{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:11:37Z","timestamp":1788873097472,"version":"build-2803163510"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Limited research documents feasibility of deploying health coaches to extend primary care into medically underserved neighborhoods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess early experience implementing the Neighborhood Health Hub Model, an innovative, person-centered, place-based, neighborhood-level approach for providing convenient access to essential preventive services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Memphis\/Shelby County, Tennessee<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Adults seeking care from January 2022\u2013June 2024 at Neighborhood Health Hub facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Program Description<\/jats:title>\n                    <jats:p>Hubs are staffed by lay health coaches recruited from the community, trained in motivational interviewing, and supervised by a telehealth-connected health professional. Services include: 1) screening for obesity, hypertension, diabetes, and social determinants; 2) individual\/group health coaching for chronic disease management; 3) referrals for medical, behavioral, and social needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Program Evaluation<\/jats:title>\n                    <jats:p>A total of 1,252 clients were served, 1,151 received health coaching, and 383 (31%) participated in\u2009\u2265\u20092 coaching sessions, for a total of 3367 coaching sessions and 2,951 group visits. Average weight change with obesity was\u2009\u2212\u20093.32 pounds (95% confidence interval [CI]\u2009\u2212\u20095.72,\u2009\u2212\u20090.92) and systolic blood pressure change with hypertension was\u2009\u2212\u200915.17\u00a0mmHg (CI\u2009\u2212\u200919.64,\u2009\u2212\u200910.69). Higher number of health coaching sessions was significantly associated with greater weight loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Dissemination of the Neighborhood Health Hub Model could improve health equity nationwide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10764-1","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:56:25Z","timestamp":1788872185000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Neighborhood Health Hub Model: Extending Primary Care into Medically Underserved Neighborhoods to Improve Health Equity"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9662-3338","authenticated-orcid":false,"given":"James E.","family":"Bailey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah O.","family":"Ogunsanmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan","family":"Mahmud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umar Y.","family":"Kabir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandria M.","family":"Boykins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan W.","family":"Butterworth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asos","family":"Mahmood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burton L.","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esra","family":"Ozdenerol","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. Maury","family":"Ballenger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satya","family":"Surbhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"10764_CR1","doi-asserted-by":"crossref","unstructured":"Gaskin DJ, Thorpe RJ, Jr., McGinty EE, et al. Disparities in diabetes: the nexus of race, poverty, and place. Am J Public Health. 2014;104(11):2147\u20132155.","DOI":"10.2105\/AJPH.2013.301420"},{"key":"10764_CR2","unstructured":"McGinnis JM. \u201cActual causes of death, 1990\u20132010.\" Workshop on determinants of premature mortality. 2013; Washington, DC."},{"key":"10764_CR3","doi-asserted-by":"crossref","unstructured":"U. S. Preventive Services Task Force. 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Clinical trial number: not applicable.","order":1,"name":"Ethics","label":"Ethics Approval and Consent to Participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they do not have a conflict of interest.","order":2,"name":"Ethics","label":"Conflicts of Interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The innovative\u00a0neighborhood health hub model provides a person-centered, place-based approach\u00a0for linking community-based self-management services with primary care, extending essential preventive care into medically underserved communities, and improving health equity.\u00a0.","order":3,"name":"Ethics","label":"Twitter Summary","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":4,"name":"Ethics","label":"Clinical Trial Number","group":{"name":"EthicsHeading","label":"Declarations"}}]}}