Graduation Year

2026

Document Type

Senior Thesis

Degree

Bachelor of Science in Nursing

Primary Major

Nursing

Primary Minor

Leadership

Thesis Advisor

Kendra Hoepper, DNP, APRN, PHP-C

Abstract

Background: Cardiovascular disease is the leading cause of death in the United States, affecting African American adults at higher rates compared to other racial and ethnic groups. Diabetes as a comorbidity is one of the risk factors of experiencing a myocardial infarction, remaining one of the leading causes of death among individuals with diabetes. Objective: To examine the effectiveness of structured diabetes education tailored to African American adults who are at risk for and after a myocardial infarction. Additionally assessing the complications of a myocardial infarction, the outcomes associated with structured education will be compared to the outcomes of usual care and education. Method: To accomplish this research, a longitudinal controlled trial utilizing pre- and post-test data will be applied to explore the experiences of AA adults with diabetes who are also at risk for or have had a myocardial infarction. Hemoglobin A1c, weight, total and LDL cholesterol, and triglycerides will be measured in both the pre- and post-test. Results: Expected results include that African American adults with diabetes who experience or are at risk for a myocardial infarction will have less severe complications when provided targeted education compared to those receiving usual care. In addition, the lab values aforementioned will decrease. Conclusion: These findings will help determine how culturally tailored, structured diabetes education can reduce myocardial infarction–related complications and improve outcomes for African American adults. This intervention may assist in developing a practical strategy to address health disparities and improve long-term cardiovascular health in this high-risk population.

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