Conducting Rural Health Research, Needs Assessments, and Program Evaluations – Resources
Selected recent or important resources focusing on Conducting Rural Health Research, Needs Assessments, and Program Evaluations.
A Review of Common Limitations in Rural Related Studies in the Peer-Reviewed Literature
Examines rural-focused research studies and their data limitations, such as quality of data, generalizability, numerous rural definitions, outdated data, and more. Reviews 259 research studies published between 2019-2022 in prominent peer-reviewed journals to analyze study characteristics and author-reported limitations.
Author(s): Stephanie M. Mathis, Olivia A. Sullivan, Margaret M. Francisco, et al.
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Examines rural-focused research studies and their data limitations, such as quality of data, generalizability, numerous rural definitions, outdated data, and more. Reviews 259 research studies published between 2019-2022 in prominent peer-reviewed journals to analyze study characteristics and author-reported limitations.
Author(s): Stephanie M. Mathis, Olivia A. Sullivan, Margaret M. Francisco, et al.
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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The National Dementia Workforce Study: The Plan for Organization Sample Frames and Data Collection
Details a plan for sampling and recruitment procedures of the dementia workforce, focusing on previously unsampled populations working in assisted living communities or home health agencies. Discusses sampling and recruitment strategies with considerations for Census region and rural areas.
Author(s): James Wagner, Laura M. Wagner, Sheryl Zimmerman, et al.
Citation: Journal of the American Geriatrics Society
Date: 09/2025
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Details a plan for sampling and recruitment procedures of the dementia workforce, focusing on previously unsampled populations working in assisted living communities or home health agencies. Discusses sampling and recruitment strategies with considerations for Census region and rural areas.
Author(s): James Wagner, Laura M. Wagner, Sheryl Zimmerman, et al.
Citation: Journal of the American Geriatrics Society
Date: 09/2025
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Precision Public Health Alliances as a Model and Method for Community Engagement
Examines the Precision Public Health Alliance (PPHA) approach of utilizing analytics to map social, demographic, and clinical comorbidity variables onto colorectal cancer (CRC) screening data in rural northeastern Kentucky and southeastern Ohio. Provides data on the relationship among sociodemographic information, clinical outcomes, and CRC screening to assess community needs. Discusses the importance of understanding social determinants of health (SDOH) and community collaboration when addressing population health.
Author(s): Margaret L. McGladrey, Mary Elizabeth Lacy, Kristen McQuerry, et al.
Citation: Frontiers in Public Health, 13
Date: 08/2025
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Examines the Precision Public Health Alliance (PPHA) approach of utilizing analytics to map social, demographic, and clinical comorbidity variables onto colorectal cancer (CRC) screening data in rural northeastern Kentucky and southeastern Ohio. Provides data on the relationship among sociodemographic information, clinical outcomes, and CRC screening to assess community needs. Discusses the importance of understanding social determinants of health (SDOH) and community collaboration when addressing population health.
Author(s): Margaret L. McGladrey, Mary Elizabeth Lacy, Kristen McQuerry, et al.
Citation: Frontiers in Public Health, 13
Date: 08/2025
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Conducting Research That Matters to Rural Practice and Communities
Commentary describing activities designed to improve rural clinical and community engagement in research led by the Oregon Rural Practice Research Network and the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network. Features example solutions for meaningful engagement.
Author(s): Sebastian T. Tong, Melinda M. Davis, Allison M. Cole
Citation: Journal of the American Board of Family Medicine, 38(2), 603-606
Date: 08/2025
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Commentary describing activities designed to improve rural clinical and community engagement in research led by the Oregon Rural Practice Research Network and the WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice and Research Network. Features example solutions for meaningful engagement.
Author(s): Sebastian T. Tong, Melinda M. Davis, Allison M. Cole
Citation: Journal of the American Board of Family Medicine, 38(2), 603-606
Date: 08/2025
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Machine Learning to Evaluate the Effects of Non-Clinical Social Determinant Features in Predicting Colorectal Cancer Mortality in a Medically Underserved Appalachian Population
Examines colorectal cancer (CRC) survival rates in rural Appalachia and the related impact of demographic, clinical, and social determinant of health (SDOH) factors. Utilizes machine learning (ML) models to analyze data from Appalachian cancer centers and examines what factors contribute most to CRC survival in Appalachia. Discusses the impact of including SDOH in ML prediction models and implications for further CRC research.
Author(s): Aisha Montgomery, Ravi Vadapalli, Frank A. Dinenno, et al.
Citation: Scientific Reports, 15, 25781
Date: 07/2025
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Examines colorectal cancer (CRC) survival rates in rural Appalachia and the related impact of demographic, clinical, and social determinant of health (SDOH) factors. Utilizes machine learning (ML) models to analyze data from Appalachian cancer centers and examines what factors contribute most to CRC survival in Appalachia. Discusses the impact of including SDOH in ML prediction models and implications for further CRC research.
Author(s): Aisha Montgomery, Ravi Vadapalli, Frank A. Dinenno, et al.
Citation: Scientific Reports, 15, 25781
Date: 07/2025
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35 Years of Partnership to Advance Cardiovascular Health and Well-Being in American Indian Communities: The Strong Heart Study and Strong Heart Family Study
Discusses the impact of the Strong Heart Study (SHS) and Strong Heart Family Study (SHFS) to provide population health and cardiovascular health outcomes information on rural tribal communities. Focuses on the importance of longitudinal studies, rigorous data collection, knowledge sharing, and partnerships.
Author(s): Amanda M. Fretts, Jessica A. Reese, Ying Zhang
Citation: Preventing Chronic Disease, 22
Date: 07/2025
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Discusses the impact of the Strong Heart Study (SHS) and Strong Heart Family Study (SHFS) to provide population health and cardiovascular health outcomes information on rural tribal communities. Focuses on the importance of longitudinal studies, rigorous data collection, knowledge sharing, and partnerships.
Author(s): Amanda M. Fretts, Jessica A. Reese, Ying Zhang
Citation: Preventing Chronic Disease, 22
Date: 07/2025
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Using Implementation Strategies to Promote the Maintenance Of Kids SIPsmartER In Rural Appalachian Middle Schools: A Process Evaluation
Examines implementation data from the Kids SIPsmartER nutrition behavioral intervention, which was implemented in 12 rural Appalachian middle schools. Utilizes data from 24 teachers and 11 principals to examine intervention fidelity, delivery, perceptions, and student impact. Discusses the importance of implementation evaluation and the scalability of evidence-based behavioral interventions (EBBIs) in schools.
Author(s): Kathleen J. Porter, Annie L. Reid, Theresa Markwalter, et al.
Citation: BMC Public Health, 25, 2324
Date: 07/2025
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Examines implementation data from the Kids SIPsmartER nutrition behavioral intervention, which was implemented in 12 rural Appalachian middle schools. Utilizes data from 24 teachers and 11 principals to examine intervention fidelity, delivery, perceptions, and student impact. Discusses the importance of implementation evaluation and the scalability of evidence-based behavioral interventions (EBBIs) in schools.
Author(s): Kathleen J. Porter, Annie L. Reid, Theresa Markwalter, et al.
Citation: BMC Public Health, 25, 2324
Date: 07/2025
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Wireless Substitution: Early Release of Estimates from the National Health Interview Survey, July-December 2024
Provides data on households that rely on wireless telephones rather than landlines. Includes data on the percent of adults who live in wireless-only households and have their own wireless telephone, as well as data on phoneless adults. Provides data for nonmetropolitan compared to metropolitan areas. Discusses the need for surveys to include adequate representation of wireless-only households and households with landlines.
Author(s): Stephen J. Blumberg, Julian V. Luke
Date: 06/2025
Sponsoring organization: National Center for Health Statistics
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Provides data on households that rely on wireless telephones rather than landlines. Includes data on the percent of adults who live in wireless-only households and have their own wireless telephone, as well as data on phoneless adults. Provides data for nonmetropolitan compared to metropolitan areas. Discusses the need for surveys to include adequate representation of wireless-only households and households with landlines.
Author(s): Stephen J. Blumberg, Julian V. Luke
Date: 06/2025
Sponsoring organization: National Center for Health Statistics
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Rural Dissemination: Bridging Research and Practice for Aging and Disability Services
A recorded webcast that discusses strategies to ensure aging and disability research reaches hard-to-reach and rural areas. Provides examples of rural research, dissemination methods, and collaborative efforts.
Additional links: Presentation Slides, Transcript, Webcast
Date: 05/2025
Sponsoring organization: Center on Knowledge Translation for Disability and Rehabilitation Research
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A recorded webcast that discusses strategies to ensure aging and disability research reaches hard-to-reach and rural areas. Provides examples of rural research, dissemination methods, and collaborative efforts.
Additional links: Presentation Slides, Transcript, Webcast
Date: 05/2025
Sponsoring organization: Center on Knowledge Translation for Disability and Rehabilitation Research
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Developing an Implementation Fidelity Measure for a Family Healthy Weight Program
Examines strategies to conduct a direct observation method to measure implementation fidelity in a micropolitan/rural community-based family healthy weight program (FHWP). Discusses the process of hiring and training community members as direct observers, utility and quality of this methodology, and potential usefulness of developing an implementation fidelity measure for assessing future programs in rural or geographically dispersed areas.
Author(s): Caitlin A. Golden, Paul A. Estabrooks, Kate A. Heelan, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 22, 53
Date: 05/2025
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Examines strategies to conduct a direct observation method to measure implementation fidelity in a micropolitan/rural community-based family healthy weight program (FHWP). Discusses the process of hiring and training community members as direct observers, utility and quality of this methodology, and potential usefulness of developing an implementation fidelity measure for assessing future programs in rural or geographically dispersed areas.
Author(s): Caitlin A. Golden, Paul A. Estabrooks, Kate A. Heelan, et al.
Citation: International Journal of Behavioral Nutrition and Physical Activity, 22, 53
Date: 05/2025
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Additional resources are available related to this guide. See the full list of resources by topic for:
- Evaluation methods and resources
- Needs assessment methods and resources
- Research methods and resources
Last Updated: 9/11/2025