Scholars@Duke
Holly Roberts Biola

Holly Roberts Biola

Clinical Faculty in the Department of Medicine
Medicine, Geriatrics and Palliative Care
holly.biola@duke.edu
Lincoln Community Health Cente, 1301 Fayetteville St, Durham, NC 27707-2325

Scholarly Works

Cardiovascular Risk Factors - Hypertension.

Journal article N Engl J Med · May 28, 2026 Full text Link to item Cite

Telephone Outreach Is Associated With Improved Blood Pressure in Patients at an Urban Community Health Center.

Journal article J Prim Care Community Health · 2026 PURPOSE: Hypertension (HTN) disproportionately affects marginalized communities due to persistent healthcare disparities and socioeconomic barriers. Less than half of patients with HTN achieve blood pressure (BP) control, with Black Americans on antihypert ... Full text Link to item Cite

Telephone Outreach and Skill-Based Group Education Improves Blood Pressure in Patients at a Community Health Center.

Journal article Public Health Nurs · 2026 OBJECTIVES: This study aims to evaluate a dual approach to reduce blood pressure among patients at a Community Health Center in the Southeast through telephonic outreach and skill-based self-management classes. METHODS: A pre-post single cohort design was ... Full text Link to item Cite

The research equity and diversity initiative (READI): Changing the face of clinical research through community outreach and engagement.

Journal article J Clin Transl Sci · 2025 Current evidence underscores a need to transform how we do clinical research, shifting from academic-driven priorities to co-led community partnership focused programs, accessible and relevant career pathway programs that expand opportunities for career de ... Full text Open Access Link to item Cite

Blood Pressure Protocol: Processing Time of Standard Versus Automated.

Journal article PRiMER · 2025 INTRODUCTION: Accurate blood pressure (BP) measurement is essential for hypertension diagnosis and management. While automated office blood pressure (AOBP) readings are increasingly used in many primary care settings, the challenges of implementing automat ... Full text Link to item Cite

Applying the RE-AIM framework to evaluate an educational model to "close the gap" and improve health equity in uncontrolled hypertension.

Journal article Patient Educ Couns · February 2024 OBJECTIVES: To use the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to evaluate an educational model addressing self-management of uncontrolled hypertension. METHODS: We used a pre-post single cohort design to identify min ... Full text Link to item Cite

Patient expectations and preferences for community-based hypertension classes with implications for action.

Journal article Worldviews Evid Based Nurs · February 2022 BACKGROUND: Uncontrolled hypertension disproportionately affects Black men. Patient engagement with health promotion and health behavior programs for hypertension control is low. We held evidence-based hypertension classes at a Federally Qualified Health C ... Full text Link to item Cite

Evaluating the efficacy of telephone-based outreach in addressing hypertension control among black men with severe hypertension: An observational study.

Journal article Worldviews Evid Based Nurs · February 2022 BACKGROUND: The high prevalence of uncontrolled hypertension (systolic blood pressure [SBP] ≥140 mmHg or diastolic blood pressure [DBP] ≥90 mmHg) in Black patients represents a significant racial health disparity in the United States. AIMS: This study eval ... Full text Link to item Cite

Efficacy of Hypertension Self-Management Classes Among Patients at a Federally Qualified Health Center.

Journal article Prev Chronic Dis · July 15, 2021 Structural racism has contributed to persistent racial disparities in hypertension control, with Black men suffering the highest prevalence of uncontrolled hypertension. Lincoln Community Health Center, our urban Federally Qualified Health Center (FQHC), a ... Full text Open Access Link to item Cite

Lessons from implementing community-based group classes for severe hypertension.

Journal article Public Health Nurs · July 2021 Due to the impact of persistent structural racism, Black men have low rates of hypertension treatment and control despite having high rates of hypertension-related mortality. Peer-based education can improve blood pressure monitoring and lower blood pressu ... Full text Link to item Cite

Reaching the Hard-to-Reach: Outcomes of the Severe Hypertension Outreach Intervention.

Journal article Am J Prev Med · November 2020 INTRODUCTION: Severe hypertension (≥180 mmHg systolic or ≥110 mmHg diastolic) is associated with a twofold increase in the relative risk of death. At the authors' Federally Qualified Health Center in the Southeast, 39% of adults (n=8,695) had hypertension, ... Full text Link to item Cite

Reducing high-risk medication use through pharmacist-led interventions in an outpatient setting.

Journal article J Am Pharm Assoc (2003) · 2020 OBJECTIVE: This study aimed to reduce high-risk medication (HRM) prescribing by direct electronic medical record messaging to providers. SETTING: Lincoln Community Health Center is a federally qualified health center in the southeast United States. PRACTIC ... Full text Link to item Cite

Addressing Diabetes and Poorly Controlled Hypertension: Pragmatic mHealth Self-Management Intervention.

Journal article J Med Internet Res · April 9, 2019 BACKGROUND: Patients with diabetes and poorly controlled hypertension are at increased risk for adverse renal and cardiovascular outcomes. Identifying these patients early and addressing modifiable risk factors is central to delaying renal complications su ... Full text Open Access Link to item Cite

Implementing standardized substance use disorder screening in primary care.

Journal article JAAPA · October 2018 OBJECTIVES: This quality improvement initiative aimed to develop and implement a protocol for an alcohol and substance use disorder screening for primary care. METHODS: The Two Item Conjoint Screen was selected and a process was piloted by care teams. Qual ... Full text Link to item Cite

Implementing standardized substance use disorder screening in primary care

Journal article JAAPA · October 2018 ABSTRACTObjectives:This quality improvement initiative aimed to develop and implement a protocol for an alcohol and substance use disorder screening fo ... Full text Cite

With "big data" comes big responsibility: outreach to North Carolina Medicaid patients with 10 or more computed tomography scans in 12 months.

Journal article N C Med J · 2014 BACKGROUND: Patients are being exposed to increasing levels of ionizing radiation, much of it from computed tomography (CT) scans. METHODS: Adults without a cancer diagnosis who received 10 or more CT scans in 2010 were identified from North Carolina Medic ... Link to item Cite

Computed tomography utilization in the North Carolina Medicaid population with a focus on "high exposure" patients, 2007-2012.

Journal article N C Med J · 2014 BACKGROUND: We examined trends in utilization of computed tomography (CT) among Medicaid enrollees in North Carolina, the clinical setting in which those CT scans were performed, and the number of enrollees known to have undergone 10 or more scans in a giv ... Full text Link to item Cite

Preferences versus practice: life-sustaining treatments in last months of life in long-term care.

Journal article J Am Med Dir Assoc · January 2010 PURPOSE: To determine prevalence and correlates of decisions made about specific life-sustaining treatments (LSTs) among residents in long-term care (LTC) settings, including characteristics associated with having an LST performed when the resident reporte ... Full text Link to item Cite

Advance care planning in nursing homes and assisted living communities.

Journal article J Am Med Dir Assoc · May 2009 OBJECTIVES: To determine the prevalence and characteristics of advance care planning (ACP) among persons dying in long-term care (LTC) facilities, and to examine the relationship between respondent, facility, decedent, and family characteristics and ACP. D ... Full text Link to item Cite

Are there enough doctors in my rural community? Perceptions of the local physician supply.

Journal article J Rural Health · 2009 PURPOSE: To assess whether people in the rural Southeast perceive that there is an adequate number of physicians in their communities, assess how these perceptions relate to county physician-to-population (PtP) ratios, and identify other factors associated ... Full text Link to item Cite

The end-of-life experience in long-term care: five themes identified from focus groups with residents, family members, and staff.

Journal article Gerontologist · August 2008 PURPOSE: We designed this study to examine the end-of-life (EOL) experience in long-term care (LTC) based on input from key stakeholders. DESIGN AND METHODS: The study consisted of 10 homogeneous focus groups drawn from a purposive sample of LTC residents ... Full text Link to item Cite

Physician communication with family caregivers of long-term care residents at the end of life.

Journal article J Am Geriatr Soc · June 2007 OBJECTIVES: To assess family perceptions of communication between physicians and family caregivers of individuals who spent their last month of life in long-term care (LTC) and to identify associations between characteristics of the family caregiver, LTC r ... Full text Link to item Cite

Are you ready for Medicare Part D?

Journal article Fam Pract Manag · January 2006 Link to item Cite

Which imaging modality is best for suspected stroke?

Journal article JOURNAL OF FAMILY PRACTICE · June 2005 Link to item Cite

The U.S. primary care physician workforce: undervalued service.

Journal article Am Fam Physician · October 15, 2003 Primary care physicians work hard, but their compensation is not correlated to their work effort when compared with physicians in other specialties. This disparity contributes to student disinterest in primary care specialties. ... Link to item Cite

The U.S. primary care physician workforce: minimal growth 1980-1999.

Journal article Am Fam Physician · October 15, 2003 Growth in the primary care physician workforce (physicians per capita) in the United States has trailed the growth of the specialist physician population in recent years. This has occurred despite calls during the same period for increased production of pr ... Link to item Cite

The U.S. primary care physician workforce: persistently declining interest in primary care medical specialties.

Journal article Am Fam Physician · October 15, 2003 A persistent, six-year trend in the choice of specialty training by U.S. medical students threatens the adequacy of the physician workforce of the United States. This pattern should be reversed and requires the attention of policy makers and medical educat ... Link to item Cite

Mortality rates and causes among U.S. physicians.

Journal article Am J Prev Med · October 2000 UNLABELLED: CONTENT/OBJECTIVES: No recent national studies have been published on age at death and causes of death for U.S. physicians, and previous studies have had sampling limitations. Physician morbidity and mortality are of interest for several reason ... Full text Link to item Cite