Table 3.

Summary of Qualitative Themes from Participant Feedback

Category	Participant Feedback
Benefits	Nutrition education and strategies for healthy eating
	Self-monitoring dietary intake helped with portion control
	Peer group provided support and motivation for behavior change
	Wellness peer provided a role model for weight loss
	Group exercise sessions were fun and reinforcing
Challenges	Didactic instruction was difficult to follow, and left no time for participants to interact with one another
	Dietary tracking was complex, inconvenient, and not sustainable
	Mental health symptoms often interfered with behavior change
Recommendations	Include more active learning activities and opportunities for participants to collaborative and problem solve with one another
	Focus on eating a balanced diet rather than calorie counting
	Offer tips and guidance on grocery shopping
	Address the impact of mental health symptoms on lifestyle change and teaching coping strategies
	Wellness peer should give less advice and focus more on sharing personal challenges and successes that participants can related to
	More in-depth training on use of Facebook and Fitbit application