Participants
Participants were recruited in outpatient clinics in four counties throughout Michigan: Isabella, Saginaw, Sanilac, and Wayne. This included one clinic in Isabella County, three clinics in Saginaw County, two clinics in Sanilac County, and one clinic in Wayne County. The inclusion criteria were defined as patients at one of the previously mentioned clinics who were above the age of 18 and able to understand English. The exclusion criteria were defined as individuals who were not patients at one of the previously mentioned clinics or those who were not above the age of 18 or were unable to understand English.