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We utilized a community-based participatory action and theory-driven research approach with an aim of understanding how community norms explained family help-seeking behavior. Applying a critical interactionist framework, community members in one rural Midwestern area defined the drivers of local norms and explained how those norms shaped access to and use of community-based family supports. Analyses resulted in a constructivist grounded theory articulating access levers for family support in community-based prevention systems. This paper details four emergent concepts supporting the core process of this theory of rural help-seeking. We further articulate how community norms shaped access to community-based systems of family support and discuss considerations for rural maltreatment prevention and theory-informed and community-driven system change.<\/jats:p>","DOI":"10.1177\/10775595261485311","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T03:57:16Z","timestamp":1790827036000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Explaining Rural Help-Seeking Processes in Community-Based Prevention: A Critical Interactionist Approach"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0645-8541","authenticated-orcid":false,"given":"Kaela","family":"Byers","sequence":"first","affiliation":[{"name":"Florida State University, College of Social Work"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared","family":"Barton","sequence":"additional","affiliation":[{"name":"University of Kansas Center for Public Partnerships and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya Vanchy","family":"Kadavasal","sequence":"additional","affiliation":[{"name":"University of Kansas Center for Public Partnerships and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Cizek","sequence":"additional","affiliation":[{"name":"University of Kansas Center for Public Partnerships and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaleena","family":"Erwin","sequence":"additional","affiliation":[{"name":"University of Kansas Center for Public Partnerships and Research"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscilla","family":"Wilson","sequence":"additional","affiliation":[{"name":"Florida State University, College of Social Work"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13034-026-01022-7"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2004.028662"},{"key":"e_1_3_6_4_1","volume-title":"Symbolic interactionism: Perspective and method","author":"Blumer H.","year":"1969","unstructured":"Blumer H. 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