The process continued with the analysis of subsequent data collected used to revise existing codes. A second researcher in the College of Public Health coded the data to enhance inter-coder reliability. Qualitative data analysis was conducted using NVivo software. Passages sorted by code or category meaning were read by both researchers to identify recurring themes and the range of diversity in responses, make summary and interpretive statements, and mark passages worthy of quotation. Within each topic, sorted passages for specific subgroups were read separately to facilitate comparison of responses. Researchers compared notes on each topic for consistency and agreed on statements to be included in the research findings.