Rural Health Models and Innovations Funded by the Federal Office of Rural Health Policy
A collection of rural health projects that received support from the Federal Office of Rural Health Policy:
Effective Examples
I Got You: Healthy Life Choices for Teens (IGU)
Updated/reviewed February 2024
- Need: To improve awareness of behavioral and mental health issues by students in rural, east central Mississippi.
- Intervention: An intensive community mental health outreach program was implemented for students in rural Mississippi.
- Results: As of 2018 and on a yearly basis, 6,000 7th and 8th grade students receive mental health education on a variety of topics which improves their ability to recognize mental health issues, high risk behaviors, and manage their own choices.
Health Coaches for Hypertension Control
Updated/reviewed September 2023
- 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.
Meadows Diabetes Education Program
Updated/reviewed September 2023
- 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.
Regional Oral Health Pathway
Updated/reviewed August 2023
- Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
- Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
- Results: This program increased oral health visits in the area and provided residents with valuable information on oral health resources and services.
Perinatal Health Partnership Southeast Georgia
Updated/reviewed February 2023
- Need: In 12 rural southeast Georgia counties, high-risk pregnant individuals 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 individuals 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.
New Mexico Mobile Screening Program for Miners
Updated/reviewed December 2022
- Need: To increase access to medical screening for miners in New Mexico.
- Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
- Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.
Vivir Mejor! (Live Better!) System of Diabetes Prevention and Care
Updated/reviewed August 2022
- 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.
Livingston County Help For Seniors
Updated/reviewed May 2020
- Need: Meeting the health needs of geriatric patients in rural Livingston County, New York.
- Intervention: The Help for Seniors program was developed and using its 'vodcasts,' local EMTs were trained in geriatric screening methods and health needs treatment.
- Results: In addition to developing a successful model for educating EMS personnel, the program screened over 1200 individuals and identified various risks among the geriatric population.
Trinity Hospital Twin City's Fit for Life
Updated/reviewed November 2018
- Need: To reduce obesity among adults in rural east central Ohio.
- Intervention: Fit for Life Replication Project for Expansion was developed to make it possible to lose weight through practicing healthier lifestyle behaviors.
- Results: Out of the 443 adults who have completed the program, 81% experienced weight loss, a tangible result of the program's overarching goal to enhance levels of health and fitness.
Promising Examples
TUSM-MMC Program Longitudinal Integrated Clerkship
Updated/reviewed April 2024
- Need: To fill vacant medical positions in Maine's rural medical facilities.
- Intervention: The Tufts Maine Track LIC program offers clerkships in rural medical facilities, exposing medical school students to the positives and possibilities that rural practices have to offer.
- Results: The program has seen an increase in students' interest in practicing in rural Maine. The majority of participants have pursued medical careers in one of the six core specialties studied during their clerkship.