Skip to main content
RSS

Rural Wellness and Prevention Models and Innovations

These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.

Evidence-Based Examples

Chronic Disease Self-Management Program
Updated/reviewed October 2017
  • Need: To help people with chronic conditions learn how to manage their health.
  • Intervention: A small-group 6-week workshop for individuals with chronic conditions to learn skills and strategies to manage their health.
  • Results: Participants have better health and quality of life, including reduction in pain, fatigue, and depression.
Fit & Strong!
Updated/reviewed August 2017
  • Need: Osteoarthritis is a chronic condition which often causes multiple related disabilities in older adults.
  • Intervention: An 8-week physical activity, behavior change, and falls prevention program geared to older adults with osteoarthritis.
  • Results: Participants gained confidence with increased exercise, lessened stiffness, improved joint pain and improved lower extremity strength and mobility.
Women to Women Online Support Network
Updated/reviewed August 2017
  • Need: Women living in rural areas with chronic illness often face little social support, leading to increased rates of depression and stress
  • Intervention: Women to Women offered rural women with chronic conditions social support networks via telecommunication
  • Results: WTW intervention participants experienced positive increases in self-esteem, social support, and empowerment over the control group
Sickness Prevention Achieved through Regional Collaboration (SPARC, Inc.®)
Updated/reviewed July 2017
  • Need: Population-based rates of adult vaccinations and cancer screenings are low, with fewer than 40% of older adults up to date with routinely recommended prevention services. Delivery rates are lower still in low-income and minority communities.
  • Intervention: SPARC was established to develop and test new community-wide strategies to increase the delivery of clinical preventive services.
  • Results: Across the United States in both rural and urban communities, SPARC programs, which broaden the delivery of potentially life-saving preventive services, have been successfully launched, improving residents' health.
Helping Kids PROSPER
Updated/reviewed January 2017
  • Need: An approach to support sustained, quality delivery of evidence-based programs for youth and families in rural communities.
  • Intervention: PROSPER, a program delivery system, guides communities in implementing evidence-based programs that build youth competencies, improve family functioning, and prevent risky behaviors, particularly substance use.
  • Results: Youth in PROSPER communities reported delayed initiation of a variety of substances, lower levels of other behavioral problems, and improvements in family functioning and other life skills.

Effective Examples

Heart-Healthy Lenoir Project
Updated/reviewed November 2017
  • Need: In rural eastern North Carolina, Lenoir County residents experience significantly higher rates of cardiovascular disease, stroke, and obesity rates compared to other parts of the state and nation.
  • Intervention: A community-based research project was designed to develop and test better ways to tackle cardiovascular disease from prevention to treatment.
  • Results: The end goal includes the development of long-lasting strategies and approaches within the community to help decrease the risk and disparities in risk of cardiovascular disease.
LIFE - Living (well through) Intergenerational Fitness and Exercise
Updated/reviewed November 2017
  • Need: Rural-residing older adults in Iowa have inadequate access to physical activity specialists and/or exercise facilities, which limits their ability to remain sufficiently active.
  • Intervention: Iowa State University implemented an intergenerational “exergaming” program to encourage fun and safe physical fitness among rural older adults.
  • Results: Pilot studies showed that older adults demonstrated increases in strength, flexibility, activity levels, and confidence in their ability to be physically active. Younger adults experienced reduced ageism and increased knowledge and expectations of aging.
funded by the Federal Office of Rural Health Policy One Community Health's Wellness Programs
Updated/reviewed October 2017
  • Need: Difficulties obtaining healthcare access to treat diabetes and obesity for low-income and Spanish-speaking residents of Oregon and Washington's Columbia River Gorge area.
  • Intervention: A local healthcare facility developed wellness programs using bilingual community health workers to provide education and support that improves diets, physical activity, and teaches stress management.
  • Results: Many participants in the wellness programs have maintained or lost weight and have seen reductions in their cholesterol levels, blood pressure, and blood sugar levels. Vegetable vouchers, cooking classes, and budgeting education has also helped patients afford healthy food.
Rural Restaurant Healthy Options Program
Updated/reviewed October 2017
  • Need: Obesity has become a widespread health epidemic in the United States, especially in rural areas. Due to small profit margins and the fear of customer loss, small owner-operated rural restaurants are hesitant to make health-conscious changes to their menus.
  • Intervention: The Healthy Options Program offered an economical and low-maintenance program for owner-operated restaurants in Iowa to increase awareness of already existing healthy menu options and substitutions.
  • Results: Restaurants received positive community feedback and experienced no financial loss. Customers noticed and appreciated the healthy option reminders, and ordering behavior was impacted in a healthy way.
funded by the Federal Office of Rural Health Policy Health Coaches for Hypertension Control
Updated/reviewed September 2017
  • Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
  • Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
  • Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.
Hidalgo Medical Services – Family Support Program
Updated/reviewed June 2017
  • Need: To reduce health disparities in two rural/frontier counties in southwest New Mexico.
  • Intervention: Community health workers work with clients to help them better manage their health and promote awareness of healthy lifestyle options in the community.
  • Results: Better health outcomes for patients.
funded by the Federal Office of Rural Health Policy Vivir Mejor! (Live Better!) System of Diabetes Prevention and Care
Updated/reviewed June 2017
  • Need: To address high rates of diabetes in rural Hispanic/Latino populations near the U.S.-Mexico border.
  • Intervention: A comprehensive, culturally competent diabetes education program was implemented in Santa Cruz County, Arizona.
  • Results: Since 2012, this program has helped participants better manage their diabetes and increase healthy living behaviors.
Kentucky Homeplace
Updated/reviewed May 2017
  • Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes.
  • Intervention: Kentucky Homeplace was created as a community health worker initiative to address the lifestyle choices, inadequate health insurance, and environmental factors that are believed to contribute to these diseases.
  • Results: From July 2001 to June 2016, over 152,262 rural residents have been served. Preventive health strategies, screenings, educational services, and referrals are all offered at no charge to clients.
Strong African American Families-Teen (SAAF-T)
Updated/reviewed April 2017
  • Need: There is a lack of interventions that addresses teenager behavioral problems, particularly for rural African American adolescents.
  • Intervention: Rural, locally trained leaders administered five 2-hour meetings for teenagers and their primary caregivers. Trainings focused on reducing risks that prevent positive development, specifically sexual risk-taking that can lead to HIV and other STIs.
  • Results: Teens reported reduced conduct problems, depressive symptoms, and substance abuse. Families were strengthened, and SAAF-T reduced unprotected intercourse and increased condom efficacy.
funded by the Federal Office of Rural Health Policy Perinatal Health Partners Southeast Georgia
Updated/reviewed February 2017
  • Need: In the 11 rural southeast Georgia counties, high-risk pregnant women potentially face adverse birth outcomes, including maternal or infant mortality, low birthweight, very low birthweight, or other medical or developmental problems.
  • Intervention: An in-home nursing case management program for high-risk pregnant women in order to maximize pregnancy outcomes for mothers and their newborns.
  • Results: Mothers carry their babies longer and the babies are larger when born, leading to improved health outcomes.
Salud es Vida Cervical Cancer Education
Updated/reviewed January 2017
  • Need: Hispanic women have the highest incidence rates of cervical cancer among any ethnicity in the United States.
  • Intervention: The development of a lay health worker (promotora) curriculum that provides information on cervical cancer, HPV, and the HPV vaccine to Hispanic farmworker women living in rural southern Georgia.
  • Results: Significant increases in post-test scores relating to cervical cancer knowledge and increases in positive self-efficacy among promotoras.
Franklin Cardiovascular Health Program (FCHP)
Added March 2015
  • Need: To develop sustainable, community-wide prevention methods for cardiovascular diseases in order to change behaviors and healthcare outcomes in rural Maine.
  • Intervention: Local community groups and Franklin Memorial Hospital staff studied mortality and hospitalization rates for 40 years in this rural, low-income area of Farmington to seek intervention methods that could address cardiovascular diseases.
  • Results: A decline in cardiovascular-related mortality rates and improved prevention methods for hypertension, high cholesterol, and smoking.

Promising Examples

funded by the Federal Office of Rural Health Policy Healthy People: Healthy Communities
Updated/reviewed November 2017
  • Need: Spotlight chronic disease risks in rural south central Kentucky, specifically stroke and heart disease.
  • Intervention: A case management program for Kentucky counties of Boyle, Garrard, Lincoln, and Mercer.
  • Results: Decreased the risk of stroke and heart disease among program participants.
HeartBeat Connections
Updated/reviewed November 2017
  • Need: Provide cardiovascular disease (CVD) primary prevention services to residents of New Ulm, Minnesota, in an effort to reduce CVD risk factors and heart attacks.
  • Intervention: Coaching by telephone to promote lifestyle behavioral changes and preventive medication management via a facility-approved protocol for individuals who were identified as being high risk for CVD.
  • Results: Early results indicate this approach is effective at promoting lifestyle changes to decrease the risk of CVD in rural and other underserved areas.
funded by the Federal Office of Rural Health Policy Heartland Rural Health Network
Updated/reviewed November 2017
  • Need: To assist diabetic patients in rural Florida with chronic disease management.
  • Intervention: Heartland Rural Health Network set out to expand the Diabetes Master Clinician Program and implement healthy eating in 4 Florida counties.
  • Results: Initial participating clinics exceeded national averages of successful management of diabetes. The program remains active and successful.
funded by the Federal Office of Rural Health Policy Community Health Coaches for Successful Care Transitions
Updated/reviewed September 2017
  • Need: To help older patients with chronic conditions learn to manage their illnesses and thereby reduce hospital readmissions in Oconee County, South Carolina.
  • Intervention: Community volunteers trained as health coaches mentor discharged patients with certain chronic conditions, to help them transition from home health care to self-care.
  • Results: Participants had improved health behaviors and reduced readmissions.
funded by the Federal Office of Rural Health Policy Healthy Connections, Inc. Healthy Families Arkansas
Updated/reviewed August 2017
  • Need: High poverty rates and lack of access to healthcare make caring for unborn and newborn children difficult for young mothers in Arkansas’s Polk and Garland Counties.
  • Intervention: An Arkansas-based program provides a national healthcare service to expectant and young mothers. Prenatal check-ups, education, transportation, well-baby checks and child immunizations are all provided by the Healthy Connections, Inc.
  • Results: The program’s results demonstrate an increase in first trimester prenatal care rates and child immunization rates, as well as a dramatic decrease in confirmed cases of child abuse.
funded by the Federal Office of Rural Health Policy Health without Borders
Updated/reviewed June 2017
  • Need: To improve the health of communities in the south central region of New Mexico.
  • Intervention: A program was developed to specifically address diabetes prevention and control, behavioral healthcare, and immunization in Luna County.
  • Results: During the program, 1,500 immunizations were distributed, baseline measurements of participants improved, and 935 new patients were seen for behavioral health issues.
Communities that Care (CTC) Coalition
Updated/reviewed May 2017
  • Need: A way to address substance abuse among teenagers in Massachusetts's predominately rural areas of Franklin County and the North Quabbin Region.
  • Intervention: A community-based prevention initiative was formed to reduce youth violence, delinquency, and alcohol and tobacco use.
  • Results: CTC has seen significant reductions in substance abuse among local youth in the 30 rural towns they serve.
funded by the Federal Office of Rural Health Policy Sweet Dreams
Updated/reviewed January 2017
  • Need: To prevent and control Type 2 diabetes in rural, south central Georgia.
  • Intervention: Irwin County Board of Health developed Sweet Dreams to educate residents about the damaging effects of Type 2 diabetes and how to manage it.
  • Results: Participants have been able to improve their weight, body mass index, blood pressure, and hemoglobin A1C levels throughout the program.
funded by the Federal Office of Rural Health Policy Northeast Louisiana Regional Pre-Diabetes Prevention Program
Added November 2015
  • Need: To prevent or slow the progression of diabetes for at-risk residents in Rural Northeast Louisiana.
  • Intervention: The North Louisiana Regional Alliance developed a program that offers screenings, education, and an intense course for participants throughout the Northeast Louisiana region to lower the risk of diabetes.
  • Results: The program saw an overall decrease in blood sugar levels in residents who participated in their initiatives.
funded by the Federal Office of Rural Health Policy Prevention through Care Navigation Outreach Program
Added October 2015
  • Need: To reduce the prevalence of diabetes and cardiovascular disease in rural Colorado.
  • Intervention: Community Health Workers were utilized to create a system of coordinated care in the counties of Montrose, Ouray, and San Miguel.
  • Results: 1,192 people were screened for diabetes and cardiovascular disease. As a result, many at-risk patients lowered their cholesterol levels and blood pressure through this program.

Other Project Examples

Be Well Barron County
Updated/reviewed November 2017
  • Need: A 2013 Barron County survey revealed 77% of adult males and 59% of adult females were overweight or obese, and that 23% of its students were obese.
  • Intervention: Be Well Barron County was created in association with the Medical College of Wisconsin to promote healthy eating and physical activity throughout this rural community in the areas of education, worksite wellness, healthcare initiatives, and community outreach.
  • Results: Success was due to academic engagement and community-wide participation by schools, worksites, and local restaurants.
Chuuk Women’s Council
Updated/reviewed October 2017
  • Need: A way to improve health of women in Chuuk, one of 4 states that make up the Federated States of Micronesia.
  • Intervention: Through health education and leadership training, the Chuuk Women’s Council equips women to be leaders in healthcare, government, and other areas where they can be advocates for female physical, mental, and socioeconomic health.
  • Results: The Council’s advocacy efforts have advanced opportunities for women in Chuuk and have influenced legislation to bring equal opportunity to Chuukese women.
Farm Fresh Rhode Island Food Hub
Updated/reviewed October 2017
  • Need: To strengthen the local food system by assisting farmers, supporting rural economies and promoting access to fresh food for underserved families.
  • Intervention: Financial partnership and targeted programs created to strengthen infrastructure and connect rural food producers to a larger, local market.
  • Results: Sales have increased for local farmers and food producers, and low-income family participants increased their consumption of fruits and vegetables.
It's a Girl Thing: Making Proud Choices
Added September 2017
  • Need: Teen pregnancy and sexually transmitted diseases, including HIV, in young girls were concerns for members of Union Parish, Louisiana.
  • Intervention: Union General Hospital, a Critical Access Hospital, created the program It's a Girl Thing: Making Proud Choices to teach prevention, self-confidence, and personal responsibility to teen girls.
  • Results: Teen pregnancy rates in Union Parish have dropped by 18%, exceeding the program's initial goal of 5%. Graduation rates have also increased the longer girls remain in the program.
Partners in Health and Wholeness
Updated/reviewed September 2017
  • Need: To change the health profile of North Carolina.
  • Intervention: Partners in Health and Wholeness, an initiative of the NC Council of Churches, is a faith-based program that integrates healthy living within congregations while offering financial support to launch or expand health initiatives.
  • Results: Since its founding in 2009, over 475 churches have become certified with PHW, many in rural areas, and over 350 mini-grants have been awarded to congregations.
funded by the Federal Office of Rural Health Policy Santa Cruz County Adolescent Wellness Network
Updated/reviewed September 2017
  • Need: To integrate and enhance adolescent services in a rural Arizona county that borders Mexico.
  • Intervention: The Santa Cruz County Adolescent Wellness Network (AWN) was developed to maximize local assets to improve adolescent health and wellness in Santa Cruz County. Their efforts enhance health services in schools, develop youth leaders, and equip adolescent-serving organizations.
  • Results: Successfully improved adolescent wellness understanding and involvement, training a total of 783 participants in adolescent development topics. A school-linked healthcare system resulted in 217 referrals to primary care or behavioral health in 1 semester.
Albert Lea Blue Zones Project
Updated/reviewed August 2017
  • Need: Healthy lifestyles are often difficult to achieve for community members of rural, small-town areas.
  • Intervention: The rural community of Albert Lea, as part of the Blue Zones Pilot Project, implemented walking and biking initiatives along with high-level policy systems and environmental changes to promote health and wellness.
  • Results: In the past 5 years, there has been a 38% increase in walking and biking among community members, and they have lost a combined total of 8,000 pounds.
funded by the Federal Office of Rural Health Policy Connecting the Chronically Ill
Updated/reviewed August 2017
  • Need: Baker County, Florida, had many residents living with chronic illnesses and limited access to healthcare services.
  • Intervention: Connecting the Chronically Ill was started to provide Baker County's most vulnerable, chronically ill residents with medical services and health education.
  • Results: The program provided services to almost 400 residents and health education to nearly 900 residents, and it helped reform the area's judicial system for inmates with substance abuse and mental health issues.
Contingency Management Smoking Cessation in Appalachia
Updated/reviewed July 2017
  • Need: To reduce smoking rates of pregnant women and adolescents in Appalachian regions of Eastern Kentucky and Ohio.
  • Intervention: A web-based smoking cessation program that offered monetary incentives to reducing smoking.
  • Results: Participants significantly reduced smoking rates or quit altogether.
Health Motivator Program
Added July 2017
  • Need: To increase physical activity and other healthy habits for older adults in West Virginia.
  • Intervention: Members of the community called Health Motivators lead senior centers and community groups in a monthly educational activity.
  • Results: In a 2016 survey, 97% of Health Motivators and 92% of group members said that their health improved because of the program.
Healthy Places NC
Updated/reviewed July 2017
  • Need: People living in under-resourced rural communities in North Carolina have poorer health than those living in urban areas.
  • Intervention: Funded by the Kate B. Reynolds Charitable Trust, Healthy Places NC is investing $100 million over 10 years in rural North Carolina counties in order to improve residents' health.
  • Results: As of June 2017, the Trust has invested more than $32 million in seven Healthy Places NC counties.
Love Your Heart
Added July 2017
  • Need: To reduce heart disease in rural West Virginia.
  • Intervention: Love Your Heart trains local organizations to host community events about heart health.
  • Results: Since 2015, the program has reached 196,124 participants through 267 programs held in 33 counties (24 of which are rural).
funded by the Health Resources Services Administration Roane County Hypertension Control
Updated/reviewed July 2017
  • Need: Nearly one in three Americans has hypertension, and rural community members lack access to clinics and means for monitoring and treatment of their high blood pressure.
  • Intervention: Roane County Family Health Care (RCFHC) uses community-oriented, outcome- and team-based care to combat their rural community members' high rates of hypertension.
  • Results: In 2014, RCFHC succeeded in achieving hypertension control rates in at least 70% of patients, and was named a 2014 Hypertension Control Champion by the U.S. Department of Health and Human Services.
Women's Way
Updated/reviewed July 2017
  • Need: One in 8 women will be diagnosed with breast cancer in North Dakota. While breast and cervical cancer have high survival rates when detected early, many women are not able to access life-saving cancer screenings due to cost and lack of insurance.
  • Intervention: Women's Way of North Dakota was created to help women find a way to pay for breast and cervical cancer screenings.
  • Results: From the program’s beginnings in 1997 through May 2017, Women's Way has provided new first-time screening services for nearly 14,500 women and helped hundreds of women with positive results find treatment.
funded by the Federal Office of Rural Health Policy Facing Diabetes: Quality Improvement in Rural South Dakota Project
Updated/reviewed June 2017
  • Need: To help adults and children in rural South Dakota prevent or manage their diabetes.
  • Intervention: The Facing Diabetes Project offered group medical visits for adults and provides prevention and education sessions for the local 4th-5th graders.
  • Results: Many adults and children in the region feel better equipped to choose healthy foods, exercise regularly, and manage their stress: all factors that can help prevent diabetes or decrease its effects.
funded by the Federal Office of Rural Health Policy NEON Pathways Community Hub
Updated/reviewed June 2017
  • Need: Connect individuals to services that address health barriers.
  • Intervention: A pay-for-outcomes model utilizing Community Health Workers who help provide community members with tools to address needs associated with improving health.
  • Results: Trained Community Health Workers help patients navigate the healthcare and social service systems and provide education about community healthcare resources.
South Dakota Harvest of the Month Program
Updated/reviewed June 2017
  • Need: To encourage children to make healthy eating choices through learning and tasting.
  • Intervention: Brief, fun, and informative presentations for children on over 42 different fruits and vegetables.
  • Results: Participants are exposed to new foods and show more interest in healthy eating.
Together for Beaufort County
Updated/reviewed June 2017
  • Need: A community-wide collaborative process to identify and address specific quality-of-life challenges confronting the citizens of Beaufort County, South Carolina.
  • Intervention: Together for Beaufort County facilitates the coordination of nearly 2 dozen coalitions that address economic, social, health, educational, and environmental factors through data sharing and goal setting of like-minded community agencies.
  • Results: Communication and collaboration among agencies has greatly increased. The community has experienced successes such as the improvement of prenatal health rates.
Kūlana Hawai'i Weight Management Program
Updated/reviewed May 2017
  • Need: To improve the health status and overall well-being of Native Hawaiians and other medically underserved populations in rural areas of Hawaii.
  • Intervention: A comprehensive weight management program led by an integrated team of health professionals who work with participants on making sustainable, lifelong changes.
  • Results: Patients reported statistically significant reductions in weight, BMI, blood pressure, and chronic disease and pain, along with increased physical activity and health knowledge.
Neighbor to Neighbor
Added May 2017
  • Need: To reduce social isolation and its negative effects on health for women in rural Kansas.
  • Intervention: Neighbor to Neighbor is a day center where women can socialize, eat free meals, and take care of basic needs such as laundry and showers.
  • Results: An average of 24 women and children visit the center every day. Positive comments from visitors suggest that the day center helps reduce their social isolation.
Poplar Bluff Skate Plaza
Updated/reviewed April 2017
  • Need: Slow the increasing rates of childhood obesity stemming, in part, from a lack of physical activity.
  • Intervention: Creating a youth-oriented downtown skate park to build a culture of daily physical activity in the rural community of Poplar Bluff, Missouri.
  • Results: Increased physical activity opportunities for youth in the far southeast corner of Missouri, especially for those not typically involved in organized sports.
Start Healthy, Start Now
Updated/reviewed April 2017
  • Need: Rural childcare providers have limited resources to learn about mental and physical health promotion and obesity prevention
  • Intervention: A free health promotion training program for rural childcare providers
  • Results: Rural childcare providers are better prepared to impact children's health and well-being.
The Pacific Care Model: Charting the Course for Non-communicable Disease Prevention and Management
Added April 2017
  • Need: The U.S. Associated Pacific Islands (USAPI) needed an efficient, effective, integrated method to improve primary care services that addressed the increased rates of non-communicable disease (NCD), the regional-specific phrase designating chronic disease.
  • Intervention: Through specialized training, multidisciplinary teams from five of the region’s health systems implemented the Chronic Care Model (CCM), an approach that targets healthcare system improvements, uses information technology, incorporates evidence-based disease management, and includes self-management support strengthened by community resources.
  • Results: Aimed at diabetes management, teams developed a regional, culturally-relevant Non-Communicable Disease Collaborative Initiative that addresses chronic disease management challenges and strengthens healthcare quality and outcomes.
The Walking Classroom
Updated/reviewed April 2017
  • Need: To help elementary and middle school children become more active and reduce their risk of obesity
  • Intervention: A classroom, afterschool, or summer program offered several times per week throughout the school year that gets students walking as a class for 20 minute lessons while listening to an educational podcast
  • Results: Children increase their activity level while learning academic content, building health literacy, and developing healthy lifestyle habits to prevent obesity
Closing Preventive Care Gaps in Underserved Areas
Added March 2017
  • Need: Address the need to increase cancer screening rates as well as other preventive care measures in Appalachian Kentucky, a region with high cancer incidence and mortality rates, and noted health disparities.
  • Intervention: Federally Qualified Health Centers (FQHCs) and an academic center partnered to adapt and implement an office-based intervention, building on existing primary care resources to decrease gaps in preventive care measures, including cancer screenings.
  • Results: After intervention implementation, White House Clinics saw a marked increase in various preventive care measures, including screenings for cancer, human immunodeficiency virus (HIV) and hepatitis C (HVC).
Schools as a Hub for Health
Added March 2017
  • Need: To improve health outcomes in rural Appalachian Ohio.
  • Intervention: Schools as a Hub for Health promotes holistic wellness for the whole community by creating or bringing in programs that support physical, mental, and social health.
  • Results: The project has gained administrator buy-in and was featured in a December 2016 County Health Rankings & Roadmaps webinar.
Hoonah Fun and Fit Partnership
Updated/reviewed February 2017
  • Need: Rural Alaskans are significantly more likely to be obese compared to the rest of the state.
  • Intervention: The rural community of Hoonah, AK, is creating more opportunities for participation in physical activities and community engagement through Hoonah Fun and Fit Partnership.
  • Results: Healthier school menus and various fitness options are being encouraged throughout the community. Community members have reported healthier lifestyles and higher levels of physical activity.
Munson Healthcare Charlevoix Hospital School Nurse Program
Added February 2017
  • Need: School nurses to assess and care for students in rural Michigan schools who have limited access to healthcare.
  • Intervention: Munson Healthcare Charlevoix, a CAH in Northern Michigan, created the School Nurse Program to provide medical care and education to students, school staff, and families.
  • Results: The School Nurse Program brings healthcare to over 3,400 students in 8 schools every year and chronic absenteeism in participating schools has dramatically decreased.
funded by the Federal Office of Rural Health Policy Nelson County School Nurse Program
Updated/reviewed February 2017
  • Need: Low rates of immunization and a lack of knowledge about physical health among school age children in the rural areas of Nelson County, Virginia.
  • Intervention: A School Nurse Program placed a registered nurse in each of the four county public schools to track and encourage immunization compliance, provide health education, and handle students' daily health issues.
  • Results: School-age children are having many of their minor health concerns addressed throughout the day by registered nurses at school. Compliance for childhood immunizations is now extremely high.
funded by the Federal Office of Rural Health Policy Win with Wellness
Added February 2017
  • Need: To reduce risk of obesity and chronic disease in rural northwest Illinois.
  • Intervention: Win with Wellness encourages participants in community settings and at different workplaces to make small, incremental changes to their diets and activity levels through a multi-component approach.
  • Results: Since 2015, the two participating counties have hosted 16 weight-loss support groups with 283 active participants and 21 education sessions with 330 attendees.
funded by the Federal Office of Rural Health Policy Chautauqua Opportunities, Inc.
Updated/reviewed January 2017
  • Need: To reduce obesity and diabetes in children and adults of rural southwest New York.
  • Intervention: Chautauqua Opportunities, Inc. Rural Outreach Program was developed to bring diabetes and obesity services to Chautauqua and Cattaraugus county residents.
  • Results: The program saw a 50% improvement rate in Type 1 and prediabetic participants and just over 50% for Type 2 diabetics.
Mother's Milk Bank of South Carolina
Updated/reviewed January 2017
  • Need: A source of nourishment for the high number of premature infants born in South Carolina.
  • Intervention: The Mother's Milk Bank of South Carolina (MMBSC) manages 17 drop-off sites where mothers can donate their surplus breast milk to be delivered to neonatal intensive care units (NICUs) across the state.
  • Results: Over 99,916 ounces of milk have been donated to MMBSC depot sites and over 96,000 ounces of milk have been delivered to NICUs across the state of South Carolina.
Project COPE (Cancer Outreach Prevention Education)
Updated/reviewed January 2017
  • Need: Comprehensive breast care services are unavailable in many rural regions of Kentucky, and many of the women in these areas lack financial means for adequate breast care.
  • Intervention: Project COPE was initiated to provide women with support at any and every stage of breast cancer treatment.
  • Results: Women in the service area no longer have to travel to urban areas for customary breast care services and now have numerous avenues of support when going through breast cancer treatment.
funded by the Federal Office of Rural Health Policy Reach Out Program
Updated/reviewed January 2017
  • Need: Diabetes is the most common health problem in the African American, Latino, and Native American populations of rural Lake County, California.
  • Intervention: A Promotores/Community Health Workers model is used to teach positive lifestyle habits to people of all ages in order to live healthier lives, specifically to manage or prevent Type 2 diabetes.
  • Results: Participants in the Reach Out Program have improved their habits relating to nutrition and physical activity, leading to healthier lives.
Right Side Up Falls Prevention
Updated/reviewed January 2017
  • Need: Falling is one of the leading causes of morbidity and mortality in adults over the age of 65.
  • Intervention: The Right Side Up program was implemented in rural Otter Tail County to address the prevention and management of falls and risk for falls through in-home assessments given by interdisciplinary healthcare professionals and students.
  • Results: Short-term outcomes revealed 100% of participants found the visit and recommendations for falls prevention to be helpful, and 78% implemented these recommendations.
funded by the Federal Office of Rural Health Policy University of Virginia Diabetes Tele-Education Program
Updated/reviewed January 2017
  • Need: To educate people in the rural parts of Virginia who either have diabetes or are considered at high risk for developing it.
  • Intervention: Teleconferencing technology is used to offer diabetes education programs throughout the year to people with diabetes or those at high risk for developing diabetes.
  • Results: Participants reported better prevention techniques and/or self-management of diabetes after being thoroughly educated about this condition.
Walk with a Doc in Klamath Falls
Updated/reviewed January 2017
  • Need: To give people an incentive to walk for exercise.
  • Intervention: A national program called Walk with a Doc was adopted by Klamath Falls, Oregon that invites community members to walk with their local doctor and simultaneously get answers to their health-related questions.
  • Results: Patients continue to faithfully attend and engage in intentional health-focused conversation during the weekly walks.
Granville Greenways Walkable Community
Updated/reviewed December 2016
  • Need: Community members ages 40-64 in rural Granville County die earlier from heart disease and diabetes in comparison to the average North Carolinian.
  • Intervention: Granville Greenways was created to promote active lifestyles and more walkable communities.
  • Results: Three greenways have been created, with plans and funding received for the creation of additional walking and biking trails throughout the community.
Rural Health Initiative
Updated/reviewed December 2016
  • Need: Many rural adults lack health insurance, have very high premiums and/or deductibles, or have increased difficulty understanding how to effectively utilize and manage their healthcare plan.
  • Intervention: A trained healthcare professional provides in-home or on-site complimentary preventive health screening, educational materials, and community referral information to farmers and agribusinesses.
  • Results: In 2012, 40% of Shawano County, Wisconsin, utilized RHI's services, resulting in hundreds of health screenings completed and an abundance of local referral information. RHI also replicated into 2 additional counties.
Healthy You
Updated/reviewed November 2016
  • Need: Easier access to wellness programs in a county covering a large geographic area.
  • Intervention: A program that delivers wellness programming in 6 locations throughout the county, rotating for 2 months of the year to each location, with programming customized to the needs of each community.
  • Results: Over 5,000 community members annually participate in wellness programs.
Wisconsin Rural Women's Initiative
Updated/reviewed November 2016
  • Need: To provide personal development programs to ease isolation and provide resources for farm and rural women of Wisconsin.
  • Intervention: Wisconsin Rural Women's Initiative (WRWI) develops self-sustaining women's circles that work to maintain social connections and develop healthy practices in order to break down the isolating effects of rural living.
  • Results: WRWI has worked with rural and farm women in over 60 Wisconsin counties over the last eighteen years, providing services that encourage and build self-esteem, teach skills for coping with change, and create an ongoing support system.
Heartland OK
Added October 2016
  • Need: Over 9,000 people in Oklahoma die from heart disease each year.
  • Intervention: Heartland OK, which began in 5 rural counties, is a care coordination model that works to reduce heart disease and stroke risks for patients.
  • Results: 25% of patients met their hypertension goals within 90 days.
funded by the Federal Office of Rural Health Policy Meadows Diabetes Education Program
Updated/reviewed September 2016
  • Need: To provide diabetes care and education services to those in rural, southeast Georgia.
  • Intervention: Diabetes outreach screening, education, and clinical care services were provided to participants in Toombs, Tattnall, and Montgomery counties.
  • Results: Patients successfully learned self-management skills to lower their blood sugar, cholesterol, and blood pressure.
proACTIVE Wellness Initiative
Updated/reviewed May 2016
  • Need: A community wellness behaviors and needs survey indicated a need for worksite wellness in rural Black River Falls, Wisconsin.
  • Intervention: A workplace wellness initiative, which promotes healthy lifestyle behaviors, was implemented at 3 Black Rivers Falls businesses by local hospital employees.
  • Results: Employees at every involved worksites experienced health improvements of some kind.
Northeast Iowa Food and Fitness Initiative
Added November 2015
  • Need: Close to 70% of adults and 37% of children ages 4 and under in Northeast Iowa are overweight or obese.
  • Intervention: In rural Iowa, efforts are being made to support and promote access to locally-grown, healthy foods and active lifestyles, particularly in children, through the Northeast Iowa Food & Fitness Initiative.
  • Results: Over $70,000 of food grown by local farmers was purchased by Northeast Iowa schools during the 2014-15 school year. The Central Community School K-6 overweight or obesity rate decreased from 38% in 2010-2011 to 30.6% in 2014-15.
Black Corals Cancer Education
Added October 2015
  • Need: African American women in rural South Carolina are almost 40% more likely to die from breast cancer and over 3 times more likely to die from cervical cancer than Caucasian women in the state.
  • Intervention: St. James-Santee Family Health Center implemented a breast and cervical cancer screening promotion program called Black Corals.
  • Results: In 2 years, Pap smear and mammogram rates increased by over 10% and missed appointment rates were decreased by over 30%.
funded by the Federal Office of Rural Health Policy Downeast Maine Diabetes Prevention Program
Added September 2015
  • Need: To address the prevalence of diabetes in rural, Downeast Maine.
  • Intervention: A comprehensive continuum of care was developed that focuses on healthy lifestyle changes and diabetic self-management.
  • Results: BMI levels have been lowered, A1C levels have been reduced, and participants have lost weight, decreasing the risk of diabetes.

Last Updated: 11/21/2017