Table 7 Differences in labile depression scorers

Monotonic increasing

CHW Feedback Mirrors Physician Messages

“These were changes that I was already carrying out upon recommendation of my doctor.” Male, age 48. Spanish interview

Monotonic increasing

CHW Feedback Aligned with Participant Effort

“I saw changes in my person. I began to feel better and that motivated me to continue doing [exercise and healthy eating]. I have been following this routine for 3 years and if 1 day I don’t do it, I feel like I am missing something.” Male, age 64, English interview

“I followed her indications…and I also put great effort into it. I saw everything was going well. I mean, everything started to change because now I feel much lighter.” Female, age 71, Spanish interview

Monotonic increasing

CHW Support Tied To Improved Measureable Health Outcomes

“In fact my glucose level went down thanks to their recommendations about how to cook my food.” Female, age 65, Spanish interview

“Motivation was the only thing that I needed, and I noticed some changes in that…I lost 15 pounds in 1 year.” Male, age 55, Spanish interview

Monotonic decreasing

Participant Reticence to Engage with CHW

“She would dedicate herself only to the topic…she wouldn’t talk about other things, she was only on the topic that she came to explain.” Female, age 45, Spanish interview

Interviewer: “Were the changes you made as a result of the promotora?”

Participant: “No, I was already making changes.” Female, age 39, Spanish interview

Monotonic decreasing

Comorbid Depression is Barrier to Relationship with CHW

“When I became unemployed, I got very depressed here in my house.” Female, age 42, Spanish interview

“I try to get out of that [depressed mood]…but, it was awful.” Female, age 45, Spanish interview

“When [CHWs] came by I was very depressed and so they told me, ‘You need to walk more, if you walk at least 15 min you will reject the anxiety a bit.’” Female, age 41, Spanish interview