Rural Schools and Health – Resources
Selected recent or important resources focusing on Rural Schools and Health.
Perspectives on Universal Free School Meals Among Rural Middle and High School Students: A Mixed-Methods Study
Examines perspectives on Universal Free School Meals (USFM) among students living in rural Maine. Utilizes survey and interview data among middle and high school students to analyze student characteristics, meal preferences, and perceptions of school breakfasts and lunches.
Author(s): Ashley Kesack, Michele Polacsek, Alexis Schneider, Juliana F. W. Cohen
Citation: Nutrients, 18(3), 540
Date: 02/2026
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Examines perspectives on Universal Free School Meals (USFM) among students living in rural Maine. Utilizes survey and interview data among middle and high school students to analyze student characteristics, meal preferences, and perceptions of school breakfasts and lunches.
Author(s): Ashley Kesack, Michele Polacsek, Alexis Schneider, Juliana F. W. Cohen
Citation: Nutrients, 18(3), 540
Date: 02/2026
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"Sacred Ground for Kids": Institutional Perspectives on Rural School-Based Health Centers as Patient-Centered Medical Homes
Presents a study on the role school-based health centers (SBHCs) play in providing care to children in rural counties and explores the potential for SBHCs to function as patient-centered medical homes (PCMHs) for rural students. Highlights findings from interviews in four rural counties in New York and identifies challenges for SBHCs functioning as a PCMH.
Author(s): Xue Zhang, Mildred E. Warner
Citation: Journal of Rural Health, 41(4), e70098
Date: 12/2025
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Presents a study on the role school-based health centers (SBHCs) play in providing care to children in rural counties and explores the potential for SBHCs to function as patient-centered medical homes (PCMHs) for rural students. Highlights findings from interviews in four rural counties in New York and identifies challenges for SBHCs functioning as a PCMH.
Author(s): Xue Zhang, Mildred E. Warner
Citation: Journal of Rural Health, 41(4), e70098
Date: 12/2025
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Lost Opportunity: Afterschool in Demand, But Out of Reach for Many
Provides information about afterschool programs and their demand, affordability, accessibility, and availability. Discusses benefits of afterschool programs and policy to support them. Includes rural, suburban, and urban comparisons related to program enrollment and perceived benefits.
Date: 10/2025
Sponsoring organization: Afterschool Alliance
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Provides information about afterschool programs and their demand, affordability, accessibility, and availability. Discusses benefits of afterschool programs and policy to support them. Includes rural, suburban, and urban comparisons related to program enrollment and perceived benefits.
Date: 10/2025
Sponsoring organization: Afterschool Alliance
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The Impact of Nutrition Training Programs on Knowledge, Confidence, and Behavioral Intention Among School Nutrition Professionals
Examines training programs for rural school nutrition professionals (SNPs) that include flexible scheduling and considerations related to staff and resource shortages. Utilizes observational data and pre- and post-training evaluations to analyze SNP knowledge and confidence to implement new culinary behaviors after the virtual and in-person flexible training format.
Author(s): Wenhao Zhang, Brianna Routh, Molly Stenberg, Haley Scott
Citation: Journal of School Health
Date: 08/2025
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Examines training programs for rural school nutrition professionals (SNPs) that include flexible scheduling and considerations related to staff and resource shortages. Utilizes observational data and pre- and post-training evaluations to analyze SNP knowledge and confidence to implement new culinary behaviors after the virtual and in-person flexible training format.
Author(s): Wenhao Zhang, Brianna Routh, Molly Stenberg, Haley Scott
Citation: Journal of School Health
Date: 08/2025
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Understanding Rural Schools' Capacity to Learn About Evidence-Based Practices That Promote Youth Mental Health: A Comparative Case Study
Examines the capacity of rural middle schools to learn about mental health evidence-based practices (EBPs). Utilizes survey and interview data from 11 middle school staff to discuss barriers and facilitators related to school implementation of mental health EBPs as well as the role of intermediary support and expert collaboration.
Author(s): Savannah Hobbs, Elaine S. Belansky, Nick Cutforth, Cynthia Hazel
Citation: The Rural Educator, 46(3), 6-23
Date: 07/2025
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Examines the capacity of rural middle schools to learn about mental health evidence-based practices (EBPs). Utilizes survey and interview data from 11 middle school staff to discuss barriers and facilitators related to school implementation of mental health EBPs as well as the role of intermediary support and expert collaboration.
Author(s): Savannah Hobbs, Elaine S. Belansky, Nick Cutforth, Cynthia Hazel
Citation: The Rural Educator, 46(3), 6-23
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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Transforming School-Based Telehealth through Rural Partnerships
Webinar recording discusses how Eastern Oklahoma Medical Center implemented a school-based telemedicine program to improve access to care in rural and low-income Oklahoma communities. Details challenges and lessons learned related to billing and policy development, communication with parents, and partnerships with rural school nurses and administrators. Transcript available below the video description.
Additional links: Presentation Slides
Author(s): Tiffany Griffis
Date: 06/2025
Sponsoring organization: Heartland Telehealth Resource Center
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Webinar recording discusses how Eastern Oklahoma Medical Center implemented a school-based telemedicine program to improve access to care in rural and low-income Oklahoma communities. Details challenges and lessons learned related to billing and policy development, communication with parents, and partnerships with rural school nurses and administrators. Transcript available below the video description.
Additional links: Presentation Slides
Author(s): Tiffany Griffis
Date: 06/2025
Sponsoring organization: Heartland Telehealth Resource Center
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School-Based Health Centers and the Utilization of Primary Care in Rural Communities
Examines utilization patterns of school-based health centers (SBHCs) in 4 rural New York counties. Utilizes 2011–2017 electronic health record data to analyze students with or without access to SBHCs, utilization of SBHCs, and SBHC services used, such as primary care, immunizations, and chronic disease management.
Author(s): Xue Zhang, Sharon Tennyson, Chris L Kjolhede, Wendy M Brunner
Citation: American Journal of Preventative Medicine, 69(4), 107962
Date: 06/2025
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Examines utilization patterns of school-based health centers (SBHCs) in 4 rural New York counties. Utilizes 2011–2017 electronic health record data to analyze students with or without access to SBHCs, utilization of SBHCs, and SBHC services used, such as primary care, immunizations, and chronic disease management.
Author(s): Xue Zhang, Sharon Tennyson, Chris L Kjolhede, Wendy M Brunner
Citation: American Journal of Preventative Medicine, 69(4), 107962
Date: 06/2025
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Spotlighting Programs: A Panel Discussion on Exceptional Nutrition Service Delivery
A recorded webinar that focuses on successful nutrition service delivery in Head Start programs across the United States. Highlights actionable strategies from the various food delivery services, including programming specific to rural, remote, and geographically dispersed areas.
Additional links: Webinar Slides
Date: 05/2025
Sponsoring organization: Administration for Children and Families
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A recorded webinar that focuses on successful nutrition service delivery in Head Start programs across the United States. Highlights actionable strategies from the various food delivery services, including programming specific to rural, remote, and geographically dispersed areas.
Additional links: Webinar Slides
Date: 05/2025
Sponsoring organization: Administration for Children and Families
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School-Based Enhanced Hearing Screening and Specialty Telehealth Follow-Up for Hearing Loss among Children in Rural Alaska: Study Protocol for a Hybrid Effectiveness-Implementation Stepped Wedge, Cluster-Randomized Controlled Trial (North STAR Trial)
Describes a study protocol that examines the impact of providing specialty hearing care for students in rural Alaska following standard school hearing screenings. Focuses on trial objectives, design, setting, participants, recruitment, data collection, and planned statistical analyses.
Author(s): Samantha Kleindienst Robler, Janet Prvu Bettger, Elizabeth Turner, et al.
Citation: Trials, 26, 175
Date: 05/2025
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Describes a study protocol that examines the impact of providing specialty hearing care for students in rural Alaska following standard school hearing screenings. Focuses on trial objectives, design, setting, participants, recruitment, data collection, and planned statistical analyses.
Author(s): Samantha Kleindienst Robler, Janet Prvu Bettger, Elizabeth Turner, et al.
Citation: Trials, 26, 175
Date: 05/2025
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Last Updated: 2/13/2026