Limitations
This study has limitations. First, trial enrollment occurred only at 1 ED in a large urban community tertiary care center in the northeastern US. Second, enrolled participants were predominantly of Puerto Rican descent. While not surprising given the geographic location of the enrollment site and the historic predominance of the Puerto Rican population compared with other Latino groups in the northeastern US, consideration of variability in cultural stressors within different US Latino subgroups could be relevant to interpretation of the findings. Third, while our participant retention was successful, we are not able to comprehensively account for all outcomes among those unavailable for follow-up at some point after the initial baseline assessment. Given the short engagement with the interventions, it is unlikely that mechanisms leading to study withdrawal and missing data months after the intervention were differential between the 2 groups. Rates and reasons for missing outcomes were similar across intervention groups at all time points. Fourth, this trial was originally designed before 2013 and conducted using long-standing 