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Rural Health
Resources by Topic: Wellness, health promotion, and disease prevention

Activities and Situations When Young Adults Drive Drunk in Rural Montana
Examines the situations that lead to or promote driving under the influence of alcohol for young adults in 8 rural Montana counties, drawing from 11 focus group sessions with a total of 72 participants. Describes elevated fatality rates related to traffic crashes in rural areas and situation-specific decision factors contributing to driving under the influence. Discusses implications of data for community-wide interventions to reduce underage drinking and driving after or while drinking.
Author(s): Matthew E. Rossheim, Kaylin M. Greene, Caroline J. Stephenson
Citation: American Journal of Health Behavior, 42(3), 27-36
Date: 05/2018
Type: Document
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Peer Mentor Versus Teacher Delivery of a Physical Activity Program on the Effects of BMI and Daily Activity: Protocol of a School-based Group Randomized Controlled Trial in Appalachia
Describes a school-based program utilizing peer mentors to promote health behavior changes and improved health outcomes in rural Appalachian Ohio teens. Explores unique circumstances leading to limited physical activity among Appalachian youth, such as a lack of organized sports and recreational facilities.
Author(s): Lauren H. Smith, Rick L. Petosa, Abigail Shoben
Citation: BMC Public Health, 18, 633
Date: 05/2018
Type: Document
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Rural Hospital Transitional Care Program Reduces Medicare Spending
Evaluates the impact of a weekly transitional care intervention, conducted by phone for recently discharged patients, on service use and spending among Medicare fee-for-service beneficiaries at a community-based hospital in rural Worcester County, Maryland.
Author(s): Keith Kranker, Linda M. Barterian, Rumin Sarwar, et al.
Citation: American Journal of Managed Care, 24(5), 256-260
Date: 05/2018
Type: Document
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Active Ottumwa: Adapting Evidence-Based Recommendations to Promote Physical Activity in a Micropolitan New Destination Community
Reports on the development of an evidence-based community-wide intervention promoting physical activity in Ottumwa, Iowa, a micropolitan community of nearly 25,000 people. This program, Active Ottumwa, utilizes lay health advisors and incorporates behavioral and social intervention approaches to improve health. Evaluation procedures for this study include a community survey, longitudinal cohort assessment, observational data, interviews, and project records.
Author(s): Barbara Baquero, Christine M. Kava, Sato Ashida, et al.
Citation: International Journal of Environmental Research and Public Health, 15(5), 917
Date: 05/2018
Type: Document
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Implementation of the MEDFRAT to Promote Quality Care and Decrease Falls in Community Hospital Emergency Rooms
Examines the implementation of Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT), an evidence based fall-risk assessment tool, in 12 emergency departments part of a rural health care system in Minnesota, Wisconsin, and North Dakota.
Author(s): Catherine A. McCarty, Theo A. Woehrle, Stephen C. Waring, Allise M. Taran, Laura A. Kitch
Citation: Journal of Emergency Nursing, 44(3), 280-284
Date: 05/2018
Type: Document
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ThedaCare: Leveraging Community Paramedics To Bridge Persistent Gaps in Care
Describes ThedaCare, a 2016 participant in the Transforming Complex Care initiative from the Robert Wood Johnson Foundation and Center for Health Care Strategies, a community paramedic (CP) program that works to extend the reach of clinic services to medically and socially complex patients in Northeastern Wisconsin. Discusses program goals, steps to establishing the CP program, and sustainability.
Author(s): Naomi Freundlich
Date: 05/2018
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Stroke Care Quality Improvement Initiatives in Critical Access Hospitals
Highlights successful evidenced-based programs implemented by Critical Access Hospitals (CAHs) and other rural hospitals to improve stroke care. Reviews key program elements, quality improvement stroke data measures, and CAH participation for state-level initiatives and covers national stroke care quality improvement initiatives.
Author(s): Megan Lahr
Date: 05/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Using Storytelling to Address Oral Health Knowledge in American Indian and Alaska Native Communities
Results of a study conducted in 3 northern California tribal locations to evaluate an intervention using storytelling to promote prevention of early childhood tooth decay. Participants were 53 women who were pregnant or who had children ages 6 or younger.
Author(s): Brenda Heaton, Christina Gebel, Andrew Crawford, et al.
Citation: Preventing Chronic Disease, 15
Date: 05/2018
Type: Document
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Vaccination Coverage Among Children Aged 2 Years — U.S. Affiliated Pacific Islands, April–October, 2016
Reports on estimated coverage for selected vaccines and doses by 2 years of age for children in five United States Affiliated Pacific Islands (USAPI) jurisdictions: American Samoa, Chuuk State in the Federated States of Micronesia, the Commonwealth of the Northern Mariana Islands, the Republic of the Marshall Islands, and the Republic of Palau.
Author(s): Ashley Tippins, Neil Murthy, Mehreen Meghani, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(20), 579-584
Date: 05/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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America's Health Rankings Senior Report 2018
Provides a national and state-by-state overview of population health for older adults across 34 measures, as well as two supplemental measures new in 2018: suicide rate and risk of social isolation. Includes a special focus on persistent health disparities and challenges facing rural seniors.
Additional links: Executive Summary
Date: 05/2018
Type: Document
Sponsoring organization: United Health Foundation
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