Conducting Rural Health Research, Needs Assessments, and Program Evaluations – Resources

Preliminary Evaluation of Nonresponse Bias Due to the COVID-19 Pandemic on National Health Interview Survey Estimates, April-June 2020
Examines potential nonresponse bias for the National Health Interview Survey associated with a shift to telephone-only interviewing due to the COVID-19 pandemic. Includes data on changes in response rates for metropolitan and nonmetro areas.
Author(s): James M. Dahlhamer, Matthew D. Bramlett, Aaron Maitland, Stephen J. Blumberg
Date: 02/2021
Sponsoring organization: National Center for Health Statistics
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Testing a Coaching Program to Help Adults with Diabetes Living in Rural Alabama Take Their Medicine as Directed
Presents a study of a medication adherence initiative in rural Alabama targeting predominantly African American adults with diabetes. Discusses research methods, community engagement and participation, data drawn from the study, and provides materials from the initiative in the appendix.
Author(s): Lynn J. Andreae, Susan J. Andreae, Andrea L. Cherrington, Joshua S. Richman, Monika M. Safford
Date: 2021
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Population Health in Rural America in 2020: Proceedings of a Workshop
Presents the proceedings of the Population Health in Rural America 2020 workshop. Chapters examine rural demographics and social determinants of health, rural health and data challenges, rural and tribal healthcare, community health needs assessment, and rural health policy.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2021
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Hearing Norton Sound: Community Involvement in the Design of a Mixed Methods Community Randomized Trial in 15 Alaska Native Communities
Describes a community-based research project examining a telemedicine cell-phone based screening process to improve early detection and treatment of childhood hearing loss in rural Alaska. Community stakeholders assisted in shaping the research question, measurable outcomes, and project procedures. Serves as a model for community-based research in rural communities.
Author(s): Samantha Kleindienst Robler, S. Meade Inglis, Joseph J. Gallo, et al.
Citation: Research Involvement and Engagement, 6(67)
Date: 11/2020
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National Hospital Care Survey Demonstration Projects: Opioid-Involved Emergency Department Visits, Hospitalizations, and Deaths
Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Sponsoring organization: National Center for Health Statistics
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In Search of "Good" Rural Data: Measuring Rural Prosperity
Discusses the availability of data on rural communities, including economic, health, demographic, and geographic data, and issues that make rural data collection and reporting difficult. Compares 22 datasets, exploring what makes data collection difficult and what makes specific datasets challenging to work with. Addresses methods of locating good information in existing datasets, as well as steps toward improving data access.
Author(s): Corianne Payton Scally, Eric Burnstein, Matthew Gerken, Evelyn Immonen
Date: 04/2020
Sponsoring organizations: Aspen Institute, Housing Assistance Council, Urban Institute
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Including Rural Populations in Research
Presents a video discussing the importance of researchers to include rural populations and rural programs in their healthcare research in order to achieve health equity and eliminate health disparities. Captions available in video player.
Author(s): Kristine Sande
Date: 02/2020
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Using Data to Define Rural Populations
Offers a step-by-step guide for developing a rural community baseline dataset, and identifies links to helpful resources and existing datasets, with the intent to help State Offices of Rural Health (SORH) focus on the demographics influencing health and the health needs of the rural communities within their state.
Date: 02/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Ten-Year Reflections on the County Health Rankings & Roadmaps
Discussion of how data, evidence, guidance, and examples used in County Health Rankings & Roadmaps publications from January 2009 - January 2019 have helped communities improve the conditions in which their residents live. Examines how the methodology has changed over time, and includes a section on how the researchers adapted their methods so as to appropriately analyze data from rural areas with small populations.
Author(s): Bridget Booske Catlin, Willems Van Dijk
Date: 2020
Sponsoring organizations: Robert Wood Johnson Foundation, University of Wisconsin Population Health Institute
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Challenges of Using Nationally Representative, Population-Based Surveys to Assess Rural Cancer Disparities
Examines research methods in studies of rural cancer-related health behaviors and disparities, exploring the definition of "rural" in population-based national surveys, complications for rural cancer studies, and possible solutions to improve survey accuracy. Discusses prominent data sources, including the National Health Interview Survey (NHIS), the Behavioral Risk Factor Surveillance System (BRFSS), the Medical Expenditures Panel Survey (MEPS), and the National Cancer Institute's Health Information National Trends Survey (HINTS), and examines use of these data sources in 68 published studies.
Author(s): Whitney E. Zahnd, Natoshia Askelson, Robin C. Vanderpool, et al.
Citation: Preventive Medicine, 129(Supplement), 105812
Date: 12/2019
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