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Rural Health
Resources by Topic: Research methods and resources

Assessing the Use of Constructs from the Consolidated Framework for Implementation Research in U.S. Rural Cancer Screening Promotion Programs: A Systematic Search and Scoping Review
Reports on a literature review examining the Consolidated Framework for Implementation Research (CFIR) domains and constructs in rural cancer screening promotion programs. Explains the 5 CFIR domains of intervention, inner setting, outer setting, individuals, and process that influence the success of implementing interventions. Discusses 15 studies that examine how CFIR is used and reflects on how cancer screening promotion programs can be improved in rural areas.
Author(s): Jennifer L. Moss, Kelsey C. Stoltzfus, Madyson L. Popalis, William A. Calo, Jennifer L. Kraschnewski
Citation: BMC Health Services Research, 23, 48
Date: 01/2023
Type: Document
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Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, January-June 2022
Provides data on households that rely on wireless telephones rather than landlines. Includes data on the percent of adults who live in wireless-only households and have their own wireless telephone, as well as data on phoneless adults. Provides data for nonmetropolitan compared to metropolitan areas. Discuses the need for surveys to include adequate representation of wireless-only households. Includes a section on the impact of the COVID-19 pandemic on data collection in 2020.
Author(s): Stephen J. Blumberg, Julian V. Luke
Date: 12/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Development of a Colorectal Cancer Screening Intervention for Alaska Native People During a Pandemic Year
Examines the development and implementation of a screening methodology for colorectal cancer (CRC) in Alaska Native (AN) populations. Analyzes 32 rural/remote AN communities who received various community-based CRC screening interventions compared to 14 AN communities who received opportunistic care for CRC screening. Includes discussion about barriers and challenges of screening in rural AN populations, particularly during the COVID-19 pandemic.
Author(s): Christie A. Flanagan, Lila J. Finney Rutten, John B. Kisiel, et al.
Citation: Contemporary Clinical Trials Communications, 30, 101016
Date: 12/2022
Type: Document
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Streamlining Research Access
Features an interview with Per Ostmo, Program Director of the Rural Health Research Gateway. Discusses the mission of the Gateway and highlights some of the research projects rural health research centers (RHRCs) have undertaken. Highlights some challenges facing rural healthcare delivery and points to some conclusions drawn from RHRC research.
Date: 11/2022
Type: Document
Sponsoring organization: Minnesota Physician Publishing, Inc.
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Active vs Traditional Methods of Recruiting Children for a Clinical Trial in Rural Primary Care Clinics: A Cluster-Randomized Clinical Trial
Discusses the effectiveness of active recruitment versus traditional recruitment for enrolling rural youth with overweight or obesity in a group behavioral telehealth intervention. Compares the use of direct engagement with pediatric patients at a clinic against the posting of flyers at a clinic and utilizing social media and press releases, with recruiting beginning in February 2020.
Author(s): Paul M. Darden II, Ann M. Davis, Jeannette Y. Lee, et al.
Citation: JAMA Network Open, 5(11), e2244040
Date: 11/2022
Type: Document
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A Scoping Review of Applications of the Consolidated Framework for Implementation Research (CFIR) to Telehealth Service Implementation Initiatives
A scoping review of the literature examining the application of the Consolidated Framework for Implementation Research (CFIR) relating to telehealth implementation initiatives. Searches 5 academic databases from 2010 to 2021 to review 64 peer-reviewed articles discussing CFIR and telehealth implementation initiatives. Includes articles that discuss telehealth implementation in rural and tribal areas.
Author(s): Pavani Rangachari, Swapandeep S. Mushiana, Krista Herbert
Citation: BMC Health Services Research, 22, 1450
Date: 11/2022
Type: Document
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Fiscal Year 2022 Federal Office of Rural Health Policy Investments: Fact Sheet
Provides an overview of Federal Office of Rural Health Policy (FORHP) state and community-driven grant programs in Fiscal Year 2022. Summarizes and briefly describes funding awarded to address rural behavioral health, expand the rural health workforce, respond to COVID-19, support rural hospitals, increase access to care, and support rural health research.
Date: 11/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Measuring Rurality in Health Services Research: A Scoping Review
Analyzes peer-reviewed journals between 2010 and 2020 to provide a scoping review of the different methods of rurality defined and used in health services research. Examines 103 full-text studies across various journals to observe different measures of rurality. Includes discussion about the benefits and drawbacks of the respective measures of rurality and how inconsistent use of measures impacts federal funding and the study of rural health disparities.
Author(s): Robin Danek, Justin Blackburn, Marion Greene, Olena Mazurenko, Nir Menachemi
Citation: BMC Health Services Research, 22, 1340
Date: 11/2022
Type: Document
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Adaptation and Study Protocol of the Evidence-based Make Better Choices (Mbc2) Multiple Diet and Activity Change Intervention for a Rural Appalachian Population
Details the development of the Make Better Choices 2 (MBC2) mHealth diet and activity randomized trial and how it is being adapted for rural Appalachia. Outlines the adaptation process conducted in Appalachian Kentucky and subsequent revisions to the recruitment, retention, assessment, and intervention components of the study. Discusses the need for culturally appropriate research to reach underserved populations and achieve health equity.
Author(s): Nancy E. Schoenberg, Deanna Sherman, Angela Fidler Pfammatter, et al.
Citation: BMC Public Health, 22, 2043
Date: 11/2022
Type: Document
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Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2022 National Healthcare Quality and Disparities Report (NHQDR)
Describes the preparation of Healthcare Cost and Utilization Project (HCUP) data for use in the 2022 National Healthcare Quality and Disparities Report, which includes information on priority populations such as rural residents. Includes information on HCUP-based measures that include data by urban-rural location.
Author(s): M. Barrett, J. McCarty, T. Kenney, L. Liang
Date: 10/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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