The purpose of this study was to explore how the phenomenon of familismo effects behavioral change within the Mexican-American family if one member of the family participates in an obesity prevention curriculum. The qualitative approach findings indicate that the principle of familismo regarding perceived responsibility to provide emotional support to family members regarding changes in physical activity and dietary habits. Participants reported that their families are eating healthier, since, they started the obesity prevention curriculum. The findings regarding physical activity were inconclusive. This study can help nurses, because it emphasizes the importance of promoting family involvement as a motivator for behavioral change, in terms of physical activity and healthy diet eating, within Mexican-American populations.

In the delivery of a public service, meeting the needs of its users through cocreation has generated considerable research. Service users are encouraged to engage with public services through dialogue, sustained interaction, and equal partnership, wherein the role of the user changes from passive to active. As the relationship between service provider and service user evolves, researchers have sought to explain how resources, time, accessibility, and bandwidth may affect such relationships, specifically concerning the economically disadvantaged. While many researchers have focused on the logistical barriers that inhibit cocreation among the economically disadvantaged presented by such factors as cost and transportation, limited research has examined the relationship between the service provider and economically disadvantaged service user. Combining previous research, this study examines what economically disadvantaged service users actually do when they cocreate value with a public service by conducting 12 in-depth interviews with participants of SNAP-Ed, nutrition education for persons eligible for government assistance. The study's findings suggest that cocreation exists through relational characteristics of collaboration, isolation, acceptance, connection, and guidance that help in the development and maintenance of relationships, and that a relationship between service provider and user could be further typified by equality. This finding suggests that equality is an independent construct not necessary in the process of cocreation--a departure from previous research--but rather a way to approach the service provider/user relationship. This study is intended as a step toward examining cocreation through the development of organization-public relationships.