Rural Health
Resources by Type: Document
Study Team Perspectives on a Multisite Randomized Clinical Trial with Underserved Rural Populations: A Mixed Methods Feasibility Analysis
Surveys clinical trial study staff on barriers and facilitators of conducting the iAmHealthy Intervention, a mobile health-based clinical trial focused on addressing obesity among rural families and children. Discusses participant recruitment, engagement, and retention, best practices for communicating study procedures and expectations, experiences working with rural populations, and more.
Author(s): Kristina L. Foster, Sarah Sanders, Christi A. Madden, et al.
Citation: PLoS One, 20(9), e0333229
Date: 09/2025
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Surveys clinical trial study staff on barriers and facilitators of conducting the iAmHealthy Intervention, a mobile health-based clinical trial focused on addressing obesity among rural families and children. Discusses participant recruitment, engagement, and retention, best practices for communicating study procedures and expectations, experiences working with rural populations, and more.
Author(s): Kristina L. Foster, Sarah Sanders, Christi A. Madden, et al.
Citation: PLoS One, 20(9), e0333229
Date: 09/2025
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Creation of a Telehealth Addiction Consultation Service at a Rural Hospital: A Case Study
Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Details the implementation and evaluation of the Community Addiction Consult (CAC) service, which facilitated medications for opioid use disorder (MOUD) treatment and provided other supports for hospital-based addiction care via telehealth consultations by community, non-hospital clinicians in rural Massachusetts. Highlights the significance of the CAC model as a support for improving access to hospital-based substance use disorder treatment in rural areas.
Author(s): Rachel Katz, Tiarra Fisher, Talia Singer-Clark, et al.
Citation: Addiction Science & Clinical Practice, 20, 76
Date: 09/2025
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Optimizing Access to Fruits and Vegetables in Rural Communities: A Decision-Making Model for the Placement of Produce Markets
Examines fruits and vegetables (FV) access in rural communities and the systems that support FV markets. Analyzes policy, systems, and environmental (PSE) change interventions in a rural Texas community and the impact on driving distance to FV markets, service capacity, and financial resources of the community. Discusses the effect of 27 different interventions, provides related data, and includes suggestions on how PSE changes can support improved nutrition.
Author(s): Eduardo Pérez, Cassandra M. Johnson, Yan Li, José A. Pagán
Citation: PLoS One, 20(9), e0331545
Date: 09/2025
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Examines fruits and vegetables (FV) access in rural communities and the systems that support FV markets. Analyzes policy, systems, and environmental (PSE) change interventions in a rural Texas community and the impact on driving distance to FV markets, service capacity, and financial resources of the community. Discusses the effect of 27 different interventions, provides related data, and includes suggestions on how PSE changes can support improved nutrition.
Author(s): Eduardo Pérez, Cassandra M. Johnson, Yan Li, José A. Pagán
Citation: PLoS One, 20(9), e0331545
Date: 09/2025
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Comprehensive Analysis of the Supply, Demand, and Affordability of Senior Housing in Rural Pennsylvania
Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Examines the housing circumstances of rural Pennsylvania residents age 65 and over, by analyzing population projections, demographics, housing situations, and financial conditions. Features statistics including health insurance status of senior residents, with breakdowns by private, public, or no insurance, and numbers of senior residents who lived in a nursing home during 2023, with breakdowns by rural and urban areas.
Author(s): Thuy Bui, Benjamas Jirasakuldech
Date: 09/2025
Sponsoring organization: Center for Rural Pennsylvania
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Adverse Childhood Experiences and Preventive Health Care among Rural US Children: A Cross-Sectional Examination of 2022 National Health Interview Survey Data
Examines the relationship between preventative healthcare utilization and adverse childhood experiences (ACEs). Analyzes 2022 National Health Interview Survey data from 425 children residing in nonmetro locations according to physician visits, dental visits, vaccinations, and self-reported ACEs.
Author(s): Mary Labuhn, Andrew Williams
Citation: Journal of Rural Health, 41(4), e70081
Date: 09/2025
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Examines the relationship between preventative healthcare utilization and adverse childhood experiences (ACEs). Analyzes 2022 National Health Interview Survey data from 425 children residing in nonmetro locations according to physician visits, dental visits, vaccinations, and self-reported ACEs.
Author(s): Mary Labuhn, Andrew Williams
Citation: Journal of Rural Health, 41(4), e70081
Date: 09/2025
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Rural/Urban Disparities in the Availability of Diabetes Prevention Programs in US Hospitals
Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines access to Diabetes Prevention Programs (DPPs) by geographic and socioeconomic variables. Analyzes DPPs in 3,204 general medical hospitals according to sociodemographic variables such as food environment, insurance rates, income, and more, as well as hospital characteristics, such as ownership type, geographic region, and county location of metro, micro, or noncore.
Author(s): Allyson Hughes, Shyamkumar Sriram, Berkeley Franz, Cory Cronin
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Supporting Older-Adult Behavioral Health: Building the First State Center of Excellence for Behavioral Health and Aging
Describes the establishment of the Oregon Center of Excellence for Behavioral Health and Aging which seeks to increase access to behavioral health services for older adults with mental illness and substance use disorders in Oregon through translational research, workforce development, and policy innovation. Highlights national initiatives related to behavioral health and aging. Offers guidance to other states interested in a similar model. Mentions rural throughout.
Author(s): Walter D. Dawson, Allyson Stodola, Paula Carder, et al.
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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Describes the establishment of the Oregon Center of Excellence for Behavioral Health and Aging which seeks to increase access to behavioral health services for older adults with mental illness and substance use disorders in Oregon through translational research, workforce development, and policy innovation. Highlights national initiatives related to behavioral health and aging. Offers guidance to other states interested in a similar model. Mentions rural throughout.
Author(s): Walter D. Dawson, Allyson Stodola, Paula Carder, et al.
Citation: Health Affairs Scholar, 3(9)
Date: 09/2025
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HRSA Rural Communities Opioid Response Program Award Recipients Generally Met All Core Activities and Benchmarks
Examines whether Rural Communities Opioid Response Program (RCORP) Medication-Assisted Treatment (MAT) Expansion award recipients met the five required core activities and three proposed benchmarks between September 2019 and August 2022. Summarizes results of a performance audit of RCORP MAT Expansion award recipients, including site visits to each awardee. Appendix C covers the challenges and barriers award recipients faced while establishing or expanding their MAT programs.
Additional links: Report Highlights
Date: 09/2025
Sponsoring organization: Office of Inspector General (HHS)
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Examines whether Rural Communities Opioid Response Program (RCORP) Medication-Assisted Treatment (MAT) Expansion award recipients met the five required core activities and three proposed benchmarks between September 2019 and August 2022. Summarizes results of a performance audit of RCORP MAT Expansion award recipients, including site visits to each awardee. Appendix C covers the challenges and barriers award recipients faced while establishing or expanding their MAT programs.
Additional links: Report Highlights
Date: 09/2025
Sponsoring organization: Office of Inspector General (HHS)
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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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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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Data Driven Decisions: Using Data to Identify Health Services and Needs for Rural Emergency Hospitals
Describes the Health Services and Needs Assessment (HSNA) tool provided to Rural Emergency Hospitals (REHs) and facility exploring the REH designation. Summarizes aggregated data on health indicators and availability of preventive care across REH communities based on 36 HSNAs completed through September 2024, as well as lessons learned regarding common issues faced by rural hospitals.
Author(s): Susie Aft, Autum Martin, Anna Anna, Candice Talkington, Tracey Dorff
Date: 09/2025
Sponsoring organization: Rural Health Redesign Center
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Describes the Health Services and Needs Assessment (HSNA) tool provided to Rural Emergency Hospitals (REHs) and facility exploring the REH designation. Summarizes aggregated data on health indicators and availability of preventive care across REH communities based on 36 HSNAs completed through September 2024, as well as lessons learned regarding common issues faced by rural hospitals.
Author(s): Susie Aft, Autum Martin, Anna Anna, Candice Talkington, Tracey Dorff
Date: 09/2025
Sponsoring organization: Rural Health Redesign Center
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