Rural Health
Resources by Topic: Culture
EMS Service Integration in American Indian and Native Alaskan Rural Communities
Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Highlights several initiatives aimed at expanding emergency medical services (EMS) in tribal communities. Explores the role of tribal sovereignty, cost effectiveness, and infrastructure improvements in expanding and optimizing EMS in tribal communities.
Author(s): Chelsea Tsasse, John Shufeldt
Citation: AMA Journal of Ethics, 27(7), 525-529
Date: 07/2025
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Integrating Mental Health Support into Rural Libraries: Evaluation of the Libraries for Health (L4H) Initiative
Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Caregiving in Rural Areas: A Qualitative Study of Challenges and Resilience
Examines rural-specific challenges and strengths in caregiving, utilizing interview data of 18 rural-dwelling caregivers in Vermont. Discusses community-based factors influencing care, access to services, and rural identity, among other topics.
Author(s): Hyojin Choi, Christine Vatovec, Maija Reblin
Citation: PLOS One, 20(6), e0325536
Date: 06/2025
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Examines rural-specific challenges and strengths in caregiving, utilizing interview data of 18 rural-dwelling caregivers in Vermont. Discusses community-based factors influencing care, access to services, and rural identity, among other topics.
Author(s): Hyojin Choi, Christine Vatovec, Maija Reblin
Citation: PLOS One, 20(6), e0325536
Date: 06/2025
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Relevance and Acceptability of a Technology-Delivered Childhood Obesity Intervention for Hispanic/Latino Families in Rural Nebraska: A Qualitative Approach
Examines program strengths and challenges, implementation concerns, and cultural relevance of Hispanic Family Connections, a Spanish-language childhood obesity intervention for Latino families in rural Nebraska, via focus group interviews with 26 participants.
Author(s): Thais F. Alves, Natalia Santos, Camila Squarcini, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 05/2025
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Examines program strengths and challenges, implementation concerns, and cultural relevance of Hispanic Family Connections, a Spanish-language childhood obesity intervention for Latino families in rural Nebraska, via focus group interviews with 26 participants.
Author(s): Thais F. Alves, Natalia Santos, Camila Squarcini, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 05/2025
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Reestablishing and Reviving Great Lakes Intertribal Food Systems to Heal Tribal Communities
A video featuring tribal leaders of the Menominee Indian Tribe residing in Wisconsin and their efforts to reclaim traditional food sustenance practices. Discusses issues such as food insecurity in tribal communities and how traditional indigenous agriculture can improve health and sustainability. Transcript available below description.
Date: 05/2025
Sponsoring organization: Medical College of Wisconsin
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A video featuring tribal leaders of the Menominee Indian Tribe residing in Wisconsin and their efforts to reclaim traditional food sustenance practices. Discusses issues such as food insecurity in tribal communities and how traditional indigenous agriculture can improve health and sustainability. Transcript available below description.
Date: 05/2025
Sponsoring organization: Medical College of Wisconsin
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Initiating Research in Indian Country: Lessons From the Strong Heart Study
Discusses the process of the National Heart, Lung, and Blood Institute (NHLBI) initiating studies to examine cardiovascular disease in rural and remote areas, isolated populations, and sovereign nations. Discusses the steps in conducting research with a focus on building trust, transparent implementation, and mutual feedback and results sharing.
Author(s): Barbara V. Howard, Elisa T. Lee, Thomas K. Welty, Richard R. Fabsitz
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Discusses the process of the National Heart, Lung, and Blood Institute (NHLBI) initiating studies to examine cardiovascular disease in rural and remote areas, isolated populations, and sovereign nations. Discusses the steps in conducting research with a focus on building trust, transparent implementation, and mutual feedback and results sharing.
Author(s): Barbara V. Howard, Elisa T. Lee, Thomas K. Welty, Richard R. Fabsitz
Citation: Preventing Chronic Disease, 22
Date: 04/2025
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Wandering Elder & Alzheimer's Toolkit: Creating a Tribal Elder Safety Net to Address Wandering Persons
Provides guidelines, tools, and strategies supporting community responses to wandering incidents among tribal elders with Alzheimer's disease and related dementias. Discusses cultural, clinical, and community factors influencing ADRD prevalence and treatment, wandering behavior, and community response in tribal nations and communities.
Date: 03/2025
Sponsoring organization: International Association for Indigenous Aging
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Provides guidelines, tools, and strategies supporting community responses to wandering incidents among tribal elders with Alzheimer's disease and related dementias. Discusses cultural, clinical, and community factors influencing ADRD prevalence and treatment, wandering behavior, and community response in tribal nations and communities.
Date: 03/2025
Sponsoring organization: International Association for Indigenous Aging
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Developing an Intergroup Dialogue Curriculum to Improve Mental Health System Capacity for Farmers and Agricultural Communities
Describes the development of an intergroup dialogue curriculum between faith leaders and rural behavioral health providers to promote increased participation by agricultural communities in the behavioral healthcare system. Discusses next steps to pilot-test the curriculum in rural and agricultural communities.
Author(s): Annie J. Keeney, Morgan Valley, Cheryl Beseler, Lorann Stallones
Citation: Journal of Agromedicine, 30(3), 430-435
Date: 02/2025
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Describes the development of an intergroup dialogue curriculum between faith leaders and rural behavioral health providers to promote increased participation by agricultural communities in the behavioral healthcare system. Discusses next steps to pilot-test the curriculum in rural and agricultural communities.
Author(s): Annie J. Keeney, Morgan Valley, Cheryl Beseler, Lorann Stallones
Citation: Journal of Agromedicine, 30(3), 430-435
Date: 02/2025
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Indian Health Service Program Evaluation Services: Community Opioid Intervention Pilot Projects Aggregate Report 2021-2024
Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in tribal communities. Collects and evaluates data from grantees after the program's first three years, April 1, 2021-March 31, 2024. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Additional links: Infographic
Date: 2025
Sponsoring organization: Indian Health Service
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Report evaluates the Indian Health Service's Community Opioid Intervention Pilot Project aimed at addressing opioid use disorder in tribal communities. Collects and evaluates data from grantees after the program's first three years, April 1, 2021-March 31, 2024. Explores grantees' progress in building organizational capacity, community and educational events, and professional trainings, among other measures.
Additional links: Infographic
Date: 2025
Sponsoring organization: Indian Health Service
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Braiding Research Approaches to Understand Home Visiting in Indigenous Communities
Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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Provides a scoping review, research questions, and feedback from practitioners regarding Indigenous home visiting programs and Indigenous methodologies in home visiting research. Includes suggestions for research methodologies that incorporate cultural awareness and relationships in Indigenous communities.
Author(s): Natalie Moyer, Chelsea Wesner, Michelle Sarche, et al.
Date: 12/2024
Sponsoring organizations: Administration for Children and Families, The Center for Indigenous Research Collaboration and Learning for Home Visiting
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