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Lenoir County was chosen because the setting for the Heart Board. Lenoir County was selected because the setting for the Heart Healthful Lenoir project as it is situated within the heart from the "stroke belt" that runs by way of the southeastern United states of america. Furthermore, preceding assessment and neighborhood partnership improvement by way of the UNC Community Campus Partnership18 identified Lenoir County as certainly one of the two counties inside affordable travel distance from UNC-CH that had both the interest and minimum infrastructure/ capacity to help a long term academic-community partnership. In 2006, the per capita income with the County (population of roughly 60,000) was 20,965 in comparison with 32,234 for the rest of NC.19 Roughly 74 of Lenoir County residents are overweight or obese, in comparison with 63 of all N.C. residents that are overweight or obese.19 The county seat can be a smaller town (estimated population 22,056), along with the two subsequent biggest towns have estimated populations of 2737 and 527, respectively. The very first phase with the Heart Healthy Lenoir Project was a year-long assessment and preparation phase. In keeping with CBPR and guided by the SEM, we used both qualitativeFam Neighborhood Overall health. Author manuscript; accessible in PMC 2014 September 05.Jilcott Pitts et al.Pageand quantitative methods to assess individual, interpersonal, organizational, neighborhood, and policy variables and priorities relevant to CVD risk reduction. The SEM grounded our work, with unique levels of the model addressed by numerous strategies, as described in Table 1. We conducted qualitative interviews with neighborhood members and agency leaders; performed audits of community, food venues, and park venues; examined secondary information sources; and obtained feedback from local leaders. We utilised this multi-method method to (1) increase both our breadth and depth of understanding of community-level assets, barriers, beliefs, and priorities; (two) create a technique to hyperlink participants to healthy consuming and PA assets by way of creation of a Neighborhood Resource Guide; (three) discover of barriers to address by means of environmental and policy alterations; and (4) identify individual-level interactions with neighborhood assets and barriers, and how these might be addressed in the life style intervention developed as a element on the Heart-Healthy Lenoir Project. We used a CBPR approach to engage community partners. Lenoir County leaders were involved using the initial conceptualization of the project and assisted with development with the grant proposal. When the grant was awarded, we formed a Community Advisory Committee (CAC) that incorporated local neighborhood residents and agency leaders, and have held quarterly meetings to solicit feedback and report on the project. We examined social and physical assets and barriers to healthier eating and physical activity in Lenoir County using in-depth interviews among community members (interviewers were also educated neighborhood members) and conducted in-depth interviews with community agency leaders. We drafted a Community Resource Guide and obtained input around the Guide from neighborhood and CAC members. Neighborhood members accompanied the study team members on community audits to provide insider data on context. Ultimately, CAC members supplied feedback regarding `win-ability' of various nutrition and PA policies. Community Members' Perspectives of Community Level Assets and Barriers To assess individuals' interactions with community-level assets and barriers related to healthful life style alterations, we conducted face-to-face interviews with community m.