Selecting, Adapting, and Implementing Evidence-based Interventions in Rural Settings: An Analysis of 70 Community Examples.
This paper explores how communities translate evidence-based and promising health practices to rural contexts.



A descriptive, qualitative analysis was conducted using data from 70 grantees funded by the Federal Office of Rural Health Policy to implement evidence-based health practices in rural settings. Findings were organized using The Interactive Systems Framework for Dissemination and Implementation.



Grantees broadly interpreted evidence-based and promising practices, resulting in the implementation of a patchwork of health-related interventions that fell along a spectrum of evidentiary rigor. The cohort faced common challenges translating recognized practices into rural community settings and reported making deliberate modifications to original models as a result.



Opportunities for building a more robust rural health evidence base include investments to incentivize evidence-based programming in rural settings; rural-specific research and theory-building; translation of existing evidence using a rural lens; technical assistance to support rural innovation; and prioritization of evaluation locally.
Tina Anderson
TA
Smith
Tanisa Foxworth
TF
Adimu
Amanda Phillips
AP
Martinez
Karen
K
Minyard
D055317:Evidence-Based Practice; D006291:Health Policy; D006801:Humans; D012423:Rural Health; D019035:Rural Health Services; D012424:Rural Population; D014481:United States