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Rural Health Information Hub
Rural Health Information Hub

West Virginia Models and Innovations

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.

Evidence-Based Examples

PROSPER Partnerships

Updated/reviewed June 2025

  • Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
  • Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
  • Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.

Effective Examples

Community Health Worker-based Chronic Care Management Program

Updated/reviewed March 2026

  • Need: Improve healthcare access and decrease chronic disease disparities in rural Appalachia.
  • Intervention: A unique community health worker-based chronic care management program, created with philanthropy support.
  • Results: After a decade of use in attending to population health needs, health outcomes, and healthcare costs, in 2024, the medical condition-agnostic model has a 4-year track record of financial sustainability with recent scaling to include 31 rural counties in a 3-state area of Appalachia and recent implementation in urban areas.

Health Coaches for Hypertension Control

funded by the Federal Office of Rural Health Policy

Updated/reviewed November 2025

  • 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.

Spit It Out-West Virginia

Updated/reviewed March 2025

  • Need: Due to West Virginia's high ranking for its use of smokeless tobacco, prevention and cessation education efforts were needed.
  • Intervention: Development and implementation of the Spit It Out-West Virginia program.
  • Results: Supported by a 2008-2010 grant allowing the program to be delivered to hundreds of people, 5 workplaces became tobacco free. The program continues to be delivered across the state and reaches hundreds with its face-to-face presentations and thousands with its specific media prevention and cessation messages.

Community-Based Pulmonary Rehabilitation Program

Updated/reviewed January 2024

  • Need: More evidence-based chronic lower respiratory disease management options for rural Appalachia patients, where lung disease rates are among the highest in the country.
  • Intervention: Implementation of outpatient pulmonary rehabilitation programs in 2 Federally Qualified Health Centers and a Critical Access Hospital in West Virginia.
  • Results: Improved health outcomes for patients with chronic lower respiratory disease, including those with chronic obstructive pulmonary disease.

Other Project Examples

Prescription for Your Health (P4YH)

Added October 2026

  • Need: To improve health and wellness in rural West Virginia, especially for people with chronic conditions or health risks.
  • Intervention: A free personalized health plan helps patients set health goals, schedule screenings and wellness checks, and work on fitness.
  • Results: There are between 500 and 600 participants currently enrolled in the program. Patients report having more energy and seeing improved health outcomes.

Marshall University Rural Psychiatry Residency Program

Added December 2024

  • Need: To train the next generation of psychiatrists in a rural context, while providing psychiatric care to an underserved region of West Virginia.
  • Intervention: A new rural psychiatry residency program at Marshall University, in which residents split their time between the rural town of Point Pleasant and the larger city of Huntington.
  • Results: The program welcomed its first class of residents in July 2024.

Camp Mariposa

Updated/reviewed August 2024

  • Need: To help children whose family members are struggling with substance misuse.
  • Intervention: A year-round program provides mentoring as well as substance use prevention education.
  • Results: In 2023, Camp Mariposa served a total of 113 youth in its four rural locations in Indiana, Kentucky, Tennessee, and West Virginia. In a study, 92% of participants reported no use of any substance to get high.