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Rural Health Information Hub

Rural Schools and Health – Resources

Selected recent or important resources focusing on Rural Schools and Health.

Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting
Study exploring nurse experiences with school-based telehealth (SBTH) implementation, specifically SBTH asthma programs in South Carolina. Discusses barriers to asthma care for rural children and the potential for SBTH and mobile health to treat childhood asthma. Draws data from 26 survey respondents that addresses interests in specific mobile application features and issues related to caregiver and family participation.
Author(s): Emily E. Johnson, Claire MacGeorge, Annie Andrews, et al.
Citation: Telemedicine and e-Health, 27(8), 955-962
Date: 08/2021
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Identifying Risks to the Well-Being of Rural Young Children and Families
Discusses social risks experienced by rural children and families and how the COVID-19 pandemic exacerbated impacts to schools in rural areas. Focuses on child care and broadband access, child maltreatment, and healthcare and social service needs.
Author(s): Sara L. Hartman
Citation: The Journal of the National Association of State Boards of Education, 21(1), 33-37
Date: 01/2021
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A Cluster Randomized Controlled Trial of a Home-Delivered Food Box on Food Security in Chickasaw Nation
Presents a study evaluating a free school meal program in 12 rural Oklahoma counties within the Chickasaw Nation from 2016 to 2018. Breaks down data by household income, children in household, and age of children, among other measures.
Author(s): Ronette R. Briefel, Gregory J. Chojnacki, Vivian Gabor, et al.
Citation: Journal of the Academy of Nutrition and Dietetics, 121(1), S46-S58
Date: 01/2021
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Meeting Students Where They Are: Trauma-Informed Approaches in Rural Schools
Discusses the need for more supports in rural schools to address trauma and mental health concerns. Provides potential models schools can adopt to improve trauma-informed education and close achievement gaps for rural students.
Author(s): Maria Frankland
Citation: The Rural Educator, 42(2), 51-71
Date: 2021
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School Districts Have Expanded Their Nonacademic Services for 2021–2022, While Academic Offerings Remain Much the Same: Selected Findings from the Third American School District Panel Survey
Report highlights the findings of an American School District Panel survey of district leaders on the potential changes to their academic and nonacademic offerings for the 2021-2022 school year. Details information on school-based mental health services and features data on rural school districts.
Additional links: Full Report
Author(s): Heather L. Schwartz, Melissa Kay Diliberti
Date: 2021
Sponsoring organization: RAND Corporation
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Survey of Teen Noise Exposure and Efforts to Protect Hearing at School — United States, 2020
Examines noise exposure among youth 12-17 years of age in a school setting. Reports on frequency of exposure, provision of hearing protection devices, and whether prevention techniques were part of the curriculum. Includes data for metropolitan and nonmetro areas.
Author(s): John Eichwald, Franco Scinicariello
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(48), 1822-1826
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Developing a Science Outreach Program and Promoting "PhUn" All Year with Rural K-12 Students
Discusses a university-led health science outreach effort in rural northern Michigan that implemented national physiology and biomechanics educational programming in K-12 schools. Addresses the importance of science and health science programming in rural areas due to limited exposure to career options and the need for rural students to consider health careers to offset healthcare shortages. Provides an overview of the outreach program with lessons learned.
Author(s): Jana L. Hendrickson, Thomas K. Bye, Benjamin A. Cockfield, Kathryn R. Carter, Steven J. Elmer
Citation: Advances in Physiology Education, 44(2), 212-216
Date: 06/2020
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Drug Education and Cessation Programs Help Teens Avoid or Quit Vaping
Highlights vaping education programs reaching rural schools in California and Tennessee, as well as a multi-state program helping teens in 18 states quit vaping.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2020
Sponsoring organization: Rural Health Information Hub
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The Implementation of a Culturally Grounded, School-Based, Drug Prevention Curriculum in Rural Hawai'i
Details the development of a school-based drug prevention program for Hawaiian youth. Discusses the development and implementation of the Ho'ouna Pono program curriculum and evaluates the program based on student and teacher experiences, implementation structure and logistics, and standardized testing, among other measures.
Author(s): Scott K. Okamoto, Susana Helm, Steven Keone Chin, et al.
Citation: Journal of Community Psychology, 48(4), 1085-1099
Date: 05/2020
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Finding Innovation and Resilience During the COVID-19 Pandemic: How Rural Health Organizations Are Adapting Their Program Strategies
Summarizes a series of virtual peer learning sessions in response to COVID-19 for current Rural Health Care Services Outreach Program, Rural Health Network Development, Small Healthcare Provider Quality Improvement, and Delta States Rural Development Network program grantees. Provides an overview of common themes that emerged from the sessions. Discusses the challenges and innovations made to implement rural health and public programs across six areas: community health workers, data collection and evaluation, virtual trainings, peer support services and recovery supports, telehealth utilization, and schools.
Additional links: Adaptive Strategies for Rural Grantees Amid COVID-19: Adjusting Approaches to Data Collection and Utilization, Adaptive Strategies for Rural Grantees Amid COVID-19: Peer Support and Recovery Services in a Virtual Environment, Adaptive Strategies for Rural Grantees Amid COVID-19: Strategies for Supporting Community by Maintaining Work With Schools, Adaptive Strategies for Rural Grantees Amid COVID-19: Taking Community Health Worker Practice Virtual, Adaptive Strategies for Rural Grantees Amid COVID-19: Using Telehealth in New and Improved Ways to Meet Emerging Needs, Guide for Planning and Hosting an Effective Virtual Meeting/Training Event
Author(s): Tanisa Adimu, John Butts, Coleman Tanner, et al.
Date: 05/2020
Sponsoring organization: Georgia Health Policy Center
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 10/15/2025