Sonya Hodges, of the Douglas County Health Department, Ava, Missouri, has been involved in chronic disease self-management education programs for a few years now. Hodges has been a leader for CDSMP programs for five years and is also trained in the Arthritis Foundation Exercise Program. Hodges, Suzanne Cooney and Angie Fletcher, held the CDSMP course at the Missouri Ozarks Community Health center and seven participants ranging in age from their late 40s through their late 60s attended. Hodges stated that the “group bonded almost instantly the first night”. As the course continued over the six weeks, the participants maintained their support for one another.