Rural Schools and Health – Resources
Selected recent or important resources focusing on Rural Schools and Health.
"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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Transforming Access to Hearing Care: Community Perspectives on School-Based Telehealth in Rural Appalachia
Examines community perspectives on school-based hearing screenings completed via telemedicine as an adaptation to provide auditory healthcare access to rural communities. Provides feedback from 21 semi-structured interviews from parents, school staff, and care providers in Appalachian counties regarding childhood hearing loss, screening and follow-up processes, integration of telemedicine, and more.
Author(s): Mary Katherine Oberman, Marissa Schuh Gebert, Olivia Henderson, et al.
Citation: Ear & Hearing - The Official Journal of the American Auditory Society, 47(2), 378-388
Date: 09/2025
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Examines community perspectives on school-based hearing screenings completed via telemedicine as an adaptation to provide auditory healthcare access to rural communities. Provides feedback from 21 semi-structured interviews from parents, school staff, and care providers in Appalachian counties regarding childhood hearing loss, screening and follow-up processes, integration of telemedicine, and more.
Author(s): Mary Katherine Oberman, Marissa Schuh Gebert, Olivia Henderson, et al.
Citation: Ear & Hearing - The Official Journal of the American Auditory Society, 47(2), 378-388
Date: 09/2025
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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, 95(11), 924-932
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, 95(11), 924-932
Date: 08/2025
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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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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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School Meals and Other Child Nutrition Programs: Background and Funding
Provides an overview of federal child nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP), among others. Includes information on reimbursement rates for rural SFSP meal sites, as well as brief mentions of rural and tribal demonstration programs.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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Provides an overview of federal child nutrition programs, including the National School Lunch Program (NSLP), School Breakfast Program (SBP), Child and Adult Care Food Program (CACFP), and Summer Food Service Program (SFSP), among others. Includes information on reimbursement rates for rural SFSP meal sites, as well as brief mentions of rural and tribal demonstration programs.
Date: 07/2025
Sponsoring organization: Congressional Research Service
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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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School-Based Health Centers and School Attendance in Rural Areas
Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5), e2510083
Date: 05/2025
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Examines the relationship between the availability of School-Based Health Centers (SBHCs) and student absenteeism in rural areas. Analyzes 66,303 students from kindergarten to 12th grade for absenteeism in districts with a SBHC and those without a SBHC.
Author(s): Chris Kjolhede, Wendy M. Brunner, John W. Sipple
Citation: JAMA Network Open, 8(5), e2510083
Date: 05/2025
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