Preparing Pre-Health Students to Address Rural Health Disparities: Outcomes of a Brief Intervention

Authors

  • Cassity Gutierrez, PhD Drake University
  • Anna Miller Drake University

Keywords:

Rural health disparities, pre-health students, rural health knowledge and attitudes, rural health education, brief educational intervention

Abstract

Purpose: To assess the impact of a one-hour educational presentation on rural health disparities on knowledge and attitudes of pre-health professional students.

Sample: 104 undergraduate and graduate students from a mid-sized Midwestern university participated between March–April 2025. Students represented multiple health career pathways, with occupational therapy (n=36), nursing (n=19), and medicine (n=15) most common.

Method: A pre-test/post-test quasi-experimental design was used. Students completed a pre-survey, attended a one-hour presentation on national and Iowa-specific rural health disparities, and then completed a post-survey. Surveys included demographic questions, Likert-scale measures of attitudes and understanding, and multiple-choice knowledge questions. Data were analyzed using descriptive statistics and independent t-tests.

Findings: Knowledge of rural health disparities increased by 23.8% from pre- to post-test (p < .001). Statistically significant improvements were also observed in attitudes toward rural health (p < .05) and self-reported understanding of rural disparities (p < .001). Participants’ interest in working in rural health and belief that they could make a difference also increased significantly. The mean rating for presentation effectiveness was 4.75/5.

Conclusions: A brief, one-hour educational session significantly improved knowledge and attitudes regarding rural health disparities among pre-health students. This suggests that brief, low-resource interventions can raise awareness of rural health issues and may serve as an entry point for integrating rural content into undergraduate and graduate health curricula. Future research should examine longitudinal impacts and application to professional practice.

DOI:  https://doi.org/10.14574/ojrnhc.v26i1.804 

 

Author Biographies

  • Cassity Gutierrez, PhD, Drake University

    Professor of Health Sciences
    Executive Director, Iowa Rural Health Association 

  • Anna Miller, Drake University

    Medical Student, Mayo Clinic
    Clinical & Medical Sciences Graduate

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Published

2026-05-18