Paying it forward
CVD
Many participants described “paying it forward” by taking on “coach‐like” roles with others both during the coaching and as it had ended. P7 had set up an exercise program, P3 talked about coaching fellow students and family members, and P8 and P6 discussed coaching extended family on stress management and healthy food choices:
“…sometimes when I see them drinking…sweet drinks, even my own grandchildren, I'm encouraging them, please just give them water” (P6, Female, Moderate CVD risk)It is of interest that within this study, those who were “paying it forward” in some way were also maintaining some form of health behavior change, a concept that is discussed further below.