Rural Health
Resources by Type: Document
Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hózhó Randomized Clinical Trial
Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Explores whether a guideline-directed medical therapy (GDMT) is initiated and titrated through telehealth improves GDMT use among patients with heart failure with reduced ejection fraction in Navajo Nation. Summarizes results of a stepped-wedge, pragmatic comparative effectiveness trial conducted from February to August 2023 at two Indian Health Service facilities in rural Navajo Nation. Discusses the importance of community-designed and locally-tailored strategies to improve GDMT rates.
Author(s): Lauren A. Eberly, Ada Tennison, Daniel Mays, et al.
Citation: JAMA Internal Medicine, 184(6), 681-690
Date: 04/2024
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Addressing the Spectrum of Opioid Misuse Prevention, Treatment, and Recovery in Rural Washington State Communities: Provider Identified Barriers and Needs
Highlights a study on provider-identified barriers to opioid use disorder treatment, recovery, and prevention in rural Washington State. Draws conclusions from survey data taken from July-September 2020 and features some discussion of COVID-19 on top of other pre-existing barriers. Breaks down data by role in healthcare workforce, work setting, and substance focus, among other factors.
Author(s): Liat S. Kriegel, Katherine Hampilos, Elizabeth Weybright, et al.
Citation: Community Mental Health Journal, 60(3), 600-607
Date: 04/2024
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Highlights a study on provider-identified barriers to opioid use disorder treatment, recovery, and prevention in rural Washington State. Draws conclusions from survey data taken from July-September 2020 and features some discussion of COVID-19 on top of other pre-existing barriers. Breaks down data by role in healthcare workforce, work setting, and substance focus, among other factors.
Author(s): Liat S. Kriegel, Katherine Hampilos, Elizabeth Weybright, et al.
Citation: Community Mental Health Journal, 60(3), 600-607
Date: 04/2024
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Current and Projected Flood Exposure for Alaska Coastal Communities
Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Analyzes historical flood data to estimate current flood exposure for 63 Alaskan communities. Discusses disparate risk for Alaska Native villages and specific challenges for rural and remote communities.
Author(s): Richard M. Buzard, Christopher V. Maio, Li H. Erikson, et al.
Citation: Scientific Reports, 14, 7765
Date: 04/2024
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Health Professions Pathway Programs: A Literature Review
Reviews 26 articles to identify common practices of health professions pathway programs for underrepresented, underserved, or rural students pursuing primary care medical or dental education. Identifies instructional and financial practices which address Arizona's health workforce shortages by improving health workforce distribution and diversity.
Author(s): Jack Ringhand
Date: 04/2024
Sponsoring organization: Arizona Center for Rural Health
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Reviews 26 articles to identify common practices of health professions pathway programs for underrepresented, underserved, or rural students pursuing primary care medical or dental education. Identifies instructional and financial practices which address Arizona's health workforce shortages by improving health workforce distribution and diversity.
Author(s): Jack Ringhand
Date: 04/2024
Sponsoring organization: Arizona Center for Rural Health
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Ensuring Equitable Application of Interventions to Vulnerable Subpopulations in the Kentucky Consortium for Accountable Health Communities (KC-AHC)
Results of a study to assess the equity of the Kentucky Consortium for Accountable Health Communities model activities among dual enrollees, disabled people, and women. Uses data gathered from August 2018 to April 2021 in a largely-rural 29-county area in Appalachian Kentucky. Features statistics with breakdowns by year and by subpopulation.
Author(s): Jing Li, Jessica M. Clouser, Akosua Adu, et al.
Citation: Journal of Appalachian Health, 6(1/2), 38–56
Date: 04/2024
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Results of a study to assess the equity of the Kentucky Consortium for Accountable Health Communities model activities among dual enrollees, disabled people, and women. Uses data gathered from August 2018 to April 2021 in a largely-rural 29-county area in Appalachian Kentucky. Features statistics with breakdowns by year and by subpopulation.
Author(s): Jing Li, Jessica M. Clouser, Akosua Adu, et al.
Citation: Journal of Appalachian Health, 6(1/2), 38–56
Date: 04/2024
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Maternal Age and Inadequate Prenatal Care in West Virginia: A Project WATCH Study
Results of a study to determine the potential association between maternal age and inadequate prenatal care, based on data collected in rural Appalachian West Virginia between May 2018 and March 2022, through a state-mandated surveillance tool. Features demographics and statistics with breakdowns by maternal age group, education, substance use, payment type, and geographic region.
Author(s): Madelin Gardner, Amna Umer, Brian Hendricks, et al.
Citation: Journal of Appalachian Health, 6(1/2), 21–37
Date: 04/2024
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Results of a study to determine the potential association between maternal age and inadequate prenatal care, based on data collected in rural Appalachian West Virginia between May 2018 and March 2022, through a state-mandated surveillance tool. Features demographics and statistics with breakdowns by maternal age group, education, substance use, payment type, and geographic region.
Author(s): Madelin Gardner, Amna Umer, Brian Hendricks, et al.
Citation: Journal of Appalachian Health, 6(1/2), 21–37
Date: 04/2024
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Perspectives on Opioid Use Disorder Treatment Access and Engagement from Rural Family Members and People in Treatment
Reports on interviews with 20 family members in rural Vermont of people using either medications for opioid use disorder (MOUD) or illicit opioids. Highlights themes identified include facilitators and barriers to MOUD treatment access and engagement, recovery success, unmet needs, and recommendations to improve care. Discusses overlap and key differences in themes between family members and people in treatment in previously published reports.
Date: 04/2024
Sponsoring organizations: Substance Use Research and Evaluation, University of Vermont Center on Rural Addiction
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Reports on interviews with 20 family members in rural Vermont of people using either medications for opioid use disorder (MOUD) or illicit opioids. Highlights themes identified include facilitators and barriers to MOUD treatment access and engagement, recovery success, unmet needs, and recommendations to improve care. Discusses overlap and key differences in themes between family members and people in treatment in previously published reports.
Date: 04/2024
Sponsoring organizations: Substance Use Research and Evaluation, University of Vermont Center on Rural Addiction
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Trilogies: Lessons from 50 Years Facilitating Community-Based Health Assessments and Planning in Appalachia
Presents case studies from rural Tennessee, Kentucky, and Virginia, in which community input was used to encourage organizational change and collaboration when formulating community-based health assessments. Offers tried-and-tested techniques that may help organizations meet their goals.
Author(s): Bruce Behringer
Citation: Journal of Appalachian Health, 6(1):148–162
Date: 04/2024
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Presents case studies from rural Tennessee, Kentucky, and Virginia, in which community input was used to encourage organizational change and collaboration when formulating community-based health assessments. Offers tried-and-tested techniques that may help organizations meet their goals.
Author(s): Bruce Behringer
Citation: Journal of Appalachian Health, 6(1):148–162
Date: 04/2024
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Hearing Difficulties Among Farmworkers in the México-US Southwest Border Region
Surveys 132 predominantly Latino, Spanish-speaking farmworkers on hearing loss, working conditions, and hearing safety in the U.S.-Mexico border region of Yuma County, Arizona. Identifies factors associated with subjective hearing loss.
Author(s): Laura Coco, Gabriela D. Sanchez, Gabriel A. Campuzano, Annie J. Keeney, James K. Romine
Citation: Journal of Immigrant and Minority Health, 26, 1-10
Date: 04/2024
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Surveys 132 predominantly Latino, Spanish-speaking farmworkers on hearing loss, working conditions, and hearing safety in the U.S.-Mexico border region of Yuma County, Arizona. Identifies factors associated with subjective hearing loss.
Author(s): Laura Coco, Gabriela D. Sanchez, Gabriel A. Campuzano, Annie J. Keeney, James K. Romine
Citation: Journal of Immigrant and Minority Health, 26, 1-10
Date: 04/2024
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Check with the Intended Audience First! Content Validation as a Method for Inclusive Research for Primary Care Engagement in Rural Appalachia
Results of a study intended to develop and content validate a survey to assess engagement and burnout, referral practices, and self-efficacy and confidence in making referrals based on social determinants of health among primary care providers and clinic staff in Appalachian North Carolina. Uses data from 10 participants, collected between August and November 2022.
Author(s): Sydeena E. Isaacs, Jennifer Schroeder Tyson, Ashley Parks, Danielle Adams
Citation: Journal of Appalachian Health, 6(1):69–89
Date: 04/2024
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Results of a study intended to develop and content validate a survey to assess engagement and burnout, referral practices, and self-efficacy and confidence in making referrals based on social determinants of health among primary care providers and clinic staff in Appalachian North Carolina. Uses data from 10 participants, collected between August and November 2022.
Author(s): Sydeena E. Isaacs, Jennifer Schroeder Tyson, Ashley Parks, Danielle Adams
Citation: Journal of Appalachian Health, 6(1):69–89
Date: 04/2024
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