Table 5.

Themes and Quotes

Themes	Subthemes	Quotations
Lifestyle changes	Eating behaviors	“She is more conscious of her portion sizes. She eats on a more scheduled basis instead of snacking all the time. She is also more conscious of calorie intake.”
		“He has been very willing to change his old recipes to fit my new healthy eating habits.”
	Exercise behaviors	“He committed to playing golf twice a week and he also gardens a lot more now.”
		“He started going after I joined the YMCA. He liked working out and never stopped after he started.”
	Emotional changes	“The study has brought myself and her closer together because I have been able to drop some of my bad habits and become more balanced.”
		“She is much happier now and takes much more pride in her physical appearance.”
	Disease prevention	“[She] and her sisters are now able to talk to each other about health, diabetes and their family history of certain diseases.
		“The change he has made has helped to get his diabetes under control. He is now taking one less shot and one less pill.”
Knowledge dissemination	Discussions	“I have talked to her about limiting the amount of unhealthy foods. I also talked to her about staying consistent in her eating habits.”
		“I let her know the benefits of exercise and talked to her about how good exercise made her feel.”
	Nutrition instruction & advice	“I taught her to eat smaller portion by using smaller plates. I also taught her to count calories and read labels.”
		“I have been giving her tips on healthier snack and ways to prepare foods.”
	Material exchange	“They have used several of the recipes from the newsletter.”
Motivation	Direct	“He and I are competing to see who can lose more weight. My change has motivated him to become more active.”
		“[We] walk together and keep each other motivated. She would not walk if I didn't do it with her.”
		“She tries to follow what I have been eating. So when I started to eat more salad and eat healthier, she did also.”
	Indirect	“I prepare most of the meals so he eats the more balanced meals that I prepare.”
		“I buy healthier foods, so there is less junk food in the house.”
		“I have been a good example for her and have shown her how effective diet and exercise can be in leading to weight loss. I inspired her to take an active role in her own health.”