{"id":"https://openalex.org/W7204825937","doi":"https://doi.org/10.1111/jrh.70205","title":"Meeting People Where They Are: Strategies for Improving Rural Representation in Clinical Research through Pragmatic Clinical Trials","display_name":"Meeting People Where They Are: Strategies for Improving Rural Representation in Clinical Research through Pragmatic Clinical Trials","publication_year":2026,"publication_date":"2026-06-01","ids":{"openalex":"https://openalex.org/W7204825937","doi":"https://doi.org/10.1111/jrh.70205","pmid":"https://pubmed.ncbi.nlm.nih.gov/42670959","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13527882"},"language":"en","primary_location":{"id":"doi:10.1111/jrh.70205","doi":"https://doi.org/10.1111/jrh.70205","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jrh.70205","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jrh.70205","source":{"id":"https://openalex.org/S69340840","display_name":"The Journal of Rural Health","issn_l":"0890-765X","issn":["0890-765X","1748-0361"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Rural Health","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jrh.70205","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040431390","display_name":"Travis I. Lovejoy","orcid":"https://orcid.org/0000-0001-7298-6567","observed_orcids":["https://orcid.org/0000-0001-7298-6567"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]},{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]},{"id":"https://openalex.org/I2803065977","display_name":"Portland VA Medical Center","ror":"https://ror.org/02v3txv81","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2803065977","https://openalex.org/I4210144745"]},{"id":"https://openalex.org/I4210144745","display_name":"VA Portland Health Care System","ror":"https://ror.org/054484h93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210144745"]},{"id":"https://openalex.org/I4405260553","display_name":"Office of Rural Health","ror":"https://ror.org/03ydjzz16","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I4405260553"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Travis I. Lovejoy","raw_affiliation_strings":["Center to Improve Veteran Involvement in Care VA Portland Health Care System  Portland Oregon USA","Department of Psychiatry Oregon Health &amp; Science University  Portland Oregon USA","Veterans Rural Health Resource Center VHA Office of Rural Health  Portland Oregon USA"],"raw_orcid":"https://orcid.org/0000-0001-7298-6567","affiliations":[{"raw_affiliation_string":"Center to Improve Veteran Involvement in Care VA Portland Health Care System  Portland Oregon USA","institution_ids":["https://openalex.org/I2803065977","https://openalex.org/I4210144745"]},{"raw_affiliation_string":"Department of Psychiatry Oregon Health &amp; Science University  Portland Oregon USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Veterans Rural Health Resource Center VHA Office of Rural Health  Portland Oregon USA","institution_ids":["https://openalex.org/I2799886695","https://openalex.org/I4210144745","https://openalex.org/I4405260553"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113176608","display_name":"Natassja Pal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]},{"id":"https://openalex.org/I2803065977","display_name":"Portland VA Medical Center","ror":"https://ror.org/02v3txv81","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2803065977","https://openalex.org/I4210144745"]},{"id":"https://openalex.org/I4210144745","display_name":"VA Portland Health Care System","ror":"https://ror.org/054484h93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210144745"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Natassja Pal","raw_affiliation_strings":["Center to Improve Veteran Involvement in Care VA Portland Health Care System  Portland Oregon USA","Department of Psychiatry Oregon Health &amp; Science University  Portland Oregon USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center to Improve Veteran Involvement in Care VA Portland Health Care System  Portland Oregon USA","institution_ids":["https://openalex.org/I2803065977","https://openalex.org/I4210144745"]},{"raw_affiliation_string":"Department of Psychiatry Oregon Health &amp; Science University  Portland Oregon USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055873899","display_name":"Joseph Ali","orcid":"https://orcid.org/0000-0002-4767-2512","observed_orcids":["https://orcid.org/0000-0002-4767-2512"]},"institutions":[{"id":"https://openalex.org/I145311948","display_name":"Johns Hopkins University","ror":"https://ror.org/00za53h95","country_code":"US","type":"education","lineage":["https://openalex.org/I145311948"]},{"id":"https://openalex.org/I4210092215","display_name":"Johns Hopkins Berman Institute of Bioethics","ror":"https://ror.org/00gzx6s15","country_code":"US","type":"facility","lineage":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joseph Ali","raw_affiliation_strings":["Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA","Johns Hopkins Berman Institute of Bioethics  Baltimore Maryland USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of International Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA","institution_ids":["https://openalex.org/I145311948"]},{"raw_affiliation_string":"Johns Hopkins Berman Institute of Bioethics  Baltimore Maryland USA","institution_ids":["https://openalex.org/I145311948","https://openalex.org/I4210092215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5039742473","display_name":"Marcus R. Johnson","orcid":"https://orcid.org/0000-0003-4407-8689","observed_orcids":["https://orcid.org/0000-0003-4407-8689"]},"institutions":[{"id":"https://openalex.org/I4210119589","display_name":"Durham VA Health Care System","ror":"https://ror.org/02d29d188","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210119589"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Marcus R. Johnson","raw_affiliation_strings":["Durham VA Health Care System  Durham North Carolina USA"],"raw_orcid":"https://orcid.org/0000-0003-4407-8689","affiliations":[{"raw_affiliation_string":"Durham VA Health Care System  Durham North Carolina USA","institution_ids":["https://openalex.org/I4210119589"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055557656","display_name":"Corey B. Simon","orcid":"https://orcid.org/0000-0002-6121-9511","observed_orcids":["https://orcid.org/0000-0002-6121-9511"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Corey B. Simon","raw_affiliation_strings":["Department of Orthopaedic Surgery Duke University  Durham North Carolina USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery Duke University  Durham North Carolina USA","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I4210126298"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050794648","display_name":"Krista Beth Highland","orcid":"https://orcid.org/0000-0003-3815-2571","observed_orcids":["https://orcid.org/0000-0003-3815-2571"]},"institutions":[{"id":"https://openalex.org/I148314036","display_name":"Uniformed Services University of the Health Sciences","ror":"https://ror.org/04r3kq386","country_code":"US","type":"education","lineage":["https://openalex.org/I148314036"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Krista B. Highland","raw_affiliation_strings":["Department of Anesthesiology Uniformed Services University  Bethesda Maryland USA"],"raw_orcid":"https://orcid.org/0000-0003-3815-2571","affiliations":[{"raw_affiliation_string":"Department of Anesthesiology Uniformed Services University  Bethesda Maryland USA","institution_ids":["https://openalex.org/I148314036"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016417955","display_name":"Diana Jill Burgess","orcid":"https://orcid.org/0000-0003-1139-7739","observed_orcids":["https://orcid.org/0000-0003-1139-7739"]},"institutions":[{"id":"https://openalex.org/I130238516","display_name":"University of Minnesota","ror":"https://ror.org/017zqws13","country_code":"US","type":"education","lineage":["https://openalex.org/I130238516"]},{"id":"https://openalex.org/I4210117246","display_name":"Minneapolis VA Health Care System","ror":"https://ror.org/02ry60714","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210117246","https://openalex.org/I4210117924"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Diana J. Burgess","raw_affiliation_strings":["Department of Medicine University of Minnesota Medical School  Minneapolis Minnesota USA","VA Health Systems Research Center For Care Delivery and Outcomes Research Minneapolis VA Health Care System  Minneapolis Minnesota USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine University of Minnesota Medical School  Minneapolis Minnesota USA","institution_ids":["https://openalex.org/I130238516"]},{"raw_affiliation_string":"VA Health Systems Research Center For Care Delivery and Outcomes Research Minneapolis VA Health Care System  Minneapolis Minnesota USA","institution_ids":["https://openalex.org/I4210117246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016450734","display_name":"Carolyn Turvey","orcid":"https://orcid.org/0000-0002-8219-8676","observed_orcids":["https://orcid.org/0000-0002-8219-8676"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]},{"id":"https://openalex.org/I4210132647","display_name":"Iowa City VA Health Care System","ror":"https://ror.org/04hgm3062","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210132647","https://openalex.org/I4210159720"]},{"id":"https://openalex.org/I4405260553","display_name":"Office of Rural Health","ror":"https://ror.org/03ydjzz16","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I4405260553"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Carolyn Turvey","raw_affiliation_strings":["Department of Psychiatry Carver College of Medicine University of Iowa  Iowa City Iowa USA","VA Iowa City Health Care System Center For Access &amp; Delivery Research and Evaluation  Iowa City Iowa USA","VA Iowa City Health Care System Office of Rural Health Veterans Rural Health Resource Center  Iowa City Iowa USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry Carver College of Medicine University of Iowa  Iowa City Iowa USA","institution_ids":["https://openalex.org/I126307644"]},{"raw_affiliation_string":"VA Iowa City Health Care System Center For Access &amp; Delivery Research and Evaluation  Iowa City Iowa USA","institution_ids":["https://openalex.org/I4210132647"]},{"raw_affiliation_string":"VA Iowa City Health Care System Office of Rural Health Veterans Rural Health Resource Center  Iowa City Iowa USA","institution_ids":["https://openalex.org/I4210132647","https://openalex.org/I4405260553"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034989575","display_name":"Diana M. Higgins","orcid":"https://orcid.org/0000-0002-6885-266X","observed_orcids":["https://orcid.org/0000-0002-6885-266X"]},"institutions":[{"id":"https://openalex.org/I111088046","display_name":"Boston University","ror":"https://ror.org/05qwgg493","country_code":"US","type":"education","lineage":["https://openalex.org/I111088046"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Diana M. Higgins","raw_affiliation_strings":["Department of Psychiatry Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA","VA Connecticut Healthcare System  West Haven Connecticut USA"],"raw_orcid":"https://orcid.org/0000-0002-6885-266X","affiliations":[{"raw_affiliation_string":"Department of Psychiatry Boston University Chobanian and Avedisian School of Medicine  Boston Massachusetts USA","institution_ids":["https://openalex.org/I111088046"]},{"raw_affiliation_string":"VA Connecticut Healthcare System  West Haven Connecticut USA","institution_ids":["https://openalex.org/I4210086971"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081290176","display_name":"Alicia A. Heapy","orcid":"https://orcid.org/0000-0003-1284-8263","observed_orcids":["https://orcid.org/0000-0003-1284-8263"]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210086971","display_name":"VA Connecticut Healthcare System","ror":"https://ror.org/000rgm762","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210086971","https://openalex.org/I4210095851"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alicia A. Heapy","raw_affiliation_strings":["Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA","VA Connecticut Healthcare System  West Haven Connecticut USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA","institution_ids":["https://openalex.org/I32971472"]},{"raw_affiliation_string":"VA Connecticut Healthcare System  West Haven Connecticut USA","institution_ids":["https://openalex.org/I4210086971"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091095882","display_name":"Liliana Celesia Moore","orcid":"https://orcid.org/0000-0002-2391-5647","observed_orcids":["https://orcid.org/0000-0002-2391-5647"]},"institutions":[{"id":"https://openalex.org/I4210143381","display_name":"San Francisco VA Health Care System","ror":"https://ror.org/04g9q2h37","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210125474","https://openalex.org/I4210143381"]},{"id":"https://openalex.org/I4210166254","display_name":"Northern California Institute for Research and Education","ror":"https://ror.org/05p48p517","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210166254"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Liliana C. Moore","raw_affiliation_strings":["Northern California Institute For Research and Education  San Francisco California USA","San Francisco VA Health Care System  San Francisco California USA"],"raw_orcid":"https://orcid.org/0000-0002-2391-5647","affiliations":[{"raw_affiliation_string":"Northern California Institute For Research and Education  San Francisco California USA","institution_ids":["https://openalex.org/I4210166254"]},{"raw_affiliation_string":"San Francisco VA Health Care System  San Francisco California USA","institution_ids":["https://openalex.org/I4210143381"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Amy P. Burns","orcid":"https://orcid.org/0000-0002-9778-7852","observed_orcids":["https://orcid.org/0000-0002-9778-7852"]},"institutions":[{"id":"https://openalex.org/I1322918889","display_name":"United States Department of Veterans Affairs","ror":"https://ror.org/05rsv9s98","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amy P. Burns","raw_affiliation_strings":["U.S. Department of Veterans Affairs  Bedford Massachusetts USA","Yale University School of Medicine  New Haven Connecticut USA"],"raw_orcid":"https://orcid.org/0000-0002-9778-7852","affiliations":[{"raw_affiliation_string":"U.S. Department of Veterans Affairs  Bedford Massachusetts USA","institution_ids":["https://openalex.org/I1322918889"]},{"raw_affiliation_string":"Yale University School of Medicine  New Haven Connecticut USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044473000","display_name":"Stephen L. Luther","orcid":"https://orcid.org/0000-0001-7524-7380","observed_orcids":["https://orcid.org/0000-0001-7524-7380"]},"institutions":[{"id":"https://openalex.org/I2802230104","display_name":"Edward Hines, Jr. VA Hospital","ror":"https://ror.org/02223wv31","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2802230104","https://openalex.org/I4210115976"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Stephen L. Luther","raw_affiliation_strings":["Center of Innovation for Complex Chronic Healthcare Edward Hines, Jr. VA Hospital  Hines Illinois USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center of Innovation for Complex Chronic Healthcare Edward Hines, Jr. VA Hospital  Hines Illinois USA","institution_ids":["https://openalex.org/I2802230104"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148806873","display_name":"Peter Peduzzi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter Peduzzi","raw_affiliation_strings":["Department of Biostatistics Yale School of Public Health  New Haven Connecticut USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biostatistics Yale School of Public Health  New Haven Connecticut USA","institution_ids":["https://openalex.org/I32971472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052944794","display_name":"Robert B. Wallace","orcid":"https://orcid.org/0000-0001-6040-3803","observed_orcids":["https://orcid.org/0000-0001-6040-3803","https://orcid.org/0000-0003-2038-7145"]},"institutions":[{"id":"https://openalex.org/I126307644","display_name":"University of Iowa","ror":"https://ror.org/036jqmy94","country_code":"US","type":"education","lineage":["https://openalex.org/I126307644"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robert Wallace","raw_affiliation_strings":["Departments of Epidemiology and Internal Medicine University of Iowa Iowa City Iowa USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Departments of Epidemiology and Internal Medicine University of Iowa Iowa City Iowa USA","institution_ids":["https://openalex.org/I126307644"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5089101869","display_name":"Sarah S. Ono","orcid":"https://orcid.org/0000-0003-2857-1668","observed_orcids":["https://orcid.org/0000-0003-2857-1668"]},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]},{"id":"https://openalex.org/I2799886695","display_name":"Veterans Health Administration","ror":"https://ror.org/05eq41471","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695"]},{"id":"https://openalex.org/I2803065977","display_name":"Portland VA Medical Center","ror":"https://ror.org/02v3txv81","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I2803065977","https://openalex.org/I4210144745"]},{"id":"https://openalex.org/I4210144745","display_name":"VA Portland Health Care System","ror":"https://ror.org/054484h93","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210144745"]},{"id":"https://openalex.org/I4405260553","display_name":"Office of Rural Health","ror":"https://ror.org/03ydjzz16","country_code":"US","type":"government","lineage":["https://openalex.org/I1322918889","https://openalex.org/I4405260553"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah S. Ono","raw_affiliation_strings":["Center to Improve Veteran Involvement in Care VA Portland Health Care System  Portland Oregon USA","Department of Psychiatry Oregon Health &amp; Science University  Portland Oregon USA","Veterans Rural Health Resource Center VHA Office of Rural Health  Portland Oregon USA"],"raw_orcid":"https://orcid.org/0000-0003-2857-1668","affiliations":[{"raw_affiliation_string":"Center to Improve Veteran Involvement in Care VA Portland Health Care System  Portland Oregon USA","institution_ids":["https://openalex.org/I2803065977","https://openalex.org/I4210144745"]},{"raw_affiliation_string":"Department of Psychiatry Oregon Health &amp; Science University  Portland Oregon USA","institution_ids":["https://openalex.org/I165690674"]},{"raw_affiliation_string":"Veterans Rural Health Resource Center VHA Office of Rural Health  Portland Oregon USA","institution_ids":["https://openalex.org/I2799886695","https://openalex.org/I4210144745","https://openalex.org/I4405260553"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":22,"corresponding_author_ids":["https://openalex.org/A5040431390"],"corresponding_institution_ids":["https://openalex.org/I165690674","https://openalex.org/I2799886695","https://openalex.org/I2803065977","https://openalex.org/I4210144745","https://openalex.org/I4405260553"],"apc_list":{"value":4480,"currency":"USD","value_usd":4480},"apc_paid":{"value":4480,"currency":"USD","value_usd":4480},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.64388628,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"42","issue":"3","first_page":"e70205","last_page":"e70205"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.8159000277519226,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10582","display_name":"Ethics in Clinical Research","score":0.8159000277519226,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.022199999541044235,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12168","display_name":"Health and Medical Research Impacts","score":0.021700000390410423,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rural-representation","display_name":"rural representation","score":0.6840000152587891},{"id":"https://openalex.org/keywords/clinical-research","display_name":"clinical research","score":0.7379999756813049},{"id":"https://openalex.org/keywords/pragmatic-clinical-trials","display_name":"pragmatic trials","score":0.9950000047683716},{"id":"https://openalex.org/keywords/rural-population","display_name":"rural population","score":0.6119999885559082},{"id":"https://openalex.org/keywords/research-participation","display_name":"research participation","score":0.4950000047683716},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.49900001287460327}],"concepts":[{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.6758999824523926},{"id":"https://openalex.org/C502991105","wikidata":"https://www.wikidata.org/wiki/Q5133849","display_name":"Clinical research","level":2,"score":0.6028000116348267},{"id":"https://openalex.org/C2776359362","wikidata":"https://www.wikidata.org/wiki/Q2145286","display_name":"Representation (politics)","level":3,"score":0.5156000256538391},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.44179999828338623},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.39590001106262207},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.351500004529953},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.34459999203681946},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.33090001344680786},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3303000032901764},{"id":"https://openalex.org/C9652623","wikidata":"https://www.wikidata.org/wiki/Q190109","display_name":"Field (mathematics)","level":2,"score":0.30730000138282776},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.30230000615119934},{"id":"https://openalex.org/C3020038283","wikidata":"https://www.wikidata.org/wiki/Q42848","display_name":"Research data","level":3,"score":0.2937999963760376},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2904999852180481},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.28940001130104065},{"id":"https://openalex.org/C2776511598","wikidata":"https://www.wikidata.org/wiki/Q7144993","display_name":"Patient participation","level":3,"score":0.271699994802475},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.26579999923706055}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1111/jrh.70205","doi":"https://doi.org/10.1111/jrh.70205","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jrh.70205","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jrh.70205","source":{"id":"https://openalex.org/S69340840","display_name":"The Journal of Rural Health","issn_l":"0890-765X","issn":["0890-765X","1748-0361"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Rural Health","raw_type":"journal-article"},{"id":"pmid:42670959","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42670959","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13527882","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13527882/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13527882/pdf/JRH-42-0.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Rural Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1111/jrh.70205","doi":"https://doi.org/10.1111/jrh.70205","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jrh.70205","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jrh.70205","source":{"id":"https://openalex.org/S69340840","display_name":"The Journal of Rural Health","issn_l":"0890-765X","issn":["0890-765X","1748-0361"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of Rural Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.504800021648407}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1611779934","display_name":null,"funder_award_id":"UG3/UH3","funder_id":"https://openalex.org/F4320337359","funder_display_name":"National Institute of Neurological Disorders and Stroke"},{"id":"https://openalex.org/G2068358677","display_name":null,"funder_award_id":"2-0003","funder_id":"https://openalex.org/F4320306078","funder_display_name":"U.S. Department of Defense"},{"id":"https://openalex.org/G2137568036","display_name":null,"funder_award_id":"AT009767","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G2708718591","display_name":null,"funder_award_id":"U24AT009769","funder_id":"https://openalex.org/F4320306078","funder_display_name":"U.S. Department of Defense"},{"id":"https://openalex.org/G2824485549","display_name":null,"funder_award_id":"UG3/UH3AT012257","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G3100243233","display_name":"TESTING TWO SCALABLE, VETERAN-CENTRIC MINDFULNESS-BASED INTERVENTIONS FOR CHRONIC MUSCULOSKELETAL PAIN: A PRAGMATIC,MULTISITE TRIAL","funder_award_id":"W81XWH1820003","funder_id":"https://openalex.org/F4320306078","funder_display_name":"U.S. Department of Defense"},{"id":"https://openalex.org/G4119534169","display_name":null,"funder_award_id":"W81XWH","funder_id":"https://openalex.org/F4320306078","funder_display_name":"U.S. Department of Defense"},{"id":"https://openalex.org/G4387931737","display_name":"Cooperative Pain Education and Self-management: Expanding Treatment for Real-world Access (COPES ExTRA)","funder_award_id":"UG3AT009767","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G4404991022","display_name":null,"funder_award_id":"UH3-AT009790","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G5609586450","display_name":"Cooperative Pain Education and Self-management: Expanding Treatment for Real-World","funder_award_id":"UH3AT009767","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G5960085524","display_name":"AIM BACK UH3 Transition","funder_award_id":"5uh3at009790-06","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"},{"id":"https://openalex.org/G8036876104","display_name":null,"funder_award_id":"PROG-0000095","funder_id":"https://openalex.org/F4320334391","funder_display_name":"Office of Rural Health"},{"id":"https://openalex.org/G8166743225","display_name":null,"funder_award_id":"W81XWH-18","funder_id":"https://openalex.org/F4320306078","funder_display_name":"U.S. Department of Defense"},{"id":"https://openalex.org/G8228287144","display_name":null,"funder_award_id":"UG3/UH3\u2010AT009767","funder_id":"https://openalex.org/F4320337330","funder_display_name":"National Institute on Alcohol Abuse and Alcoholism"},{"id":"https://openalex.org/G8258143275","display_name":null,"funder_award_id":"UG3/UH3-AT009767","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G8447834668","display_name":null,"funder_award_id":"UG3/UH3","funder_id":"https://openalex.org/F4320337379","funder_display_name":"Office of Behavioral and Social Sciences Research"},{"id":"https://openalex.org/G8671324085","display_name":null,"funder_award_id":"U24AT009769","funder_id":"https://openalex.org/F4320337379","funder_display_name":"Office of Behavioral and Social Sciences Research"},{"id":"https://openalex.org/G9000861510","display_name":"Stress Reactivity and Low Back Pain in Older Adults: Influences on Disability (ReLOAD)","funder_award_id":"K76AG074943","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G9000861557","display_name":"Tele-Collaborative Outreach to Rural Patients with Chronic Pain: The CORPs Trial","funder_award_id":"UH3AT012257","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"},{"id":"https://openalex.org/G9000872486","display_name":"NIH-DOD-VA Pain Management Collaboratory Coordinating Center","funder_award_id":"U24AT009769","funder_id":"https://openalex.org/F4320337593","funder_display_name":"National Center for Complementary and Integrative Health"}],"funders":[{"id":"https://openalex.org/F4320306078","display_name":"U.S. Department of Defense","ror":"https://ror.org/0447fe631"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320334391","display_name":"Office of Rural Health","ror":"https://ror.org/03ydjzz16"},{"id":"https://openalex.org/F4320337330","display_name":"National Institute on Alcohol Abuse and Alcoholism","ror":"https://ror.org/02jzrsm59"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337353","display_name":"National Institute of Nursing Research","ror":"https://ror.org/01y3zfr79"},{"id":"https://openalex.org/F4320337359","display_name":"National Institute of Neurological Disorders and Stroke","ror":"https://ror.org/01s5ya894"},{"id":"https://openalex.org/F4320337379","display_name":"Office of Behavioral and Social Sciences Research","ror":"https://ror.org/00fj8a872"},{"id":"https://openalex.org/F4320337465","display_name":"Office of Disease Prevention","ror":"https://ror.org/046zezr58"},{"id":"https://openalex.org/F4320337593","display_name":"National Center for Complementary and Integrative Health","ror":"https://ror.org/00190t495"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204825937.pdf","grobid_xml":"https://content.openalex.org/works/W7204825937.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W1931781407","https://openalex.org/W2039377789","https://openalex.org/W2945113728","https://openalex.org/W3044418675","https://openalex.org/W3111125166","https://openalex.org/W3178943180","https://openalex.org/W3209993276","https://openalex.org/W4210482882","https://openalex.org/W4221071239","https://openalex.org/W4312517779","https://openalex.org/W4385457327","https://openalex.org/W4394886685","https://openalex.org/W4401696717","https://openalex.org/W4404173106","https://openalex.org/W4406774451","https://openalex.org/W4409134858","https://openalex.org/W7119027730","https://openalex.org/W7148584540","https://openalex.org/W7165785845"],"related_works":["https://openalex.org/W7131938613","https://openalex.org/W4404567889","https://openalex.org/W4234580274","https://openalex.org/W4385212968","https://openalex.org/W4319601542","https://openalex.org/W7165798528","https://openalex.org/W4412641031","https://openalex.org/W2402741356","https://openalex.org/W4302332447","https://openalex.org/W4298215452"],"abstract_inverted_index":{"The":[0],"authors":[1],"declare":[2],"no":[3,12],"conflicts":[4],"of":[5],"interest.":[6],"This":[7],"is":[8],"a":[9],"commentary,":[10],"and":[11],"data":[13],"are":[14],"presented":[15],"in":[16],"this":[17],"article.":[18]},"counts_by_year":[],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2026-09-01T00:00:00"}
