New approaches are needed when working in rural communities to identify and communicate holistic evaluation impacts related to community-based health promotion efforts of Cooperative Extension. Specifically, there is a lack of recorded long-term programmatic impacts of these programs, including behavior changes related to consuming nutritious and…

This descriptive study involving over 50 students, both undergraduate and graduate nursing students. A modified Community Service Attitudes Scale was given pre and post service-learning activity to the students. Students overwhelmingly reported an increase in their cultural awareness, their ability to work effectively with others and their feeling…

The mental health and well-being of rural communities in the United States is a growing and serious concern. Generally, suicide rates are higher and increase more rapidly in rural areas than in urban areas (Ringgenberg et al., 2017; Steelesmith et al., 2019). Studies suggest that isolation, limited socioeconomic opportunity, and sparse access to…

The quality of the extension services provided determines how effective extension systems are in accomplishing a sustainable development strategy. Hence, this research was carried out to ascertain the impact of extension services of the College of Teacher Education (CTE) of Nueva Vizcaya State University (NVSU), Philippines. The descriptive survey…

As persistent inequities in health gained increased attention nationally due to COVID-19 and racial justice protests in 2020, it has become increasingly important to evaluate both the process and outcomes associated with coalition-based efforts to address health inequities. "The Two Georgias Initiative" supports coalitions in 11 rural…

The United States has invested millions of dollars in STEM program initiatives; however, African Americans in STEM career fields are underrepresented. The purpose of this qualitative hermeneutic phenomenological study aimed to explore the lived experiences of African-American first-year college students from rural communities in a STEM program and…

Context: Rural populations experience both a higher prevalence of and risk for premature death from chronic conditions than do their urban counterparts. Yet barriers to implement community-based chronic disease self-management programs persist. Program: The Living Well program, a multi-sector collaboration between a rural health care system and a…

In North Carolina, rural communities experience high rates of chronic illness due to health inequities exacerbated by the decline of major industries. Community gardens increase access to fresh produce and opportunities for physical activity and may offer additional benefits. These benefits can be difficult to measure as they are often unplanned…

Theoretically, increasing family resilience, may contribute to an increase the resilience of communities. However families in South Africa experience challenges to their resilience, often owing to a variety of historic, socio-economic, and political factors. Research and intervention planning that attempts to ameliorate the effects these factors,…

Background: Breast cancer is an important public health issue among American Indian/Alaska Native (AI/AN) women. However, there are very few published studies describing the evaluation of breast health promotion programs among AI/AN women. Purpose: To describe the formative evaluation of a multicomponent intervention to promote mammography…

In remote and very remote Australia, young people engage youth workers in sexual health discussions, often out of necessity due to low access to health services. Youth workers' and youth service managers' perspectives on these interactions and the sexual health training they receive are poorly understood. In this study, youth workers and youth…

The high rate of rurality and population ageing are two of the principal characteristics that make Galicia a region with certain peculiarities that require actions to promote an active role for its senior citizens. Through a service-learning project embedded within a broader framework of arts-based research, student teachers designed an artistic…

This paper examines the child development outcomes of two cohorts of children who were exposed to the same intervention at different points in time. One cohort was eligible to access playgroups during the first year of a five-year project cycle, beginning at age four. The other cohort became eligible to access these services during the third year…

Family-focused early learning programs aim to assist parents in supporting their young children language and literacy development. This study examined program access and learning opportunities for diverse families across a wide range of community-based settings in one eastern Canadian province. As well, the study examined practitioners'…

Children with autism spectrum disorders (ASDs) often have difficulty demonstrating appropriate communication, social skills, behavior, and sensory responses; thus, it can be challenging for families, particularly those in rural areas, to find suitable community-based opportunities. The Au-some Evenings program was developed at a local children's…