Table 2.

Initial Focus Group Study Themes and Supporting Quotes

Themes	Supporting quotes
1. Need for improved health-related family functioning	1.1 “Normally every day I try to do [exercise] and invite [my daughter] to do it with me, but she does not want to. She is negative.” (P)
	1.2 “I set an example for her, but she doesn’t take to it; she does the opposite of everything I say.” (P)
	1.3 “She likes to watch TV too much…if she is watching TV, after two hours she gets hungry and she has to eat, I cannot control that, really. So, it is difficult for me to deal with her.” (P)
	1.4 “I became frustrated…in the end, I would give him what he wanted from McDonalds and such, because I thought, ‘How will I put him to sleep on an empty stomach?’ But that upset me.” (P)
	1.5 “‘Hey, you always like junk food. That’s horrible for you. I’m about to start suspending you from eating that. And I’ve told you 500 times you don’t go in that cabinet! Why do you do this? And why do you eat that?’” (A)
	1.6 “It’s kind of difficult to eat what you’re eating when there’s, like, seven other plates in front of you eating something different that you really want from that and you’re eating that.” (A)
2. Need for enhanced nutrition education and skill-building	2.1 “It’s like usually a New Year’s resolution, you say, ‘I’m going to go on a diet’ and then the next day you’re just watching Netflix with the girls with, like, pizza and Nutella right next to you.” (A)
	2.2 “Well, for example, in my case, I would like to know how to introduce more or offer some kind of vegetables to my son because, my son does not want vegetables at all.” (P)
	2.3 “It is shocking to know how many parents do not know how to cook. So, the child, of course, does not want to eat that food. He wants McDonalds... so it would be good to have cooking programs and to teach adolescents that if you buy this juice and do not do it this way, this juice has so much sugar, and even more so the adolescents can say, ‘Hey, what am I eating?… What I am drinking is pure sugar, see.’” (P)
3. Need for increased family engagement in physical activity	3.1 “The most exercise I do is play Just Dance on the Wii, and I cheat a lot too, so like, [my mom would] actually try to do that with me, like, even though she came home tired from work she’d be, like, ‘oh, let’s go do this.’” (A)
	3.2 “[My daughter] is the one who teaches me. ‘Mom, let’s exercise,’ but I do not want to, and she exercises every day.” (P)
4. Need to link family and environmental supports (schools, parks)	4.1 “Like the pizza, you can get a napkin and it’s not enough to soak up all the grease that it has in it…it’s so disgusting that you don’t want to eat it.” (A)
	4.2 “My daughter was grossed out this week and felt like throwing up, ‘I have a headache and am grossed out…they served me chicken heated in the microwave and it was cold…which I ate because I do not get home until 5. But, I am grossed out, please do not even say the word chicken.’” (P)
	4.3 “We used to use [the park] everyday, but now that [her children] are in school, everything has changed.” (P)
	4.4 “If I use [the park], I have to be with my daughter …I do not feel safe leaving her in the parks.” (P)
	4.5 “The activities of the park, I know that some of them are free … [but] I get scared, I have a lot of mistrust…” (P)

Note. P=parent quote, A=adolescent quote