ORCID Identifier(s)


Graduation Semester and Year

Spring 2024



Document Type


Degree Name

Doctor of Nursing Practice



First Advisor

Dr. Tiffany Trent DNP, AGACNP-BC


Cardiovascular disease (CVD) is a significant cause of mortality in the United States of America. Risk factors include abnormal low-density lipoprotein (LDL) cholesterol, physical inactivity, and unhealthy diets. African American (AA) adults have higher mortality rates from CVD than other demographics. In Houston, Texas, age-adjusted death rates for CVD per 100,000 population by race in AAs were 111, 85.0 in Whites, 62.9 in Hispanics, and 49.5 in Asians. This project evaluated the impact of using a CVD bundle over an eight-week period on cholesterol medication adherence, physical activity, and heart disease knowledge and was titled Improving Heart Health in African Americans Using a Cardiovascular Disease Bundle. Forty participants were recruited; 19 completed the project. Medication adherence, weight, LDL, physical activity, and heart disease knowledge measures were taken at baseline and eight weeks. The Medication Adherence Reporting Scale (MARS-5) measured adherence to cholesterol medication. Physical activity levels were measured using the Rapid Assessment of Physical Activity (RAPA) questionnaire, and heart disease knowledge was assessed using a Heart Disease Education Survey. The mean age of participants was 53 years; 58% were female. A paired samples t-test revealed a significant difference between all data pairs: MARS-5, t (18) = -8.024, p


African American, hyperlipidemia, treatment, barriers, intervention, primary care, education, medication, cardiovascular, exercise


Family Practice Nursing


Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.


Acknowledgement to my faculty advisor Dr. Tiffany Trent, and statistician Dr. Yungfei Kao.



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