Table 3.

Themes and Representative Quotes for Patient-Reported Motivation for Change

Motivation for Change: Social Pressure	Illustrative Quotations
Negative perceptions of obesity	“I do want to be healthy…I really don’t want to be a couch potato, just sitting there and doing nothing…. Because you’ll just eat and you’ll just put on weight. That’s just not right.” (10yo girl, Group #1)
Peer comparisons	“Whenever your friends are thin and you’re bigger and they’re able to do things that you aren’t able to do, you kinda try working hard to reach that.” (12yo boy, Group #4)
Avoiding Bullying/Teasing	“People making fun of you and stuff. All they do is really motivate me and I can do it now.” (12yo boy, Group #4)
Authority figures (Doctor/Parent)	“Well, my mom keeps encouraging me to do that, because she doesn’t really want me to put on a lot of weight.” (10yo girl, Group #1) “You have to listen to your doctor…” (11yo boy, Group #2) “When I was told [by the doctor], it opened up the, “Wow, I was and I need to get healthier.” (12yo girl, Group #2)