title: Challenges in defining and developing the field of rural mental disorder preventive intervention research.
abstract: An overview of selected issues and challenges in defining and developing the field of rural preventive intervention research is presented. One fundamental challenge is to clarify the distinguishing characteristics of prevention science in rural contexts. Other challenges are evident in the need to address: the lack of consensus on conceptual and methodological approaches to this field, limited empirical study to date, the tremendous diversity of rural populations, and inconsistencies in the usage of the term "rural". This article suggests the organization of a work group to formulate and implement a clear research agenda. In addition, several general questions are discussed that, if addressed, might serve to better define and further develop the field. These questions concern the implications of multiple approaches to prevention science in rural contexts, the classification of rural populations, the functional relevance of rural residence in the etiology of specific disorders, the application of extant etiological models to interventions designed specifically for rural populations, the conduct of rural area prevention needs assessments, the development of models for collaboration between intervention researchers and rural community stakeholders, and strategies to engage rural residents in preventive interventions.
authors.affiliation: Iowa State University, Social & Behavioral Research Center for Rural Health, Ames 50010, USA.
authors.forename: R
authors.initials: R
authors.lastname: Spoth
mesh_terms: D003156:Community Mental Health Services / Q000458:organization & administration / Q000639:trends*; D005544:Forecasting; D006301:Health Services Needs and Demand / Q000639:trends; D006801:Humans; D001523:Mental Disorders / Q000209:etiology / Q000517:prevention & control*; D012423:Rural Health / Q000639:trends*; D014481:United States