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Rural Health
Resources by Topic: Dementia

Rural-Urban Differences in Homebound Status by Health and Functional Limitations
Results of a study describing how rates of being homebound differ between rural and urban older adults by specific health indicators. Features statistics with breakdowns by chronic condition and rural or urban residence.
Author(s): Carrie Henning-Smith, Dionne Bailey, Megan Lahr, Katie Rydberg
Date: 01/2026
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Health Care Policy Solutions for California's Older Adults
Describes healthcare disparities for rural older adults in California and offers policy recommendations to address those disparities. Discusses the healthcare workforce, workforce training, navigating complex systems, age-friendly care, care coordination, transportation, digital health, and community-based support and resources.
Author(s): Pauline DeLange Martinez, Elizabeth Bogumil, Helen Miltiades, et al.
Date: 11/2025
Sponsoring organizations: The SCAN Foundation, UC Davis Health
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Utilization of Home- and Community-Based Services among Rural Family Caregivers of Persons with Dementia: The Role of the Area Deprivation Index
Examines the association between utilization of home- and community-based services and area-level factors as measured by the Area Deprivation Index, utilizing survey data of 361 rural family caregivers of people with dementia. Analyzes the relationship between home or community service use and level of area deprivation, U.S. region, and other individual factors.
Author(s): Jasmine Santoyo-Olsson, Kenneth E. Covinsky, Jing Cheng, Dolores Gallagher Thompson, Veronica Yank
Citation: Frontiers in Public Health, 13, 1688161
Date: 10/2025
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Supporting Individuals With Cognitive Impairment and Family Members in Rural Communities: Protocol for a Mixed Methods Digital Health Study
Study protocol for the Northern Arizona Memory Study (NAZMS), which will support dementia risk identification and promote understanding of cognitive health needs and supports via surveys and interviews of Alzheimer's disease and related dementia (ADRD) caregiver and care-receiver dyads in rural Northern Arizona. Details study design and implementation, and highlights the importance of culturally-tailored, accessible, and practical ADRD care supports and interventions for rural and tribal families in Arizona.
Author(s): Eric S. Cerino, Megan C. McCoy, Margarita Martinez, et al.
Citation: JMIR Research Protocols, 14, e77958
Date: 10/2025
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Medicare Hospice Use Patterns Among Patients With Alzheimer's Disease or Related Dementias Compared to Those With Other Terminal Diagnoses
Examines hospice use among Medicare enrollees with Alzheimer's disease and related dementias (ADRD) compared to Medicare hospice enrollees with other terminal diagnoses. Explores whether hospice characteristics, including rural status, are associated with hospice length of stay, visit frequency, and live discharge rates among Medicare patients with and without terminal and comorbid ADRD diagnoses.
Date: 09/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Shifting Care Patterns: How Medicaid Policies Shape Family and Formal Care Use
Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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The National Dementia Workforce Study: The Plan for Organization Sample Frames and Data Collection
Details a plan for sampling and recruitment procedures of the dementia workforce, focusing on previously unsampled populations working in assisted living communities or home health agencies. Discusses sampling and recruitment strategies with considerations for Census region and rural areas.
Author(s): James Wagner, Laura M. Wagner, Sheryl Zimmerman, et al.
Citation: Journal of the American Geriatrics Society
Date: 09/2025
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The National Dementia Workforce Study: Methods for Surveying Community Clinicians Who Provide Care to People With Dementia
Discusses the design and significance of the National Dementia Workforce Study (NDWS) Community Clinician Survey, which surveys community-based providers of clinical care for people with dementia. Highlights survey methodology related to provider demographics, processes of care, geographic distribution, and more.
Author(s): Elizabeth M. White, James Wagner, Kate Stewart, et al.
Citation: Journal of the American Geriatrics Society
Date: 08/2025
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Mental and Physical Health of US Rural/Urban Caregivers of Persons With Dementia
Presents a study on the physical and mental health of caregivers of people with dementia in rural and urban areas. Highlights access challenges for both physical and mental health in rural areas and compares rates of mental and physical issues among rural and urban caregivers.
Author(s): Phoebe Tran, Fei Wang, E-Shien Chang
Citation: PLOS ONE, 20(8), e0329260
Date: 08/2025
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Aroostook Agency on Aging's Specialized Support for Dementia Caregivers and Care Recipients via Health Care Partnership
Case study highlighting a partnership between an Area Agency on Aging in Maine and a local hospital to provide dementia assessments and support services for local residents with dementia and their caregivers.
Date: 07/2025
Sponsoring organization: USAging
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