ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Support and Sabotage: A Qualitative Study of Social Influences on Health Behaviors Among Rural Adults.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- How to Best Develop and Deliver Generic Long-Term Condition Rehabilitation Programmes in Rural Settings: An Integrative Review.Frontiers in rehabilitation sciences · 2022Pooled it
- Improvements in dietary intake, behaviors, and psychosocial measures in a community-randomized cardiovascular disease risk reduction intervention: Strong Hearts, Healthy Communities 2.0.The American journal of clinical nutrition · 2023Trial
- Changes in physical activity outcomes in the Strong Hearts, Healthy Communities (SHHC-2.0) community-based randomized trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Improvements and Maintenance of Clinical and Functional Measures Among Rural Women: Strong Hearts, Healthy Communities-2. 0 Cluster Randomized Trial.Circulation. Cardiovascular quality and outcomes · 2022Trial
- Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial.BMC public health · 2022Trial
- Using Personalized Anchors to Establish Routine Meditation Practice With a Mobile App: Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- The Strong Hearts, Healthy Communities Program 2.0: An RCT Examining Effects on Simple 7.American journal of preventive medicine · 2020Trial
- Changes in diet and physical activity resulting from the Strong Hearts, Healthy Communities randomized cardiovascular disease risk reduction multilevel intervention trial.The international journal of behavioral nutrition and physical activity · 2019Trial
- Process Evaluation of Strong Hearts, Healthy Communities: A Rural Community-Based Cardiovascular Disease Prevention Program.Journal of nutrition education and behavior · 2019Trial
- Are evidence-based, community-engaged energy balance interventions enough for extremely vulnerable populations?Translational behavioral medicine · 2018Trial
- Stage of Change, Self-Efficacy, and Barriers to Plant-Based Eating: A Secondary Analysis of Residential Program Data.Cureus · 2026Article
- Study protocol for Valor Barroso: a mixed-method approach to dietary-physical activity patterns in Barroso, Portugal.Archives of public health = Archives belges de sante publique · 2026Article
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- An Asset-Based Examination of Contextual Factors Influencing Nutrition Security: The Case of Rural Northern New England.Nutrients · 2025Article
- Promoting Influenza Vaccination Uptake Among Chinese Older Adults Based on Information-Motivation-Behavioral Skills Model and Conditional Economic Incentive: Protocol for Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- Does Smartphone Use Affect Attitudes Toward Aging Among Older Adults in Rural Areas? An Empirical Analysis Using Data from the Chinese Longitudinal Aging Social Survey.Behavioral sciences (Basel, Switzerland) · 2024Article
- Smoking Quit Attempts and Associated Factors Among Rural Adults Who Smoke Daily in the United States.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- COVID-19 vaccine acceptance and associated determinants in Addis Ketema Sub-city, Addis Ababa, Ethiopia: A community-based study.Vaccine: X · 2024Article
- A qualitative exploration of the health needs and goals of urban women to inform the tailoring and adaptation of Strong Hearts Healthy Communities: a community-based cardiovascular disease prevention intervention.BMC public health · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
purposeSocial environments exert an important influence on health behaviors, yet evidence from rural-specific contexts is limited. This study explored how social relationships influence health-related behaviors among midlife and older rural adults at increased risk of chronic disease.
methodsSeventeen focus groups were conducted with 125 sedentary, overweight/obese adults (aged 40-91 years) residing in "medically underserved" rural Montana towns in 2014. Groups were stratified by age (40-64 and ≥65) and gender. Transcripts were examined thematically using NVivo software according to social influences on diet, physical activity, and tobacco use. Analyses were conducted in 2015-2016.
resultsAttitudes and actions of family members and friends were key influences on health behaviors, in both health-promoting and health-damaging ways. In these small, isolated communities, support from and accountability to family and friends were common facilitators of behavior change and maintenance. However, expectations to conform to social norms and traditional gender roles (eg, caregiving duties) often hindered healthy lifestyle changes.
conclusionsThese findings suggest that health behavior interventions targeting adults in rural settings need to consider and, if possible, integrate strategies to address the impact of social relationships in both supporting and sabotaging behavior change and maintenance.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.