While a growing body of literature describes the experiences of parents, there is little known about couples’ relationships while supporting their daughters living with eating disorders. In this study, we explored five couple relationships using the grounded theory method. A substantive theory of couples becoming change agents emerged that explains diverse adjustments in couples’ relationships while supporting their ill daughters. As couples become change agents, they rely on the pathways of reflecting, coping, and strengthening resilience to move through stages of surviving the initial period, juggling responsibilities, and expanding supportive roles. At each stage, couples use coping strategies and reflect on the effectiveness of their actions as individuals and as couples, which strengthens their resilience and promotes change for their ill daughters. They later expand their support by becoming change agents within their families and communities. Advocacy by couples points to the need for further education and resources to support couples in caring for children experiencing eating disorders. Keywords: couples, relationships, support, eating disorders, reflection, coping, resilience, grounded theory
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