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This project develops a new, multi-method approach to Health Co-Inquiry. In health and mental health care and research, there are efforts toward person-centered and fully integrated care, along with carefully conducted research studies that can foster evidence-based practice. Health Co- Inquiry happens when person-centeredness, integrated care, and evidence-based practice are combined with collaboration between all stakeholders (including activation of persons with illness, caregivers, and health and mental health providers). In receipt of a grant from the National Science Foundation for institutional technological improvements in data collection, a research protocol was developed for pulling in large amounts of stakeholder information from online sources. The process includes focused online searches for URLs; developing computer code to search data from URLs for specific content; and researcher analysis of content for global themes. Safeguards include removing stakeholder monikers from quoted narratives and seeking stakeholder consent to quote them if a URL is accessed via a password. Online Health Support: Activating Health Co-Inquiry Keywords: Health Co-Inquiry, patient-activation, person-centered, integrated care, evidence-based practice 

Warming temperatures have been linked to advancing spring migration dates of birds, although most studies have been conducted at individual sites. Problems may arise if birds arrive or depart before or after associated food resources reach critical lifecycle stages. I compared mean first arrival dates of Rufous Hummingbird (Selaphorus rufus), a prolific pollinator and long-distance migrant, between 1895-1969 and 2006-2015 at eight locations in Oregon, Washington, and British Columbia. Historical arrivals were reported through the North American Bird Phenology Program and recent arrivals were estimated from temporal occupancy patterns using eBird checklists. Results indicated that hummingbirds arrived 8 and 11 days later in the recent time period in two coastal cities in Oregon and 7-17 days earlier in northern, more inland cities in Washington and British Columbia. Spring temperatures have increased in the past century in much of this region and birds arrived earlier in years with warmer spring temperatures, suggesting that migratory advancements were climate-related. Later arrivals reported in coastal regions of Oregon in the recent time period may suggest that Rufous Hummingbirds are bypassing coastal areas to take advantage of more predictable conditions along inland migratory routes, or are shifting their breeding ranges northward, notions both supported by declining population trends observed in Breeding Bird Survey data. My results provide justification for the investigation of the ecological impacts of climate change on birds in coastal vs. inland environments and a framework for comparing information from two extensive and emerging datasets to better understand the impacts of climate change on bird migration.