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Rural Health Information Hub

Effective Interventions for Communities

Includes programs demonstrated in published high-quality, peer-reviewed studies and evaluation reports to produce significant positive health or behavioral outcomes, and policy, environment, or economic impacts.

  • Program name: Tomando Control de su Salud
    Change type: Individual
    Description: Workshops, conducted in Spanish, held once a week for six weeks in community settings such as senior centers, churches, libraries, and hospitals. Facilitators are non-health professionals with chronic diseases. Workshops cover:
    • Techniques to deal with frustration, fatigue, pain, and isolation
    • Exercises for maintaining and improving strength, flexibility, and endurance
    • Appropriate use of medications
    • Communicating effectively with family, friends, and health professionals
    • Healthy eating
    • Appropriate use of healthcare system
    • How to evaluate new treatments
    Demonstrated Success
    • Tested in rural setting
    • Audience tested: 5,000 Spanish-speaking people with heart disease, lung disease, or diabetes; followed for one year
    • Compared to controls, participants in the intervention group showed improved outcomes in terms of:
      • Health status
      • Health behavior
      • Self-efficacy
      • Emergency room visits (fewer)
    • At one year post-intervention, improvements were maintained
  • Program name: The Stanford Nutrition Action Program (SNAP)
    Change type: Individual
    Description: Nutrition education program for English-speaking adults with low literacy skills teaching methods of choosing and preparing low-fat foods in ways that help women and their families reduce heart attack risk by lowering fat intake. Six-week classroom-based intervention followed by a 12-week maintenance intervention.
    Demonstrated Success
    • Audiences tested: Primarily young Hispanic women (58%) as well as White (20%), Asian (10%), and women of other races (12%)
    • Significant reductions in the percentages of calories from fat and in calories from saturated fat
    • Increased nutrition knowledge
    • Increased self-efficacy for achieving a low-fat diet