Table 1 Quantitative objectives, outcome measures, and timepoints of assessment

Primary objective:

 To compare the effects of the Hans Kai program versus standard care on mental health

Mental Health Continuum Short Form (MHC-SF)

The MHC-SF will be completed at each assessment visit

Secondary objectives:

 1) To compare the effects of the Hans Kai program versus standard care on social connections

1) Revised UCLA Loneliness Scale

The UCLA Loneliness Scale will be administered at baseline and then every 6 months of the Hans Kai program or standard care control

 2) To compare the effects of the Hans Kai program versus standard care on health-related knowledge and empowerment (i.e., self-efficacy and self-determination)

2) Perceived Health Competence Scale (PHCS)

The PHCS will be administered at baseline and then every 6 months of the Hans Kai program or standard care control

 3) To compare the effects of the Hans Kai program versus standard care on health-promoting behaviors (i.e., diet, alcohol consumption, tobacco use, physical activity, and sleep)

3a) Modified version of the Healthy Eating Assessment

3b) Pittsburgh Sleep Quality Index (PSQI)

3c) Fitbit

All self-report measures will be administered at baseline and then every 6 months of the Hans Kai program or standard care control

Participants will be asked to wear a Fitbit for a total of seven days at baseline and then every 6 months of the Hans Kai program or standard care control

Tertiary objective:

 To compare the effects of the Hans Kai program versus standard care on clinical measures of cardiometabolic health

Clinical exams will be performed by a registered nurse

Waist circumference, blood pressure, fasting blood sugar, and heart rate will be measured at baseline and then every 6 months of the Hans Kai program or standard care control