Obesity, a global health epidemic, requires targeted interventions to promote sustainable health behavior change; yet, prior efforts have not yielded significant improvements in obesity rates. Using Photovoice as a data collection approach, this community-engaged research study partnered with a weight management program to understand participants' perspectives on access to physical activity and nutritious food. Twelve adolescent-parent dyads participated. Barriers, facilitators, and opportunities for change were identified and categorized through adolescent photographs, interviews, and participant focus groups, according to the social ecological model. A community-engaged research approach can identify areas to increase health promotion and prevention efforts regarding physical activity and nutrition.