Table 2.

Summary of Couple-Focused Facilitator and Barrier Themes to Adherence

Themes	Definition of Themes
Couple-focused Barrier Themes
1. Unnegotiated situations	Lack of negotiation or lack of resolution about a situation that affected how the couple was adhering to the eating or physical activity behaviors in their daily lives
2. Unshared behaviors	Lifestyle behaviors that were not adhered to equally by both members of the couple
Couple-focused Facilitator Themes
1. Supportive exchanges	Communication within the couple that was perceived as helpful in promoting adherence to healthy eating and physical activity behaviors
2. Partnership	When the couple’s adherence to lifestyle behavior change was a shared experience