Inclusion Criteria:

• 1. Member of an underserved population defined by either of the following:
• 1. Received health care at a federally qualified health center within the past 2 years
• 2. Living in a neighborhood with an Area Deprivation Index ≤ 20th percentile
• 2. Elevated depressive symptoms (10-item CES-D score≥10)94,95
• 3. One or both of the following modifiable cardiometabolic risk factors:
• 1. Excess adiposity (body mass index ≥ 28.0 kg/m2)
• 2. Physically inactive according to the 2018 U.S. Physical Activity Guidelines:96 less than 150 minutes of moderate intensity, 75 minutes of vigorous intensity, or an equivalent combination of moderate and vigorous intensity activity, per week based on a 7-day accelerometry protocol

Exclusion Criteria:

• 1. Under 18 years of age
• 2. Not fluent in English
• 3. Uncontrolled serious mental illness
• 4. High risk for suicidality on the Columbia Suicide Severity Scale
• 5. Conditions jeopardizing staff safety at home data visits
• 6. Individual is dependent on a caretaker for activities of daily living
• 7. Currently lives or plans to move outside Cook and Lake Counties