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Community Supports for Rural Aging in Place and Independent Living – Resources

Selected recent or important resources focusing on Community Supports for Rural Aging in Place and Independent Living.

Age-Friendly in Rural Communities: November 2025 Age-Friendly Public Health Systems Training
Webinar recording discussing the National Rural Age-Friendly Initiative (NRAFI) from the National Rural Health Association, how NRAFI fits within the Age-Friendly Ecosystem, and recent activities of NRAFI. Transcript available in video description.
Date: 11/2025
Sponsoring organization: Trust for America's Health
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PACE in Rural Communities: Emerging Evidence on Integrated Care for Older Adults
An interview conversation with Carrie Henning-Smith of the the University of Minnesota School of Public Health (UMN) Rural Health Research Center about All-Inclusive Care for the Elderly (PACE). Covers how PACE supports older adults, the impact of PACE in rural communities as well as potential barriers, and policy and partnership needs.
Author(s): Megan Lisch
Date: 11/2025
Sponsoring organization: Center for Health Care Strategies
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What Makes a Rural Community Age-Friendly?
Brief discussing key factors for making a rural community age-friendly based on interviews with 25 older adults and 36 community leaders and service providers in 4 rural Iowa towns. Discusses rural challenges, volunteer run services, and social networks. Offers policy recommendations based on findings.
Author(s): Ilona Matysiak
Date: 10/2025
Sponsoring organization: Rural Population Research Network
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Older Americans Act: Greatest Economic and Social Needs of Rural Older Adults
Policy brief discussing the economic and social needs for rural older adults. Offers policy and action recommendations for the reauthorization of the Older Americans Act, discussing rural aging programs, affordable housing, access to nutrition, social isolation, healthcare workforce shortages, and caregiver support.
Author(s): Kathy Greenlee, Abby Cox, L. Carter Florence, Josh Protas, and Rebecca Yeboah
Date: 10/2025
Sponsoring organization: National Rural Health Association
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Caregiving in the US 2025: Caring Across States
Offers data on caregivers including demographics, tasks performed, finances and employment, and wellness. Includes rural, suburban, and urban breakdown for caregivers in 32 states.
Additional links: State-Specific Findings
Date: 10/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Utilization of Home- and Community-Based Services among Rural Family Caregivers of Persons with Dementia: The Role of the Area Deprivation Index
Examines the association between utilization of home- and community-based services and area-level factors as measured by the Area Deprivation Index, utilizing survey data of 361 rural family caregivers of people with dementia. Analyzes the relationship between home or community service use and level of area deprivation, U.S. region, and other individual factors.
Author(s): Jasmine Santoyo-Olsson, Kenneth E. Covinsky, Jing Cheng, Dolores Gallagher Thompson, Veronica Yank
Citation: Frontiers in Public Health, 13, 1688161
Date: 10/2025
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Shifting Care Patterns: How Medicaid Policies Shape Family and Formal Care Use
Analyzes the impacts of Medicaid 1915(c) waivers on likelihood of receiving formal versus family care among adults aged 70 years and older with functional limitations, utilizing 2011-2019 National Health and Aging Trends Study (NHATS) data. Highlights the significance of waiver payments for family caregiving for population subgroups including Medicaid beneficiaries, rural residents, and people living with dementia.
Author(s): Johanna Thunell, Elise M. Parrish, Katherine E.M. Miller
Citation: Alzheimer's & Dementia, 21(9), e70715
Date: 09/2025
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Rural and Tribal Transit: The Federal Transit Administration Should Evaluate Its Efforts to Help Improve Accessibility and Service
Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Caregiving in the US: Rural Family Caregivers
A national profile of rural family caregivers and challenges they face. Offers data on living arrangements, access to affordable services, and employment.
Date: 07/2025
Sponsoring organizations: AARP, National Alliance for Caregiving
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Rural Health Reimagined: Policy Support & Change for Rural Aging in New York
Outlines rural relevant recommendations developed at an April 2025 summit in preparation for the New York statewide Master Plan for Aging (MPA). Recommendations cover topics including access to healthcare, social isolation, ageism, supporting informal caregivers, strengthening the health workforce, and age-friendly practices in rural communities.
Date: 07/2025
Sponsoring organization: New York State Association for Rural Health
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 1/13/2026