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Rural Health Information Hub

Community Health Workers in Rural Settings – Resources

Selected recent or important resources focusing on Community Health Workers in Rural Settings.

Connected Care for Older Adults: A Pilot Intervention Engaging Community Health Workers to Advance Age-Friendly Care in Rural Oregon
Describes a pilot program implementing the 4Ms of the Age-Friendly Health System framework by embedding community health workers in rural primary care teams for 388 older adult medically frail patients. Assesses patient and clinician satisfaction and associated healthcare utilization.
Author(s): Bryanna De Lima, Lindsay Miller, Elizabeth Foster, Jodi Ready, Elizabeth Eckstrom
Citation: Journal of the American Geriatrics Society, 74(3), 705-711
Date: 03/2026
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Expanding Behavioral Health Teams in Care Deserts With Community Health Workers and Peer Support Specialists
Report explores the role community health workers can play in expanding behavioral health access to rural areas and care deserts. Highlights how community health workers can support behavioral health access through outreach activities, serving as community liaisons, screening for behavioral health concerns, and providing community education, among other measures.
Date: 02/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Expanding Access to Community Health Workers in Rural Communities
Webinar recording examines community health worker (CHW) programs in Oregon, Tennessee, and Virginia that support access to essential health services in rural areas. Focuses on integrating CHWs into interdisciplinary teams within health systems, program design, CHW training and certification, and more. Transcript available below description.
Author(s): Megan Terrell, Annie Cloke, Brea Burke, et al.
Date: 02/2026
Sponsoring organization: Center for Health Care Strategies
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Rural Health Transformation Program: State Focus on Community Health Workers
Describes examples of state initiatives regarding community health workers (CHWs) outlined Rural Health Transformation Program (RHTP) applications from Arizona, Iowa, Nebraska, and Wisconsin. Includes results of a scan of CHW proposals for each state with a publicly available RHTP application.
Author(s): Megan D'Alessandro, Sandra Wilkniss
Date: 02/2026
Sponsoring organization: National Academy for State Health Policy
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Use of Return on Investment Analysis on Community Health Worker Programs
Describes ways in which a return on investment analysis helps evaluate the economic impact of community health worker programs. Includes brief descriptions of notable examples.
Date: 12/2025
Sponsoring organization: MHP Salud
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Community Health Workers and Rural Age-Friendly Care
Discusses the roles of community health workers (CHWs) in enhancing access, quality, and affordability of healthcare for older adults in rural areas. Describes challenges and opportunities for integrating CHWs into rural health systems. Offers policy and action recommendations to enable and support CHWs in improving healthcare for rural older adults.
Author(s): Elizabeth Eckstrom, Denise A. Hernadez, Lindsay Miller, Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Critical Lessons from a Pragmatic Randomized Trial of Home-Based COVID-19 Testing in Rural Native American and Latino Communities
Examines the impact of utilizing community health workers (CHWs) to provide COVID-19 home testing in rural Latino and Native American communities. Includes data on completion of COVID-19 tests and provides qualitative feedback on accessibility, feasibility, and completion of COVID-19 home testing with CHW assistance.
Author(s): Eliza Webber, Sonia Bishop, Paul K. Drain, et al.
Citation: Journal of Rural Health, 40(4), 709-719
Date: 09/2024
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U.S. Community Health Worker Landscape Report
Describes the national community health worker (CHW) landscape and showcases best practices. Features sections on workforce challenges, training and certification, financing, state-by-state comparisons, and more. Includes a section on CHW successes in a rural context. Mentions rural throughout.
Author(s): Pranali Koradia, Jenae Logan, Nicolle Miller, et al.
Date: 07/2024
Sponsoring organization: Partners In Health
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Rural Community Health Worker Programs: Proving Value and Finding Sustainability
Features four rural healthcare organizations describing the impact of their community health worker (CHW) programs and strategies for sustaining them. Discusses CHW roles, activities, reimbursement options, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2024
Sponsoring organization: Rural Health Information Hub
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Assessing Social Needs and Engaging Community Health Workers in Underserved Kansas Counties: Insights From Primary Care Providers and Clinic Managers
Details a study exploring how rural and urban communities in Kansas are screening for social determinants of health and using community health workers to address challenges. Bases findings on surveys of providers and clinic managers.
Author(s): Kristina M. Bridges, Joseph W. LeMaster, Daniel J. Parente, et al
Citation: Journal of Primary Care and Community Health, 14
Date: 12/2023
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