1. Merly Mathew, MPH, CHES, and James R. Morrow Jr, PhD, are with the Cooper Institute, Dallas, Texas. Dr. Morrow is also with the University of North Texas, Denton, Texas. Georita M. Frierson, PhD, is with the Southern Methodist University, Dallas, Texas. Tyson M. Bain, MS, is with the Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas