Table 1.

Summary of customer discovery results.

	Main themes	Quotes
Jobs	• Provide lifestyle coaching (physical activity, healthy eating, and sleep); help patient's set goals • Understand current behaviors and potential barriers to change (e.g., lack of motivation, family dynamics) • Educate patients (e.g., future health risks, importance of physical activity and nutrition, healthy foods) • Treat comorbidities • Recommend community resources or comprehensive obesity care clinics • Maintain relationships	“I try not to focus too much on the number on the scale but more so just the habits they should adopt to be healthy in general whether it is through healthy eating, limiting screen-time, encouraging more physical activity and also trying to address any mental triggers for unhealthy eating or poor lifestyle habits.” “I empower them to want to have a healthy lifestyle, and talk to them about how your health is for the rest of your life.”
Pains/Gains	• Lack of time within visit and for follow-up • Difficulty assessing health behaviors and family dynamics • Inability to see/measure progress • Patients and families lack motivation • Lack of provider knowledge of available resources accessible to their patients • Patient's environment/social determinants of health	“A lot of times they aren't coming in for follow ups, which is frustrating because I can't help them if they aren't coming to see me.” “I really enjoy working with these patients but it does get frustrating that it is hard to see that you are making a difference.” “On day to day basis, I feel like we don't see the changes I would hope to see as a healthcare provider…We don't see that our hard work is working or the fruits of labor.” “The…issue, I think is lack of motivation because most often when we see an obese adolescent their caretaker…is also obese…they're not viewed as being abnormal, they're not viewed as being at risk.” “I may or may not know where they live but I certainly don't know what resources are available to them.” “If the EHR automatically gave me resources for the patient…. It would potentially allow me to more quickly give that intervention.”
Metrics of success	• Change in behaviors (e.g., goal progress) • Weight loss or stabilization • Delivery of goals/counseling • Diagnosis/treatment of comorbidities • Patient knowledge • Completion of follow-up visits	“I try to have them understand that lifestyle intervention is the number one treatment…the first thing I like to achieve is you have to change your way of thinking and we have to change some behaviors here to accomplish what we're trying to accomplish.” “Anything from 3 to 5% of their total body weight percentage lost would be a great goal for them to achieve, 5–10% would be ideal.” “Seeing their heart rate not jump up quite as much, seeing them be a little more physically fit are a good way to track some of those physical activities, but most of it is patient report…. At the end of all of my sessions with patients I try to set goals with them…trying to check in and see how they're doing with their goals at every visit.”