Table 1.

Variables measured at baseline, 6-month and 12-month follow-up.

Primary outcome measures	Details
Depression symptoms: Patient Health Questionnaire (PHQ-9)	10-item self-administered depression screening questionnaire that assesses the presence and severity of depressive symptoms over two-week period [48]
Secondary outcomes measures
Hemoglobin A1c	Hemoglobin A1C levels reflect level of glycemic control in diabetes patients. Samples collected via finger stick and processed through Rush core laboratory
Blood pressure	After sitting for 10 min, participants’ blood pressure was taken three times at two-minute intervals using the Omron HEM-907XL automated sphygmomanometer (Omron Healthcare, Kyoto Japan). Second and third readings were averaged to obtain final score. Mean Arterial Pressure was calculated using the standard formula: DBP + 1/3 (SBP – DBP).
Lipids	Total Cholesterol, LDL-C, HDL-C, and triglycerides were measured after an 8 h fast. Samples were collected via finger stick and processed through RUSH core laboratory
hsCRP (C-reactive protein)	Elevations in C-reactive protein is one of the diagnostic criteria used for the Metabolic Syndrome. Samples were processed through the through RUSH core laboratory.
Body Mass Index	Weight measured using a balance beam digital scale (Health O Meter), reported to 1/10 kg (5 min). Height measured using wall mounted stadiometer. BMI calculated by dividing weight (kilograms) by height (meters squared).
Medications	Patients brought medication list to assessment visits and regimen was recorded by study RAs. Medications taken for depression, diabetes, hypertension, and lipid control are categorized.
Waist circumference	Nearest cm at narrowest part of torso, above iliac crest, below rib cage (4 min).
Mediating factors
Stress: Past Stressor Events Form (PSE)	10-item questionnaire measuring stressful events occurring within the past year [78,79]
Traumatic Stress Checklist Form	11-item interviewer-administered questionnaire evaluating exposure to traumatic stress events during the course of one’s lifetime. The Lifetime Trauma Exposure from the Composite International Diagnostic Interview PTSD Module [79]
Posttraumatic stress disorder: PTSD Checklist-Civilian Short Form	6-item questionnaire used to screen for symptoms of posttraumatic stress disorder [72]
Medication adherence: Morisky Medical Adherence Scale (MMAS)	4-item questionnaire that assesses subjective impression of medication adherence behaviors [80]
Participant variables
Participant demographic information	Self-reported demographic questionnaire which included questions about income, education, employment and insurance
Anxiety: Beck Anxiety Inventory (BAI)	21-item questionnaire designed to screen for symptoms of anxiety as distinguished from symptoms of depression [81,82]
Quality of Life:  EQ-5D	18-item questionnaire assessing health status based on five dimensions including: mobility, self-care, usual activities, pain/discomfort and anxiety/depression [83]
Short Form Health Survey (SF-12)	12-item questionnaire used to assess functional health and well-being which includes physical and mental component summary scales [84,85]
Acculturation: Marin-Marin Acculturation Scale (Spanish speakers only)	12-item questionnaire measuring acculturation with subscales for language use, media use, and preference for social relations [86]