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Rural Health
Resources by Type: Document

Evaluating Spoke Facilitation Costs of Implementing TelePain in the Veterans Health Administration
Examines TelePain and hub-and-spoke healthcare models to treat pain in U.S. veterans. Discusses implementation costs, staffing, patients reached, and potential cost barriers of the model in rural and small clinics.
Author(s): Alexandra L. Rose, Shaina Coogan, Jess Indresano, Steven B. Zeliadt, Jessica A. Chen
Citation: Implementation Science Communications, 6, 51
Date: 05/2025
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Reported Rural Drug Overdoses Decline 40 Percent in One Year (Pennsylvania)
Compares rates of drug overdoses in 2023 and 2024 in rural and urban areas of Pennsylvania. Features statistics on reported drug overdose rates per 100,000 during these years, percent of rural and urban residents receiving naloxone in 2023 and 2024, demographic information on rural overdose victims, and a county-level map showing percent change in reported overdoses by county.
Date: 05/2025
Sponsoring organization: Center for Rural Pennsylvania
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School-Based Enhanced Hearing Screening and Specialty Telehealth Follow-Up for Hearing Loss among Children in Rural Alaska: Study Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (North STAR Trial)
Describes a study protocol that examines the impact of providing specialty hearing care for students in rural Alaska following standard school hearing screenings. Focuses on trial objectives, design, setting, participants, recruitment, data collection, and planned statistical analyses.
Author(s): Samantha Kleindienst Robler, Janet Prvu Bettger, Elizabeth Turner, et al.
Citation: Trials, 26, 175
Date: 05/2025
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Medicaid Plays A Key Role for Maternal and Infant Health in Rural Communities
Explores the role of Medicaid in covering women of childbearing age - 19 through 44 years old - living in small towns and rural areas. Presents data from the 2023 U.S. Census Bureau's American Community Survey (ACS) Public Use Microdata Sample (PUMS) on the percentage of women of childbearing age in small towns and rural areas who have Medicaid coverage by state and compares the share of Medicaid coverage to similar women in metropolitan counties. Describes the percentage of women of childbearing age with Medicaid coverage as a share of non-elderly adults with Medicaid across Medicaid expansion states and non-expansion states. Highlights the 20 small towns and rural areas with the highest share of women of childbearing age covered by Medicaid.
Date: 05/2025
Sponsoring organization: Georgetown University Health Policy Institute
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Impact of Hospital Closure on Rural Communities: A Qualitative Study
Examines the impact of rural hospital closure on access to care, and identifies ways that rural communities adapt to hospital closures. Utilizes interview excerpts from 25 informants examining themes related to pre-closure conditions, impacts on communities and health systems, and actions by communities, states, health systems, and emergency medical services.
Author(s): Redwan Bin Abdul Baten, Mina Shrestha, Fred Ullrich, Whitney Zahnd, Keith J. Mueller
Date: 05/2025
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Effectiveness of a Respiratory Therapist-Led, Community-Based Asthma Program in an Under Resourced Rural Border Town in California
Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through Rural Health Clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Developing an Implementation Fidelity Measure for a Family Healthy Weight Program
Examines strategies to conduct a direct observation method to measure implementation fidelity in a micropolitan/rural community-based family healthy weight program (FHWP). Discusses the process of hiring and training community members as direct observers, utility and quality of this methodology, and potential usefulness of developing an implementation fidelity measure for assessing future programs in rural or geographically dispersed areas.
Author(s): Caitlin A. Golden, Paul A. Estabrooks, Kate A. Heelan, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 22, 53
Date: 05/2025
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The Protective Role of Community Cohesion Across Rural and Urban Contexts: Implications for Youth Mental Health
Examines the impact of community cohesion on youth resilience during adverse experiences and socioeconomic issues. Utilizes longitudinal data from the Adolescent Brain Cognitive Development (ABCD) Study and compares rural and urban youth across categories such as neighborhood characteristics, negative life events, community cohesion, and internalizing and externalizing mental health symptoms.
Author(s): Alexis Brieant, Keith B. Burt
Citation: Child and Adolescent Mental Health, 30(2), 140-148
Date: 05/2025
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Assessment of Mental and Physical Health Outcomes over Time in an Integrated Care Setting
Examines the impact of an integrated care setting in rural Louisiana for patients with mental health challenges. Utilizes data from 239 integrated care patients and analyzes various physical health indicators and mental health outcomes.
Author(s): Dependra Bhatta, Monteic A. Sizer, Binod Acharya, Dipendra Banjara
Citation: BMC Primary Care, 26, 181
Date: 05/2025
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Development of Chronic Pain and High-Impact Chronic Pain Across the US Rural–Urban Continuum, 2019–2020
Examines the prevalence of chronic pain across large central metro, large fringe metro, medium and small metro, and nonmetropolitan locations in the United States. Utilizes 2019–2020 National Health Interview Survey Longitudinal Cohort (NHIS-LC) data to analyze the severity of pain by demographic variables, region, and rural versus urban location.
Author(s): Feinuo Sun, Yulin Yang, Richard L. Nahin
Citation: Journal of Rural Health, 41(2)
Date: 05/2025
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