Clinical Challenges Associated With Enhancing Hypertension Among The Underserved African American Population,
2026
University of Texas at Arlington
Clinical Challenges Associated With Enhancing Hypertension Among The Underserved African American Population, Ashley Richardson
Doctor of Nursing Practice (DNP) Scholarly Projects
Background
African Americans face a significantly higher prevalence of hypertension, tend to develop complications at younger ages, and have disproportionately higher mortality rates. Key social determinants of health (SDoH)—including food deserts, unequal access to healthcare, and geographic disparities in healthcare resources—contribute to these ongoing inequities. Addressing both systemic and individual barriers is crucial for effective hypertension management.
Objective
This study aims to assess the effectiveness of a culturally relevant, community-based intervention designed to reduce both systolic and diastolic blood pressure among Black adults with uncontrolled hypertension.
Methods
Quality improvement (QI) initiatives typically employ multicomponent, equity-focused models. The primary components of …
What Is The Evolving Role Of Nurses In Telehealth As Future Healthcare Professionals?,
2026
Georgia Southern University
What Is The Evolving Role Of Nurses In Telehealth As Future Healthcare Professionals?, Emma G. Lowry
Honors College Theses
Telehealth has evolved into an essential component of healthcare delivery in today's world, something that occurred alongside the COVID-19 pandemic. As healthcare professionals, nurses must be adequately prepared and equipped to use the tools for telehealth. This paper examines the evolving role of nurses in telehealth by assessing undergraduate nursing students’ and practicing nurses’ knowledge, attitudes, and perceived competencies. Data will be collected through a Qualtrics survey utilizing the Awareness, Knowledge, Attitude, and Skills (AKAS) Scale for Telemedicine, supplemented by interviews with telehealth practitioners to provide qualitative context. It is expected that variations in proficiency and attitudes, from previous biased …
The Effect Of The Affordable Care Act Medicaid Expansion On The Risk Of Hospital Closure And Adolescent Hpv Immunization In Rural Counties,
2026
Scripps College
The Effect Of The Affordable Care Act Medicaid Expansion On The Risk Of Hospital Closure And Adolescent Hpv Immunization In Rural Counties, Juliette Des Rosiers
Scripps Senior Theses
From 2005 to 2025, over 200 rural hospitals shut their doors, often citing increased operational costs, staffing shortages, low patient volume, regulatory barriers, financial challenges exacerbated by the COVID-19 pandemic, and uncompensated care as common contributors to the closures. Rural patients are often referred by their primary care physician to a hospital for regular immunizations, since smaller clinics have less capacity to provide immunizations due to a shortage of pediatricians and limited vaccine stock. A crucial vaccine that is not required by schools and underutilized in rural areas is that against human papillomavirus (HPV), a virus that infects cutaneous and …
Facilitating Shared Reading Exposure To Promote Health Outcomes In A Rural Pediatric Primary Care Clinic,
2026
University of Texas Health at Houston
Facilitating Shared Reading Exposure To Promote Health Outcomes In A Rural Pediatric Primary Care Clinic, Meredith L. Longino
Doctor of Nursing Practice Final Project Abstract
Purpose
The purpose of this scholarly project was to address a gap in early literacy promotion for rural children by incorporating the Reach Out and Read program. This program bolsters foundational literacy by providing a book and anticipatory guidance at every well-child visit from birth through age 5. This project was expected to decrease no-show well-child attendance rates and improve provider morale.
Background
The project was implemented in an established rural pediatric primary care clinic in Northeast Texas.
Methodology
Process implementation was measured through books distributed and EHR documentation of the intervention. Process objectives were measured by no-show rates for …
Exploring The Impact Of Adverse Childhood Experiences On Preventive Healthcare Utilization In Rural Georgia,
2026
Georgia Southern University
Exploring The Impact Of Adverse Childhood Experiences On Preventive Healthcare Utilization In Rural Georgia, Ryan R. Traylor
College of Graduate Studies: Theses & Dissertations
This study examines the relationship between Adverse Childhood Experiences (ACEs) and preventive healthcare use among adults in Georgia, specifically within rural populations facing structural barriers. Using 2023 Georgia Behavioral Risk Factor Surveillance System (BRFSS) data, the research analyzes associations between ACE exposure, rural residence, and preventive care outcomes, including physical exams and flu vaccinations. Guided by an intersectionally adapted version of Andersen’s Behavioral Model of Health Services Use, the study evaluates how predisposing factors, enabling resources, and perceived barriers relate to healthcare engagement. Logistic regression analyses assess the correlation of ACE exposure, cost barriers, provider access, and sociodemographics with preventive …
Adult Healthy Habits,
2026
University of New Mexico
Adult Healthy Habits, Belinda E. Vicuna, Mahtab Soleimani, Yvonnie Baik, Elena Martinez, Theresa H. Cruz
Reports & Documents
No abstract provided.
Distribution Of Block Grant Funding: Considerations For Rural Communities,
2025
East Tennessee State University
Distribution Of Block Grant Funding: Considerations For Rural Communities, Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
ETSU/NORC Rural Health Research Center Policy Briefs
No abstract provided.
A Rural Lens On Federal Block Grant Distribution,
2025
East Tennessee State University
A Rural Lens On Federal Block Grant Distribution, Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael Meit, Kate E. Beatty
ETSU/NORC Rural Health Research Center Policy Briefs
No abstract provided.
Rural And Urban Differences In Suicide In The United States, 2018-2021,
2025
East Tennessee State University
Rural And Urban Differences In Suicide In The United States, 2018-2021, Qian Huang, Nicole Galler, Michael Meit, Amy Wahlquist
ETSU/NORC Rural Health Research Center Policy Briefs
No abstract provided.
Are Hcc Risk Scores A Reliable Health Status Indicator Across Rural And Urban Areas?,
2025
East Tennessee State University
Are Hcc Risk Scores A Reliable Health Status Indicator Across Rural And Urban Areas?, Craig D. Holden, Alana Knudson, Marilyn Klug, Samantha Augenbraun, Shena Popat
ETSU/NORC Rural Health Research Center Policy Briefs
No abstract provided.
Rural Hospital Closure And Medicaid Expansion,
2025
Marshall University
Rural Hospital Closure And Medicaid Expansion, Jason White
Theses, Dissertations and Capstones
Introduction: In the United States, hospitals in rural areas have been under financial pressure and have been closing at an increasing rate. This reduces access to care for rural citizens. The Affordable Care Act of 2010 was passed in order to increase access to medical care, partially through an optional expansion of Medicaid coverage to a larger percentage of the population. As some states adopted the expansion and some states did not, an opportunity was created to examine the policy’s effect on rural hospital stability.
Purpose of the Study: This study was designed to examine the effect of …
Examining Differences In Rural And Urban Medicare Ffs Beneficiaries’ Emergency Department Use Before And During Covid-19,
2025
East Tennessee State University
Examining Differences In Rural And Urban Medicare Ffs Beneficiaries’ Emergency Department Use Before And During Covid-19, Alana Knudson, Craig D. Holden, Marilyn Klug, Tricia Stauffer, Shena Popat
ETSU/NORC Rural Health Research Center Policy Briefs
No abstract provided.
The Benefits Of Telehealth Among Disadvantaged Communities,
2024
Texas Southern University
The Benefits Of Telehealth Among Disadvantaged Communities, Anoosh Arshad
Honor’s College Freeman Research Journal
This study aims to understand how the widespread integration of telehealth services affects underserved communities, helping reduce health disparities in this group. Telemedicine includes various technologies and applications, supported by extensive research, public health, administrative, and patient-care benefits, to adapt to different fields. It involves clinical applications that focus on patient care, like making health decisions, and nonclinical applications like arranging board meetings. Telehealth is a health platform that uses communication technologies that allow doctors and patients to meet online through video and telephone visits, ensuring that patients receive high-quality care. It increases access to healthcare by removing geographical and …
Ob Deserts Remain Public Health Concern For New Mexico,
2024
University of New Mexico
Ob Deserts Remain Public Health Concern For New Mexico, Dustin Roberto
HSC Newsroom
As of 2022, one in three New Mexico counties were "OB deserts," places where pregnancy and childbirth care is limited. Distance, hospital closures, and staff shortages make care especially hard to reach for rural, low-income, and Indigenous communities. To help, the University of New Mexico offers a minor and certificate in maternal and child health leadership.
An Intersectional Approach To Quantifying The Impact Of Geographic Remoteness And Health Disparities On Quality-Adjusted Life Expectancy: Application To Australia,
2023
Deakin University
An Intersectional Approach To Quantifying The Impact Of Geographic Remoteness And Health Disparities On Quality-Adjusted Life Expectancy: Application To Australia, Peter Lee, Steven J. Bowe, Lidia Engel, Erica I. Lubetkin, Nancy Devlin, Lan Gao
Publications and Research
Objectives
An intersectional multilevel analysis of individual heterogeneity and discriminatory accuracy (MAIHDA) is a novel method for exploring the interaction between sociodemographic characteristics that affect health outcomes. This study explores the interaction between geographic remoteness and socioeconomic status on health outcomes in Australia from an intersectional perspective.Methods
Data from a cross-sectional survey were matched with data from the Australian Bureau of Statistics and the Australian Institute of Health and Welfare. To explore the effect of health-related quality of life on life expectancy, quality-adjusted life expectancy (QALE) was estimated through applying utility values derived from the EQ-5D-5L to life table …
Indian Health Service Strategic Plan 2006-2011,
2011
University of New Mexico
Indian Health Service Strategic Plan 2006-2011, Indian Health Service
Native Health Database Full Text
The main health challenges currently faced by American Indian and Alaska Native people are the increasing health conditions and chronic diseases that are related to lifestyles issues such as obesity, physical inactivity, poor diet, substance abuse, and injuries. To help meet these challenges, the Indian Health Service (IHS) has launched a Health Promotion and Disease Prevention (HPj DP) Initiative to develop a coordinated and systematic approach to enhance preventive health approaches at the local, regional, and national levels.
