Citation: BMJ Open, 14(3), e083983
Date: 03/2024
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Factors Associated With Myocardial Infarction in a Rural Population With Peripheral Arterial Diseases
Examines the association between sociodemographic and clinical risk factors and myocardial infarction (MI) in patients with peripheral arterial diseases (PAD) in Central Appalachia. Uses data from 5,574 patients in 230 counties across Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia. Features statistics on characteristics of patients with PAD based on presence or absence of MI.
Author(s): Adeola O. Awujoola, Moboni T. Mokikan, Olufeyisayo O. Odebunmi, et al.
Citation: Angiology, 0(0)
Date: 02/2024
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Testing the Feasibility of the QuitAid Smoking Cessation Intervention in a Randomized Factorial Design in an Independent, Rural Community Pharmacy
Examines a pharmacist-delivered smoking cessation intervention in rural Appalachia. Analyzes an ask-advise-connect model conducted with 24 adult smokers between September and November 2021, observing recruitment, retention, treatment adherence, and fidelity. Includes data on participant demographics, participant satisfaction, and pharmacist perceptions.
Author(s): Melissa A. Little, Taylor Reid, Matthew Moncrief, et al.
Citation: Pilot and Feasibility Studies, 10(41)
Date: 02/2024
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Net Migration Spurs Renewed Growth in Rural Areas of the United States
Discusses population migration data showing trends in metropolitan and nonmetropolitan population migration between 2019 and 2022 and within rural regions across the country. Notes impact of COVID-19 on trends.
Author(s): John Cromartie
Date: 02/2024
Sponsoring organization: USDA Economic Research Service
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Community-Engaged Transdisciplinary Approaches to Cervical Cancer Prevention in Appalachia
Provides an overview of the Take CARE (Clinical Avenues to Reach Health Equity) program to reduce cervical cancer incidence and mortality in Appalachian Kentucky, Ohio, Virginia, and West Virginia. Describes implementation of Take CARE's human papillomavirus (HPV) vaccination, smoking cessation, and cervical cancer screening initiatives.
Author(s): Electra D. Paskett
Date: 01/2024
Sponsoring organization: St. Jude Children's Research Hospital
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