Fig. 2

Model Evolution Over Time. Our models continue to incorporate themes from the interviews into the levels of the SEM. During the FIT4YES program, the organization utilized the common community levels to funnel important ingredients down to the individual. After the program, the common community, memories, and relationships act as the base to hold the individual up to promote ownership of their own health and culture. This is supported by the skills and self-reflection within the interpersonal level, allowing individual ownership of decisions and leading toward sustained behavior change. Confirmation of the new model also demonstrates the necessity of community-based organizations tapping into the culture of a community for a lasting impact