Table 4.

Themes and Supporting Quotes for Strategies to CVD Risk Factor Management

Family Support for Teen Lifestyle Changes

“Because I think that when families are involved, when families cook together, when they exercise together, those are the kinds of things that make things successful.” Mother of female with dyslipidemia

“….me eating healthy makes her eat healthy.” Mother of female with dyslipidemia

“I asked them [parents] to buy healthier snacks instead of chips or cookies or something like that. I asked them to get more fruits and I started eating fruit almost every day. More veggies, too.” 18 year old male with dyslipidemia

“…I thought if my family could do it, then we could all do it together.” 16 year old female without dyslipidemia

Exercise Partners for Teens

“If I had a gym buddy or someone to work out with me I’d definitely be more motivated to go and do more activities.” 18 year old female without dyslipidemia

“If it’s scheduled, they do it, and they participate in it, kind of like sports.” Mother of male with dyslipidemia

Specific and Realistic Guidance From Providers

“[a nutritionist should] choose a manageable number of items that she should discontinue. I would say one or two.” Mother of female without dyslipidemia

“[providers should provide] a very strict schedule, but with enough fluidity that I’d be able to apply it to my everyday life.” 15 year old male without dyslipidemia

Exploit Provider Authority

“Because what her parents tell her, she doesn’t hear that. Maybe if her providers told her that she needed to do more exercise that would be a good thing.” Father of female with dyslipidemia

Emphasize Contributions of Both Genetics and Lifestyle

“not shocked cuz I knew that we had high cholesterol in our family, but I was more interested in, what could I do to prevent that or change that…” 19 year old female with dyslipidemia

“I would hope that we could [get cholesterol levels] better beforehand with the diet and exercise, but if, you know, it’s like some things are hereditary. If you get it, you get it, and you have to take the medicine.” Mother of female without dyslipidemia

“Well typically, I would say no [to medication], but knowing his family’s history where his two grandparents have high cholesterol, even though they exercise a lot and eat very well, so I know part of its genetics.” Mother of male without dyslipidemia