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Rural Health
Resources by Topic: Culture and cultural competency

The Development of Accessible and Sustainable Transgender Health Education for Rural-Serving Medical Providers in Appalachia
Presents the results of a project to develop and implement a cultural competency training program for rural-serving medical residents focused on transgender primary healthcare in South Central Appalachia – an area that is medically under-resourced and experiences intersectional discrimination. The Kern Model medical curriculum and data from clinic stakeholders, residents, and transgender community members were utilized in the development of this training program. Highlights the value of virtual training providing increased accessibility for rural clinics.
Author(s): Rebecca Altschuler, Abbey K. Mann
Citation: Rural and Remote Health, 23 (2)
Date: 04/2023
Type: Document
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Rural Mental Health's Stressors, Barriers, and Protective Factors: Q&A with Dr. Dawn Morales
An interview with Dawn Morales, Program Chief of the Office of Rural Mental Health Research at the National Institute of Mental Health. Discusses challenges related to rural mental healthcare as well as the importance of cultural competency and protective factors, especially in rural populations such as American Indian and Alaska Native communities and farmers and ranchers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community Member Perspectives on Adapting the Cascade of Care for Opioid Use Disorder for a Tribal Nation in the United States
Explores the potential efficacy of the Opioid Use Disorder (OUD) Cascade of Care model for American Indian and Alaska Native communities. Bases conclusion on interviews with clinicians, peer support specialists, cultural practitioners, and others familiar with OUD treatment for Anishinaabe people in rural Minnesota. Breaks down data by age, sex, and employment type.
Author(s): Frank Johnson Jr, Amy RedCloud, Jennifer Mootz, et al.
Citation: Addiction, 118(8), 1540-1548
Date: 03/2023
Type: Document
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Measuring and Addressing Health Equity: An Assessment of Cancer Center Designation Requirements
Examines equity structures, processes, and outcomes in cancer center endorsements and their relationship to high-quality cancer care for all populations. Discusses cancer health disparities due to socioeconomic and insurance status, minoritized racial/ethnic groups, medically underserved populations, and rural populations and how endorsing bodies can incorporate health equity requirements in cancer care for these groups.
Author(s): Jason T. Semprini, Caitlin B. Biddell, Jan M. Eberth, et al.
Citation: Cancer Causes & Control
Date: 03/2023
Type: Document
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Health Equity in Indian Country: Rethinking How the Centers for Medicare & Medicaid Services Approaches Health Equity for American Indians and Alaska Natives
Summary of three events in 2022 between the National Indian Health Board (NIHB), Centers for Medicare & Medicaid Services (CMS), and CMS Tribal Technical Advisory Group (TTAG) to discuss health equity within CMS programs for American Indian and Alaska Natives (AI/AN). Includes recommendations for effective health equity policy to CMS generally and the CMS Framework for Health Equity 2022-2032 specifically.
Date: 03/2023
Type: Document
Sponsoring organization: National Indian Health Board
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Integration of Case-Based Dialogue to Enhance Medical Students' Understanding of Using Health Communication to Address Social Determinants of Health
Examines the impact of case-based social determinants of health (SDOH) curriculum on third year medical student knowledge related to SDOH and willingness to care for culturally diverse and underserved patients. Analyzes pre- and post-test survey answers from 640 medical students about their SDOH perceptions and knowledge, including confidence levels in working with rural and medically underserved patients.
Author(s): Jalysa King, Jennifer Taylor
Citation: Advances in Medical Education and Practice,14, 237-244
Date: 03/2023
Type: Document
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Trauma-Informed Supervision in Tribal Child Welfare (Part 1 of 2): Maintaining Clear Roles with Realistic Expectations
A webinar recording that discusses strategies to develop culturally-responsive and trauma-informed supervision in tribal child welfare. Discusses how to support child welfare staff, such as maintaining clear roles and ensuring manageable caseload expectations.
Author(s): Kimee Wind-Hummingbird, Lisa Stark
Date: 03/2023
Type: Video/Multimedia
Sponsoring organization: Capacity Building Center for Tribes
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American Indian and Alaska Native Worker Safety and Health Strategic Plan
Highlights a strategic plan for researching occupational safety and health of American Indian and Alaska Native workers. Provides a step-by-step guide for conducting and disseminating research on the health and safety risks of AI/AN workers, as well as crafting safety policy for tribal communities.
Author(s): Elizabeth Dalsey, Robert Foley, Sarah Hatcher, et al.
Date: 03/2023
Type: Document
Sponsoring organization: National Institute for Occupational Safety and Health
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Indigenous Evaluation Toolkit: An Actionable Guide for Organizations Serving American Indian/Alaska Native Communities through Opioid Prevention Programming
Toolkit presents guidance for American Indian and Alaska Native communities and organizations for providing opioid prevention services. Provides a four-phase plan for program design and details holistic and culturally competent approaches to opioid prevention.
Author(s): Danielle Eakins, Angela Gaffney, Caelin Marum, et al.
Date: 02/2023
Type: Document
Sponsoring organization: Seven Directions - A Center for Indigenous Public Health
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How One New Mexico County is Taking a Community-Wide Approach to Treating Alcohol and Substance Use Disorders
Features a McKinley County, New Mexico community consortium that takes a holistic approach to recovery. Discusses the need for cultural understanding of Native culture in providing treatment services. Describes the growth of the collaboration over time and the range of local organizations involved.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 02/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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