This document discusses the importance of considering culture when working with participants and their families. It notes that culture shapes conceptions of self and needs to be understood to provide an optimal environment for success. The objectives are to discuss perspectives of culture, understand cultural awareness as it relates to participants, and how the FitKids360 program intervenes in the culture of obesity in the U.S. Culture is defined as customary beliefs, social forms and material traits that are shared by a group. It pervades lives, shapes identity, and influences behavior. Cultural considerations refer to gaining awareness, knowledge and tools to create effective client-centered services.