Evidence map›Paper›PMID 42554789›Full record

ArticleJournal of racial and ethnic health disparities2026

Cardiovascular Risk and Blood Pressure Control in Patients with Diabetes at Federally Qualified Health Centers: Baseline Findings from the Office-GAP IMPACT (Office-Guidelines Applied to Practice Improving Diabetic Patients' Adherence to Treatment and Prevention of Cardiovascular Disease) Program.

Nephertiti Efeovbokhan, Karen Kelly-Blake, Denise White Perkins, Zhehui Luo, Adesuwa Olomu

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Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Nephertiti EfeovbokhanDepartment of Interventional Cardiology, NEA Baptist Clinics and Hospital, NYIT @ Arkansas State University, 4802 E. Johnson, Jonesboro, AR, 72401, USA.ORCID http://orcid.org/0000-0001-8262-2003
Karen Kelly-BlakeDepartment of Medicine, College of Human Medicine, Michigan State University, 788 Service Road B323 Clinical Center, East Lansing, MI, 48824, USA.ORCID http://orcid.org/0000-0002-7629-9219
Denise White PerkinsDepartment of Family Medicine, College of Human Medicine, Michigan State University, 788 Service Road, B101 Clinical Center, East Lansing, MI, 48824, USA.ORCID http://orcid.org/0000-0003-1868-2161
Zhehui LuoDepartment of Epidemiology and Biostatistics, Michigan State University, 909 Wilson Road, B601 West Fee Hall, East Lansing, MI, 48824, USA.ORCID http://orcid.org/0000-0001-9193-3380
Adesuwa OlomuDepartment of Medicine, College of Human Medicine, Michigan State University, 788 Service Road B323 Clinical Center, East Lansing, MI, 48824, USA. olomua@msu.edu.ORCID http://orcid.org/0000-0002-8244-9308

Funding

NHLBI NIH HHS RO1 HL149777-01A1
6 · The paper itself

Abstract

backgroundThe rate of diabetes and blood pressure (BP) control are low, particularly in patients with diabetes receiving care from federally qualified health centers (FQHCs). The Office-Gap IMPACT study (Office-Guidelines Applied to Practice Improving Diabetic Patients' Adherence to Treatment and Prevention of Cardiovascular Disease) is a patient activation intervention to improve care and health outcomes for patient with diabetes and cardiovascular disease in FQHCs and community health centers.

objectivesThis baseline analysis of the Office-GAP IMPACT study (1) aimed to describe the individual-level demographic and clinical characteristics of patients with diabetes enrolled in the Office-GAP study, (2) assess the associations between these characteristics and baseline BP and glycemic control, and (3) assess the differences in BP and glycemic control in three different counties in Michigan.

methodsWe enrolled 392 patients with diabetes in 17 clinical teams in 12 FQHCs located in three counties in Michigan. Teams were randomized into intervention, Office-Gap + Texting (group 1) vs. enhanced control, Texting only (group 2). Baseline demographic and clinical data were analyzed.

resultsAmong 392 patients, 68% had self-reported hypertension, 72% had hyperlipidemia, 30% had BMI < 30, 26% were current smokers, and 43% reported depression. Overall, 64% had HbA1c ≥ 9. Among those with hypertension, 26% achieved BP < 130/80 mmHg and 60% achieved BP < 140/90 mmHg.

conclusionPatients with diabetes receiving medical care at FQHCs are a diverse demographic population. The high prevalence of cardiovascular disease risk factors and the low rate of BP control in this demographic is a huge concern.

Indexed as

Cardiovascular disease risk, Federally Qualified Health Care Centers (FQHCs)DiabetesHypertensionOffice-Gap IMPACT

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.