These stories feature model programs and successful rural projects that can serve as a
source of ideas. Some of the projects or programs may no longer be active. Read about the
criteria and evidence-base
for programs included.
Need: Population-based rates of adult vaccinations and cancer screenings are low. Delivery rates are lower still in low-income and minority communities.
Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.
Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
Need: Improving outcomes for Outer and Lower Cape Cod residents in need of social, behavioral health, and substance use disorder services while reducing the burden and costs to town agencies and hospital emergency rooms.
Intervention: The Community Resource Navigator Program works with local social services, town agencies, faith-based institutions, hospitals, the criminal justice system, and others to identify and connect clients to needed services.
Results: Clients are gaining access to the care they were once lacking, as measured by improvements in self-sufficiency. The program also helps community partners and stakeholders work together to reduce the impact of risks associated with behavioral health symptoms, substance use disorder, and social determinants of health.
Need: Clinicians in rural areas are often unprepared to treat sexual assault victims after an assault.
Intervention: The National TeleNursing Center (NTC) in Massachusetts uses telemedicine to connect Sexual Assault Nurse Examiners to clinicians in remote areas, offering them guidance through examinations.
Results: Clinicians report that the help gives them confidence through the examination process and NTC has assisted in the care of over 300 patients.
Need: To strengthen the local food system by assisting farmers, supporting rural economies and promoting access to fresh food for underserved families and individuals receiving federal nutrition assistance.
Intervention: Financial partnership and targeted programs created to strengthen food system infrastructure and connect regional food producers to a larger market.
Results: Sales have increased for local farmers and food producers, and low-income participants have increased consumption of fresh fruits and vegetables.