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By Edited by Zhenyi Li and Thomas Lawrence Long

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Methods A. Overview of Data Collection Process This community-based participatory research project used mixed methods with four phases of data collection, with the perspectives revealed in each phase informing the next phases of the project. In Phase 1, we conducted semi-structured interviews with community leaders and organizational representatives; in Phase 2, we conducted focus groups with residents from diverse cross-sections of the community (African American, low income, older adults, and hospital staff); in Phase 3, we conducted a survey with residents on behavioral aspects of leisure-based self-care; and in Phase 4, we invited all study participants to a town hall meeting to discuss the findings as well as to brainstorm ideas on ways we could work together to address the issues.

For instance, one leader said, I think as a whole we don’t take advantage of the resources that we have, particularly the free resources. We have the two park systems, Foundation Park and Fairview Park that are available. There are a lot of activities in the community such as Balloon Fest … We have, I think, a really pretty good option here as far as recreation. We have the Cultural Society and the events that they put on. Accessibility may explain some of the underutilization, as many residents do not own a vehicle or forgo attendance to special events due to entrance fees.

American Journal of Preventative Medicine, vol. 28, February 2008, pp. 150-158. , ‘Rural Health Disparities, Population Health, and Rural Culture’. American Journal of Public Medicine, vol. 94, 2004, pp. 1675-1678. Harvey, I. , ‘The Role of Spirituality in the Selfmanagement of Chronic Illness among Older African Americans and Caucasian Americans’. Journal of Cross-Cultural Gerontology, 22, June 2007, pp. 205-220. , ‘Leisure and Spiritual Well-being Relationships: A Qualitative Study’. Society and Leisure, vol.

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