 This study follows NIH standards for mixed-method research by integrating data from quantitative and qualitative components of the study in an iterative fashion. The sample size and power estimates are based on realistic evaluation of effect size. Data collection will involve programmatic assessments, interviews, focus groups, surveys, and testing for A1c, BMI, and stress. The research team has the expertise and experience in patient-engaged research necessary to conduct the proposed study and the investigators have an institutional infrastructure that supports the academic and community partnerships necessary for this study. 