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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

Helping Kids PROSPER
Updated/reviewed June 2019
  • 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-Based Pulmonary Rehabilitation Program
Updated/reviewed February 2021
  • Need: More evidenced-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.
funded by the Federal Office of Rural Health Policy Regional Oral Health Pathway
Updated/reviewed November 2020
  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program has increased oral health visits in the area and has provided residents with valuable information on oral health resources and services.
Community Health Worker-based Chronic Care Management Program
Added May 2020
  • Need: Improve healthcare access and decrease chronic disease disparities in rural Appalachia.
  • Intervention: A community health worker-based Chronic Care Management program demonstrated such a level of success in a single West Virginia county that it was further scaled for implementation in a multi-center, 3-state area of Appalachia.
  • Results: When analysis of the disseminated program's results also demonstrated improved health outcomes and decreased healthcare costs, sustainability became possible due to innovative financial reimbursement models.
funded by the Federal Office of Rural Health Policy Health Coaches for Hypertension Control
Updated/reviewed December 2019
  • 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.

Promising Examples

Health Motivator Program
Updated/reviewed November 2020
  • Need: To increase physical activity and other healthy habits for older adults in West Virginia.
  • Intervention: Community members called Health Motivators lead senior centers and community groups in a monthly educational activity.
  • Results: In a 2016 survey, 97% of Health Motivators and 92% of group members said that their health improved because of the program.

Other Project Examples

funded by the Federal Office of Rural Health Policy On the Move! Unlawful Narcotics Investigations, Treatment & Education (Operation UNITE)
Updated/reviewed February 2021
  • Need: To decrease illicit drug and alcohol use in the Central Appalachian region of Kentucky, where many schools had no type of prevention curriculum.
  • Intervention: Using engaging simulations and presentations, the project delivers substance use prevention education to middle school and high school students.
  • Results: Post-test surveys show that thousands of students are reached through the "On the Move!" project and gain positive knowledge on the dangers of substance use.
Blood Pressure Self-Monitoring Stations
Updated/reviewed November 2020
  • Need: To encourage people to check their blood pressure.
  • Intervention: Self-check stations in community spaces and worksites allow people in rural West Virginia to check their blood pressure numbers and share the results with their healthcare providers.
  • Results: There are currently 51 self-check stations in community spaces or worksites.
Love Your Heart
Updated/reviewed November 2020
  • Need: To reduce heart disease in rural West Virginia.
  • Intervention: Love Your Heart trains local organizations to host community events about heart health.
  • Results: Since 2015, the program has reached 196,124 participants through 267 programs held in 33 counties (24 of which are rural).
Smiles for Life
Updated/reviewed November 2020
  • Need: Oral healthcare for low-income adults and children unable to obtain dental care in the Mid-Ohio Valley of West Virginia.
  • Intervention: Public health dental hygienists act as gatekeepers, screening low-income clients and placing them with area dental providers who volunteer from their private practices to provide needed dental treatment.
  • Results: Reduces the number of emergency department visits for dental pain and infections and provides a safety net for those unable to afford dental treatment.

Last Updated: 2/10/2021