The RALA tools were developed using an evidence-informed framework and substantial input from rural residents, and were designed to balance the needs of practitioners (e.g., user-friendliness) and researchers (e.g., reliable measures). The modules capture specific physical activity amenities, programs and policies, as well as built environment features. The tools include: The RALA Codebook, Town-wide Assessment Tool, Program and Policy Tool, and Segment Tool. The RALA Codebook provides users with a practical and simple guide for implementing the tool in rural communities across the U.S. The development of the tools is described in Yousefian, et al. (2010, January). Development of the rural active living assessment tools: Measuring rural environments. Preventive Medicine, 50(Supplement 1), S86-S92.
Cutler Institute for Health and Social Policy
Rural Active Living Assessment (RALA) Toolkit: Codebook and Assessment Tools
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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions
The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.
On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:
- Medicaid eligibility, pre-ACA
- Medicaid participation, pre-ACA
- New Medicaid eligibility in 2014
Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.