{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:02:57Z","timestamp":1785445377692,"version":"3.56.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["DK129474"],"award-info":[{"award-number":["DK129474"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["Public Law 117-2"],"award-info":[{"award-number":["Public Law 117-2"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["Section 9901"],"award-info":[{"award-number":["Section 9901"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Social determinants of health (SDOH) screenings have identified disproportionate inequities in Hispanic populations that increase diabetes risk, yet they rarely lead to interventions. Churches are trusted community hubs with the potential to address health needs; however, partnerships with Hispanic churches remain largely unexplored.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To assess the feasibility of a church-based, community health worker (CHW)\u2013led program to identify and address SDOH inequities in a Hispanic community.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Pilot quasi-experimental feasibility study<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Forty-seven Hispanic adults, predominantly women (74.5%), with a mean age of 51\u00a0years<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Five church congregants obtained CHW state certification (160-h course) and received training in teaching skills, diabetes self-management, and SDOH. With ongoing mentoring, CHWs led a 6-month diabetes prevention and self-management program with monthly in-person education and weekly mHealth coaching focused on addressing SDOH inequities in the healthcare access and quality domain.<\/jats:p>\n <\/jats:sec>\n \n Main Measures<\/jats:title>\n Feasibility was assessed across eight pre-established variables (integration, expansion, demand, implementation, limited efficacy, acceptability, practicality, and adaptation), including CHWs\u2019 ability to address SDOH inequities such as insurance coverage, established medical home, primary care utilization, eye exams, medication access, and glucose monitoring.<\/jats:p>\n <\/jats:sec>\n \n Key Results<\/jats:title>\n \n CHWs completed 97.3% of planned weekly mHealth contacts, identified and addressed 92.8% of participant concerns, and conducted all in-person education sessions per protocol. Healthcare access improved significantly: insurance coverage\/clinic eligibility (66.0 to 85.1%;\n p<\/jats:italic>\n \u2009=\u20090.025), established medical home (61.7 to 91.5%;\n p<\/jats:italic>\n \u2009<\u20090.0001), time since last primary care visit (16.2 to 1.4\u00a0months;\n p<\/jats:italic>\n \u2009=\u20090.017), and annual eye exams (25.0 to 64.3%;\n p<\/jats:italic>\n \u2009<\u20090.0001). On a 5-point Likert scale, participants increased access to medications (\u0394\u2009=\u20090.54;\n p<\/jats:italic>\n \u2009=\u20090.03), medical care (\u0394\u2009=\u20090.67;\n p<\/jats:italic>\n \u2009=\u20090.012), and a primary care provider (\u0394\u2009=\u20090.79;\n p<\/jats:italic>\n \u2009=\u20090.009). Among participants with diabetes, glucose monitoring increased from 0.5 to 1.4 times daily (\n p<\/jats:italic>\n \u2009=\u20090.017).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Findings support the feasibility of partnering with Hispanic churches to both identify and address healthcare access SDOH inequities.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s11606-026-10668-0","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:52:07Z","timestamp":1785444727000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of a Church-Based, CHW-Delivered Diabetes and SDOH Intervention in a Hispanic Community: A Quasi-Experimental Study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9565-0134","authenticated-orcid":false,"given":"Elizabeth M.","family":"Vaughan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad","family":"Nadeem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok","family":"Balasubramanyam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig A.","family":"Johnston","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Rodriguez","family":"Espinosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mukaila","family":"Raji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aanand D.","family":"Naik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela A.","family":"Gallegos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura R.","family":"Porterfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,30]]},"reference":[{"key":"10668_CR1","doi-asserted-by":"crossref","unstructured":"Levy NK, Park A, Solis D, et al. 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Informed consent was obtained from all participants. Participation was voluntary, and participants could withdraw at any time without consequence. Participant confidentiality was maintained throughout the study.","order":1,"name":"Ethics","label":"Human Ethics and Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was registered at ClinicalTrials.gov (trial registry #NCT05965869; July 20, 2023).","order":2,"name":"Ethics","label":"Clinical Trial Registration","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they do not have a conflict of interest.","order":3,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}