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Promoting Intergenerational Health in Rural Kentuckians With Diabetes (PIHRK’D): Protocol for a Longitudinal Cohort Study

Promoting Intergenerational Health in Rural Kentuckians With Diabetes (PIHRK’D): Protocol for a Longitudinal Cohort Study

Type 2 diabetes mellitus (T2 DM) and obesity have a compounding effect on health disparities in rural communities in Kentucky. T2 DM is a persistent public health condition affecting 34.1 million US adults [1]. Moreover, geographic disparities exist with some population segments, such as rural-dwelling Americans who experience greater vulnerability to this condition. The prevalence of T2 DM in Kentucky’s rural counties has reached 23%, compared to the overall state prevalence of 13.8% [2].

Brittany L Smalls, Courtney L Ortz, Makenzie Barr-Porter, Heather Norman-Burgdolf, Christopher J McLouth, Brittany Harlow, Oluwatosin Leshi

JMIR Res Protoc 2025;14:e69301

Evaluating the Effectiveness of a Mobile HIV Prevention App to Increase HIV and Sexually Transmitted Infection Testing and Pre-Exposure Prophylaxis Initiation Among Rural Men Who Have Sex With Men in the Southern United States: Protocol for a Randomized Controlled Trial

Evaluating the Effectiveness of a Mobile HIV Prevention App to Increase HIV and Sexually Transmitted Infection Testing and Pre-Exposure Prophylaxis Initiation Among Rural Men Who Have Sex With Men in the Southern United States: Protocol for a Randomized Controlled Trial

Overall, in the United States, 80% of rural residents are non-Hispanic White [7], whereas the overall US population is 60% non-Hispanic White [1]. However, southern states have much larger populations of rural residents of color [8]. Of the 17 states that comprise the Southern United States, 13 have >20% rural populations of color; 3 states (South Carolina, Mississippi, and Texas) have rural populations comprising >40% people of color [8].

Jeb Jones, Georgia Manley, Tiffany R Glynn, Kristin M Wall, Stefan D Baral, E Danny Harris, David Benkeser, Patrick S Sullivan

JMIR Res Protoc 2025;14:e69540

Falls Prevention Among Older Adults in Rural Communities: Protocol for a Scoping Review

Falls Prevention Among Older Adults in Rural Communities: Protocol for a Scoping Review

Although 2 literature reviews exist on falls, they focus primarily on rural older adults in the Australian context. For example, Boehm and colleagues [13] completed a literature review focusing on falls epidemiology in rural Australia. Similarly, Peters and colleagues [14] focused on the rural Australian context and examined paramedicine practices in supporting rural falls management. However, no existing literature reviews focus on the viewpoints of rural older adults.

Megan Funk, Juanita-Dawne Bacsu, Melba Sheila D’Souza, Anila Virani, Zahra Rahemi, Matthew Lee Smith

JMIR Res Protoc 2025;14:e63716

Assessing the Fit of a Digitally Delivered National Diabetes Prevention Program Among Rural Living Adults: Qualitative Study

Assessing the Fit of a Digitally Delivered National Diabetes Prevention Program Among Rural Living Adults: Qualitative Study

Research indicates that distance learning delivery of the National DPP in rural areas by Extension agents is feasible and effective in achieving the program goals [18]. However, less is known about multilevel contextual barriers and facilitators of digital delivery of the National DPP in rural living adults.

Gerit Wagner, Lyndsie M Koon, Patricia Smith, Kameron B Suire, Mary Hastert, Joseph E Donnelly, Melissa D Olfert, Paul Estabrooks, Anna M Gorczyca

JMIR Form Res 2025;9:e70406

Spread and Scale-Up of a Region-Wide Telehealth Navigation Service in a Rural Context: Qualitative Process Evaluation

Spread and Scale-Up of a Region-Wide Telehealth Navigation Service in a Rural Context: Qualitative Process Evaluation

In this study, we used the Australian Department of Health and Aged Care’s definition of rural and the modified Monash (MM) model, which classifies metropolitan, regional, rural, and remote areas into 7 categories with rural areas defined as those including all categories (MM2-7), except the category “metropolitan areas” (MM1) [37]. This study covered areas of regional centers (MM2), large rural towns (MM3), medium rural towns (MM4), and small rural towns (MM5).

Mary Malakellis, Anna Wong Shee, Laura Alston, Vincent L Versace, Pheona Griffith, Jade Odgers, Kevin Mc Namara

J Med Internet Res 2025;27:e64734

Barriers to and Facilitators of Implementing Overnight Nursing Teleconsultation in Small, Rural Long-Term Care Facilities: Qualitative Interview Study

Barriers to and Facilitators of Implementing Overnight Nursing Teleconsultation in Small, Rural Long-Term Care Facilities: Qualitative Interview Study

Moreover, internet-based clinical support initiatives between novice and expert professionals are being implemented in both urban [23-25] and rural [26,27] settings specifically to address challenges related to the shortage of qualified health care workers. Despite the increasing adoption of teleconsultation, its use in nursing practice remains largely unexplored [28-31], even though its potential to transform care, including in long-term care centers, is well recognized [32,33].

Veronique Nabelsi, Véronique Plouffe, Marie Chantal Leclerc

JMIR Aging 2025;8:e71950

Low Earth Orbit Communication Satellites: A Positively Disruptive Technology That Could Change the Delivery of Health Care in Rural and Northern Canada

Low Earth Orbit Communication Satellites: A Positively Disruptive Technology That Could Change the Delivery of Health Care in Rural and Northern Canada

This is a challenge for a country with a population of 40 million living within 10 million km2 and where 18% live in rural or highly remote locations [1]. The combined population of Yukon, Northwest Territories (NWT), and Nunavut is only 128,959 (0.32% of the population), living within 3.92 million km2, and many of these citizens live in isolated communities with unique health needs and social issues [2].

Douglas Hamilton, Sandeep (Sonny) S Kohli, Paul McBeth, Randy Moore, Keltie Hamilton, Andrew W Kirkpatrick

J Med Internet Res 2025;27:e46113

Usability Testing of a Bystander Bullying Intervention for Rural Middle Schools: Mixed Methods Study

Usability Testing of a Bystander Bullying Intervention for Rural Middle Schools: Mixed Methods Study

Students attending school in rural communities are at high risk of experiencing both school bullying and cyberbullying [7-9]. According to US national statistics, the highest rates of bullying among rural youth in the past decade were reported in 2019, with 27.7% or rural students reporting being bullied compared to 22.4% of students in urban areas [10].

Aida Midgett, Diana M Doumas, Claudia Peralta, Matt Peck, Blaine Reilly, Mary K Buller

JMIR Hum Factors 2025;12:e67962

Effect of the Reassured Self-Compassion–Based School Program on Anxiety, Video Game Addiction, and Body Image Among Rural Female Adolescents: Retrospective Study

Effect of the Reassured Self-Compassion–Based School Program on Anxiety, Video Game Addiction, and Body Image Among Rural Female Adolescents: Retrospective Study

Female adolescents, particularly those in rural areas, are at higher risk for anxiety and body dissatisfaction, with a significantly higher anxiety prevalence than males [11]. For instance, 14.1% (424/3008) of Saudi females are at risk for generalized anxiety disorder, compared to 11.4% (342/3007) of males [11]. Rural female adolescents face additional barriers.

Areeg Zuair

JMIR Form Res 2025;9:e68840

Urban-Rural Differences in the Association Between Internet Use Trajectories and Depressive Symptoms in Chinese Adolescents: Longitudinal Observational Study

Urban-Rural Differences in the Association Between Internet Use Trajectories and Depressive Symptoms in Chinese Adolescents: Longitudinal Observational Study

Furthermore, the impacts of internet use among adolescents may vary between rural and urban areas. Traditionally, rural adolescents have limited access to internet devices and engage in fewer online activities than their urban counterparts [24]. With the increasing penetration rates of the internet in recent years, the urban-rural gap has narrowed, with adolescents in rural areas experiencing a faster increase in screen time [25].

Yujie Liu, Xin Ge, Ying Wang, Xue Yang, Shangbin Liu, Chen Xu, Mi Xiang, Fan Hu, Yong Cai

J Med Internet Res 2025;27:e63799