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Rural Health
Resources by Topic: Research methods and resources

A Non-Randomized Pilot Study to Test the Feasibility of Treating Chronic Pain and Opioid Prescription Use in Rural Areas with Acceptance and Commitment Therapy (T-PACT)
Describes a pilot study examining research feasibility, methods, and processes for administering acceptance and commitment therapy (ACT) as a treatment for chronic non-cancer pain (CNCP) and a possible alternative to prescribed opioids. The research team included four Clinical and Translational Science Award (CTSA) hubs that administered the study in rural areas of New Mexico, North Carolina, Kansas, and Kentucky. Discusses survey data and lessons learned from the pilot study, including unexpected barriers to participation.
Author(s): Robert L Rhyne, Heidi Rishel Brakey, Jacquie R. Halladay, et al.
Citation: Journal of Clinical and Translational Science, 4(5), 472-476
Date: 10/2020
Type: Document
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The American Opioid Epidemic in Special Populations: Five Examples
Report on the disproportionate impacts of the opioid crisis on certain populations, including those involved with the criminal justice system, rural populations, veterans, young adults, and individuals who inject drugs. Offers statistical data for each group and discussion of opioid use disorder and mortality, barriers to treatment, promising strategies to address treatment issues, and research and policy priorities. Section on rural populations offers data on drug overdose deaths, rates of opioid prescription, and the association between economic distress and opioid-involved deaths.
Author(s): Carlos Blanco, Mir M. Ali, Aaron Beswick, et al.
Date: 10/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Implementing Evidence-Based Interventions for Cancer Prevention and Control in Critical Access Hospitals
Toolkit designed to provide Critical Access Hospitals (CAHs) with necessary information and resources to develop, implement, and evaluate evidence-based interventions (EBIs) to prevent cancer. Includes worksheets for community assessment and EBI implementation and evaluation.
Author(s): Natoshia Askelson, Grace Ryan
Date: 10/2020
Type: Document
Sponsoring organization: Cancer Prevention and Control Research Network
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Understanding and Using American Community Survey Data: What Users of Data for Rural Areas Need to Know
An overview of what data users need to know about working with American Community Survey (ACS) data for rural areas. Addresses how rural is defined, the use of 5-year estimates, strategies to produce reliable estimates for rural communities, where to access rural ACS estimates, and case studies of rural data use.
Date: 10/2020
Type: Document
Sponsoring organization: U.S. Census Bureau
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Recruitment Best Practices of a Cardiovascular Risk Reduction Randomised Control Trial in Rural Alaska Native Communities
Describes the research methods of the Healthy and Empowering Alaskan Lives Towards Healthy Hearts (HEALTHH) project, which recruited Indigenous participants from the 16 communities that make up the rural Norton Sound region of Alaska to study smoking behavior and chronic disease prevention efforts among Alaska Native populations. Explores special considerations for research involving remote Alaska Native communities and analyzes data related to recruitment best practices, staffing issues, and barriers to enrolling study participants.
Author(s): Mariah Knox, Jordan Skan, Neal L. Benowitz, Matthew Schnellbaecher, Judith J. Prochaska
Citation: International Journal of Circumpolar Health, 79(1), 1806639
Date: 08/2020
Type: Document
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Health Services and Primary Care Research Study
Presents the results of a study on the contributions of federally-funded health services research and primary care research through the U.S. Department of Health and Human Services and the U.S. Department of Veterans Affairs from FY 2012-2018. Identifies opportunities for coordination and gaps in funding, methods and dissemination. Provides recommendations on how to maximize future funding of health services and primary care research. Includes rural references throughout.
Author(s): Peter Mendel, Courtney A. Gidengil, Andrada Tomoaia-Cotisel, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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National Hospital Care Survey Demonstration Projects: Opioid-Involved Emergency Department Visits, Hospitalizations, and Deaths
Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Considerations for Defining Rural Places in Health Policies and Programs
Highlights key questions to be considered when evaluating a definition of rural that is most appropriate for a specific policy or program. Discusses the principles needed to drive rural definitions and the current challenges of changing rural definitions. Provides an overview of common rural definitions in use, and offers options for the development of new definitions and adjustments to current definitions.
Author(s): Keith J. Mueller, Andrew F. Coburn, Alana Knudson, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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In Search of "Good" Rural Data: Measuring Rural Prosperity
Discusses the availability of data on rural communities, including economic, health, demographic, and geographic data, and issues that make rural data collection and reporting difficult. Compares 22 datasets, exploring what makes data collection difficult and what makes specific datasets challenging to work with. Addresses methods of locating good information in existing datasets, as well as steps toward improving data access.
Author(s): Corianne Payton Scally, Eric Burnstein, Matthew Gerken, Evelyn Immonen
Date: 04/2020
Type: Document
Sponsoring organizations: Aspen Institute, Housing Assistance Council, Urban Institute
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Exploring American Indian and Alaska Native Data on Census.gov
Webinar recording discusses the Census as source for resources and data about American Indian and Alaska Native populations and tribal geographies. Highlights the differences between, and how to find data for, AI/AN as a population group and tribal geographic area.
Additional links: Presentation Slides, Webinar Transcript
Date: 04/2020
Type: Video/Multimedia
Sponsoring organization: U.S. Census Bureau
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