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Rural Health
Resources by Topic: Research methods and resources

Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2019 National Healthcare Quality and Disparities Report (QDR)
Describes the preparation of Healthcare Cost and Utilization Project (HCUP) data for use in the 2019 National Healthcare Quality and Disparities Report, which includes information on priority populations such as rural residents. Includes information on HCUP-based measures related urban-rural location.
Author(s): M. Barrett, A. Mummert, T. Kenney
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Population Denominator Data Sources and Data for Use with HCUP Databases (Updated with 2019 Population Data)
Identifies sources of population data that can be used with Healthcare Cost and Utilization Project (HCUP) databases to calculate rates of hospital care events per population. Includes rural-urban population data sources. Appendix A, Tables A.6 and A.7 provide U.S. population figures from 2000 through 2019 for a 4-category urban-rural definition and a 6-category urban-rural definition.
Additional links: Appendix A: Population Data Tables
Author(s): Marguerite Barrett, Rosanna M. Coffey, Katharine Levit
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Limited Access to Health Data on American Indian and Alaska Natives Impedes Population Health Insights
Presents a study on the lack of data on the health of American Indian and Alaska Native (AI/AN) populations. Evaluates 8 different sets of population health data for AI/AN-specific data. Features an infographic outlining the findings.
Additional links: Infographic
Author(s): Tara L. Becker, Susan H. Babey, Riti Shimkhada, et al.
Date: 11/2020
Type: Document
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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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Effective Community-Based Initiatives Are Needed to Curb the Opioid Crisis
Describes 6 community-research collaboratives to address the opioid crisis at the local level, including programs in St. Louis, MO, Olympia, WA, Ithaca, NY, and rural programs in Rio Arriba County, NM, western North Carolina, and tribal communities in the Midwest and the Northern Plains.
Author(s): Beth Connolly, Leslie Paulson
Date: 07/2020
Type: Document
Sponsoring organization: Pew Charitable Trusts
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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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