1 Lisa M. Lee is with the Department of Population Health Sciences and the Office of the Vice President for Research and Innovation, Virginia Tech, Blacksburg. Selena E. Ortiz is with the Department of Health Policy and Administration, The Pennsylvania State University, State College. Greg Pavela is with the Department of Health Behavior, University of Alabama at Birmingham. Bruce Jennings is with the Department of Health Policy and the Center for Biomedical Ethics and Society, Vanderbilt University School of Medicine, Nashville, TN.