In late 2016, rural disability stakeholders had the opportunity to provide comment and personal testimony to influence the focus of the National Institute on Disability, Independent Living, and Rehabilitation Research’s (NIDILRR) 2017-2023 Long Range Plan. RTC:Rural engaged with stakeholders at the 2016 Association of Programs for Rural Independent Living (APRIL) conference in October to help them share their comments with NIDILRR about what is important to them from the rural disability perspective. We encourage our fellow stakeholders to, again, take the opportunity to review NIDILRR’s 2017-2023 Long Range Plan to provide more input on the focus on NIDILRR’s research for the next five years.
Dr. Catherine Ipsen’s paper “Rural and urban vocational rehabilitation self-employment outcomes” was published in the January 2017 issue of the Journal of Vocational Rehabilitation.
Dr. Ipsen is the Associate Director for the Rural Institute for Inclusive Communities and the Director of Rural Employment Research at RTC:Rural. Dr. Ipsen co-authored the paper with Dr. Grant Swicegood, Assistant Professor of Mathematics at Central Methodist University.
The paper examines self-employment rates among vocational rehabilitation (VR) consumers in rural versus urban areas, noting that rates are higher in rural areas.
Dr. Ipsen and Swicegood report that VR consumers who are self-employed work fewer hours per week and earn more than those in competitive job placements. In spite of this, the study found that many VR agencies do not promote self-employment to their clients, for a variety of reasons.
Drs. Ipsen and Swicegood conclude that self-employment is a viable option for people with disabilities, especially in rural communities.
In April 2017, RTC:Rural researchers will present three current research projects at the 2017 NARRTC conference, to be held this year in Alexandria, Virginia.
This conference provides an annual opportunity for grantees of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) to come together and share their latest research findings. Training and knowledge translation methodologies and results are also shared. This year’s theme is “Taking Charge of Change.”
Projects presented aim to enhance interventions, programs or systems to improve the lives of people with disabilities. These research projects fall into the priority categories of Community Participation & Independent Living, Employment & Vocational Rehabilitation, Health & Wellness, and Knowledge Translation.
RTC:Rural is on the agenda with two presentations and one poster:
1. Using Participatory Curriculum Development as an Integrated Knowledge Translation Strategy (Presentation)
Authors: Dr. Craig Ravesloot, Ph.D., Tracy Boehm Barrett, M.P.H., Tannis Hargrove, M.S., Mary Olson, MSW
Self-management and health promotion remain a significant challenge for people with disabilities living in rural areas. Online learning is a promising avenue to make evidence-based programs available to people, yet the best approaches to implementing online content for rural people with disabilities are unknown.
To establish these best approaches, RTC:Rural is partnering with stakeholders from the Association of Programs for Rural Independent Living (APRIL) and eight Centers for Independent Living across the country to develop two health promotion programs that blend online and face-to-face learning. These programs are based on the Living Well with a Disability program. Continue reading
We are honored to have our Living Well with a Disability (LWD) program featured in a targeted awareness campaign sponsored by the Centers for Disease Control and Prevention (CDC). The six-month campaign Self-Management Education: Learn More. Feel Better. is being conducted in Wisconsin to promote self-management education (SME) as a tool to manage chronic health conditions.
Self-management education has been proven to reduce symptoms of chronic conditions and to improve overall quality of life. Research by RTC:Rural suggests that implementing SME programs, specifically LWD, could save millions of dollars in Medicare, Medicaid, and private insurance costs and is a promising intervention that has demonstrated improvements in health-related quality of life and health care use. However, many of the public are unaware of available SME programs, and the CDC’s Learn More. Feel Better. campaign aims to bridge this information gap.
According to 2014 American Community Survey data, the rate of disability across the United States is 12.4%. In rural America, that percentage increases to 17.7%. Overall, people living in rural areas are more likely to be unemployed, living in poverty, elderly, or experience a disability, and as a result are more likely to qualify for Medicare/Medicaid.
LWD is one of the six SME programs featured on the Disability-Specific SME Programs campaign website. The CDC has been involved with LWD since its initial development at RTC:Rural in 1987, and has continued to provide funding, support, and promotion of the program at various levels throughout the years. Most recently, RTC:Rural received funding to continue the LWD Program’s history of research and development under a five year grant to translate it into a state-of-the-art online health promotion curriculum. This grant funding is provided by the National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) within the Administration for Community Living, at the US Department of Health and Human Services.
LWD is a 10 week peer-facilitated workshop focusing on the health-management needs of people with disabilities, and is currently offered in 46 states by over 250 Centers for Independent Living and internationally. Continue reading
January is almost over, but we’re still celebrating the New Year—and the new RTC:Rural staff who have joined us in the last few months. Since the Fall of 2016, the RTC:Rural staff has grown by 31% with the addition of four new associate positions!
Meet the new RTC:Rural staff:
|Maggie Lawrence, Training Associate
Maggie is originally from Los Angeles, CA. She has a BA in Women’s and Gender Studies from UC Santa Cruz and an MA in Library and Information Science from San Jose State University. Maggie has worked as an editor, a community information and referral specialist, a research librarian, and has experience in women’s and LGBTIQ rights advocacy. She is interested in issues of equal access and community empowerment.
|Kerry Morse, Communications Associate
Kerry’s role on the knowledge translation team at RTC:Rural includes managing electronic media, and creating communications strategies and products to reach our diverse audiences. Kerry received her B.A. in Liberal Arts from St. John’s College in Annapolis, Maryland, and brings over a decade of experience conducting cause-driven outreach, education, communications and project management in rural areas. Prior to joining the Rural Institute in 2016, she worked for conservation focused nonprofits in Montana and California.
|Rayna Sage, Research Associate
Rayna is a rural sociologist and began working with RTC: Rural in November of 2016. While attending Washington State University she earned her M.A. in Human Development in 2003 and her Ph.D. in Sociology in 2012. Between these two degrees she worked as a home visiting social worker for rural low-income families with small children. Utilizing primarily qualitative methods, Dr. Sage conducts her research to study and combat gender and economic inequality and enhance the vitality of rural labor markets and community support systems.
|Lauren Smith, Knowledge Translation Associate
Lauren has a B.A. in both English and zoology from Ohio Wesleyan University, and a Master’s of Science in Environmental Studies with a writing focus from the University of Montana. Lauren has worked as a field biologist across North America, handling birds ranging from rufous hummingbirds to trumpeter swans. She has also been an environmental educator, writer, and editor. She believes that science communication is a vital part of all research, and works with the rest of the Knowledge Translation team to communicate the research findings of the RTC:Rural to a variety of audiences.
This tribute to RTC:Rural Co-Director Dr. Tom Seekins was originally published in the December 2016 issue of the Montana Psychologist, the newsletter of the Montana Psychological Association. It is reproduced here with their kind permission.
The following is a tribute to Dr. Tom Seekins, who is retiring from the University of Montana at the end of the academic year. Dr. Seekins, a Professor of Psychology, has served as the Director of the Research and Training Center on Disability in Rural Communities at the University of Montana since 1993. His research involves rural policy, issues surrounding rural health and disability, and disability within Native American tribes and reservations, among other topics. He is a past recipient of the Earl Walden Award for Outstanding Achievement in Rural Advocacy in 2001, the Allan Myers award from the Disability Forum of the American Public Health Association in 2006, and the Americans with Disability Act Award from the University of Montana in 2014.
Like so many of the fine faculty in the Montana University System, Tom’s entire corpus of professional work is impossible to capture within the scope of this newsletter. Following, Dr. Seekins speaks of his early experiences working with people with disabilities in Montana and how these early experiences dictated Dr. Seekins’ educational and career path, which subsequently affected the quality and even course of residential treatment for individuals with disabilities in Montana and beyond. It is followed by reflections from two colleagues who have worked with Tom the longest at the University of Montana: Dr. Meg Traci and Dr. Craig Ravesloot.
—Greg R. Machek, Ph.D. | Academic/Scientific Coordinator, Montana Psychological Association
Tom Seekins, Ph.D.
Professor of Psychology, Director of the Research and Training Center on Disability in Rural Communities at the University of Montana
As I recall, I gave my first professional presentation at the Montana Psychological Association meeting held in Billings about 1975. I had graduated from the University of Montana (UM) with a bachelor’s degree in Psychology in 1973. I had applied to graduate school but (fortunately) was not accepted. Subsequent events proved that to be one of my best setbacks.
Untethered from school and with no direction, I found myself looking for a job. The Sunday Missoulian provided the solution. I applied for a job as a Behavior Modification Therapist at the State institution for the “mentally retarded” in Boulder, Montana. The advertisement said that they were looking for people with a degree in psychology or a related field. I hadn’t been exposed to behavior modification as an undergraduate but still it seemed like there might be a fit. Continue reading
RTC staff brought back some important takeaways from the recent national accessible housing workshop in Washington, DC.
RTC:Rural Director Craig Ravesloot, Ph.D. and project collaborator Bryce Ward, Ph.D., Associate Director of the Bureau of Business and Economic Research at the University of Montana, recently returned from participating in this event that continued the dialog about the importance of housing for the health and quality of life of people who are aging and people with disabilities.
On December 12th, 2016 Drs. Ravesloot and Ward attended the National Academies of Sciences, Engineering, and Medicine (NAS) workshop, “Affordable and Accessible Housing for Vulnerable Older Adults and People with Disabilities Living in the Community: A Workshop.” Dr. Ward presented on a panel entitled “Design Features of Accessible Housing for Older Adults and People with Disabilities” while Dr. Ravesloot was on the planning committee for the event and moderated one of the panels.
RTC:Rural Director Craig Ravesloot, Ph.D., shared the following important takeaways upon his return:
1. Housing is a platform for the health of people with disabilities and older adults.
The RTC:Rural celebrates the accomplishments of Research Associate Jennifer Wong, who completed her doctoral dissertation in Experimental Psychology at The University of Montana in December 2016.
Her dissertation, part of the RTC: Rural’s Ecology of Participation project, titled “Purpose and Satisfaction in Activities in Rural Communities Using Ecological Momentary Assessment,” explores the relationships among purpose, satisfaction, and happiness during daily activities as they relate to wellbeing.
“We know there is a difference between people with disabilities and those without impairments,” Wong said, “but not the details of how they’re different, or what is different.” In addition, Dr. Wong is also interested in how wellbeing is associated with how individuals feel in relation to how they fit in their environment.
After analyzing the data, Wong says she “can say with confidence that purpose and satisfaction in daily activities are good predictors of wellbeing.” She also found that satisfaction of daily activities is positively associated with person-environment fit during that moment.
Wong found that those who were happier early in the day also tended to feel more satisfied and feel their activities had more purpose later in the day. Satisfaction early in the day was also linked to a more positive sense of person-environment fit later in the day. These results, said Wong, could be used to develop interventions that aim to increase happiness earlier in the day, which could result in a greater feeling of wellbeing throughout the day.
Dr. Wong’s research adds to RTC:Rural research on Person-Environment Fit, which seeks to understand how characteristics of the individual and environmental features interact and influence community engagement. Continue reading
One of RTC:Rural’s current projects aims to develop and test a new health-related app called “Health My Way.”
The app is being produced as part of the Ecological Decision Support for Health Promotion project led by project manager Tannis Hargrove, M.S. The app provides a solution for individuals who live in rural areas and are unable to participate in group workshops on healthy living due to limited transportation or lack of other resources.
The idea and content for the app came from two of RTC:Rural’s previous projects. The first, Living Well With a Disability (LWD), is a health-promotion program that helps participants set and reach quality-of-life goals by developing a healthy lifestyle. The LWD program especially aims to help participants manage secondary health conditions. LWD is a 10- to 12-week program facilitated by a trained workshop facilitator who leads weekly meetings for the group.
The second project, Consumer Self-Managed Use of Rural Healthcare Services (CASM), helped participants connect to available healthcare services in their communities. CASM used some of the goal-setting and health-management content from the LWD program and addressed how to overcome specific barriers to using those resources.
“Health My Way” was developed to provide an alternative for those individuals who could not participate in the LWD program due to logistical or personal challenges. This tool is especially important for those living in rural communities where the cost and accessibility of transportation can be substantial barriers to participation. The app is meant to be completed one-on-one with a staff member from a local Center for Independent Living, which involves more flexibility in location and time than is afforded by the LWD group meetings. Continue reading
We’re excited to share Healthy Community Living (HCL), one of RTC:Rural‘s newest projects! HCL is currently developing some fun classes, and has released a call for photos that we hope you will participate in.
Everyone should have the opportunity to live well and participate fully in their communities. HCL is committed to helping people with disabilities achieve these goals.
In partnership with the Association of Programs for Rural Independent Living (APRIL) and eight Centers for Independent Living (CILs) across the country, HCL is working to develop two classes that will help people with disabilities set and reach personal goals, live healthy lives, and learn skills that support active community living. These two classes, Community Living Skills and Living Well in the Community will encourage people to explore skills for community living both online and in person with peers and allies.
We hope you can help us with one part of this project. As HCL is pulling together pictures and videos for the classes, we are finding that there is a lack of images that accurately represent people with disabilities in their everyday lives. Help tell the story of healthy community living by sharing photographs of people with and without disabilities at home and in their communities. Join the HCL group’s Flickr page to see the photos from others and upload your own.
Check out the HCL video below for more information! Continue reading