This study will adapt a community health worker (CHW)-led Type 2 diabetes (T2D) intervention to include mental health and digital components using a trauma informed care approach, and test the feasibility and acceptability of this intervention to support South Asians with T2D at risk for depression.

Specific Aim 1: Examine factors associated with distress, poor mental health, and comorbid T2D and depression among South Asians to inform pilot study structure and content.

Specific Aim 2: Adapt CHW-led T2D intervention to include mental health and digital components using a trauma-informed care approach and the ecological validity model.

Specific Aim 3: Evaluate the feasibility and acceptability of a pilot CHW-led intervention to support participants with T2D who are at risk for depression.

Inclusion Criteria:

Aim 1 (Qualitative Component):

• South Asian ethnicity based on self-report information
• 18 years of age or older
• Residing in NYC
• Willingness and capacity to provide consent

Aim 3: Pilot Intervention:

• South Asian ethnicity based on patient demographic information
• 18 to 75 years of age
• Appointment for routine non-emergent primary care in the past 12 months
• Diagnosis of Type 2 diabetes
• Patient Health Questionnaire-9 (PHQ-9) score of ≥5 (mild to severe depression)
• Residing in NYC
• Willingness and capacity to provide consent

Exclusion Criteria:

Aim 1 (Qualitative Component):

• Diagnosed cognitive deficits or limited decision-making capacity

Aim 3: Pilot Intervention:

• Pregnant at the time of screening
• Type 1 diabetes or diabetes secondary to other conditions (e.g., steroid-induced, pancreatic insufficiency)
• Malignancy or life-threatening illness with a life expectancy of <5 years
• Inability to perform unsupervised physical activity
• Diagnosed cognitive deficits or limited decision-making capacity
• Currently taking anti-depressant medication or receiving counseling services.

All of the individual participant data collected during the trial, after deidentification, will be shared with researchers who provide a methodologically sound proposals, provided the requesting researcher executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Study data will be deposited into the repository at the time of an associated study publication or end of performance period, whichever comes first. The protocol and statistical analysis plan will be posted on Clinicaltrials.gov only as required by federal regulation or supporting awards and agreements.

Study data will be deposited into the repository at the time of an associated study publication or end of performance period, whichever comes first.

Data are available for 5 years at a third party website (Link to be included).