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Rural Health
Resources by Topic: Chronic disease management

Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
Describes the distribution of chronic disease self-management education (CDSME) programs across the U.S. by participants enrolled, workshops delivered, and counties reached. Compares the CDSME program distribution by rural designation, for example metro, nonmetro areas adjacent and not adjacent to metro areas. Includes a map of CDSME program distribution by rurality for every county in the U.S. and provides statistics on CDSME workshops and participants by rurality and workshop type.
Author(s): Matthew Lee Smith, Samuel D. Towne, Jr., Angelica Herrera-Venson, et al.
Citation: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
Type: Document
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Rural Promising Practice Issue Brief: IMPROVE: Integrated Management and Polypharmacy Review of Vulnerable Elders
Highlights a model for delivering integrated care management for older rural veterans with co-occurring chronic diseases. Presents methods for rural providers to help patients manage their prescriptions and avoid polypharmacy.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, race/ethnicity, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Citation: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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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
Type: Document
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Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial
Results of a 12-week hula-based intervention coupled with self-care education on blood pressure management, done in Honolulu in 2012-2013. Features demographic statistics with breakdowns by ethnic group, and intervention effects on blood pressure from baseline to 3-month follow-up.
Author(s): Joseph Keawe'aimoku Kaholokula, Mele Look, Tricia Mabellos, et al.
Citation: Journal of Racial and Ethnic Health Disparities, 4(1), 35-46
Date: 02/2017
Type: Document
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Polypharmacy and Health-Related Quality of Life Among US Adults With Arthritis, Medical Expenditure Panel Survey, 2010-2012
Results of a study of 6,132 adults with arthritis, to determine the relationship between treatment with prescription drugs from 6 or more drug classes and health-related quality of life. Features demographic statistics with breakdown between urban and rural areas of residence.
Author(s): Abdulkarim M. Meraya, Nilanjana Dwibedi, Usha Sambamoorthi
Citation: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Sociocultural Construction of Food Ways in Low-Income Mexican-American Women with Diabetes: A Qualitative Study
Explores successful type 2 diabetes management practices of low-income Hispanic women residing in a rural community on the Texas-Mexico border in a sociocultural context, specifically looking at foodways. Foodways are the cultural, social, and economic practices relating to the production and consumption of food.
Author(s): Sandra Benavides-Vaello, Sharon A. Brown
Citation: Journal of Clinical Nursing, 25(15-16), 2367-2377
Date: 08/2016
Type: Document
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Vivir Mejor! (Live Better!)
Video highlighting the Vivir Mejor! (Live Better!) program, a comprehensive, culturally competent diabetes education program for Hispanic/Latino populations in rural Arizona. Features program staff and patients sharing how the program impacted the health of people in the region.
Date: 06/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Offering Chronic Disease Self-Management Education in Rural Areas
Identifies challenges rural areas face in implementing evidence-based chronic disease self-management education (CDSME). Recommends strategies and resources rural communities can use to implement CDSME programs. Includes examples of successful programs.
Date: 07/2015
Type: Document
Sponsoring organization: National Council on Aging
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