Soil health is essential for agricultural adaptability and sustainability to climate change challenges. While soil health has been extensively studied in temperate annual agroecosystems with yield maximization goals, it remains understudied in semi-arid irrigated vineyards with unique production goals. This dissertation includes a participatory and multidisciplinary approach to assess the variability of soil health in vineyards. Integrating grower insights and scientific assessments, these three interconnected studies collectively address the complex relationship and variability of soil health practices, indicators, and microbial diversity in vineyards. The first chapter is composed of a “needs assessment” that evaluated wine grape growers’ perceptions and attitudes of soil health through semi-structured interviews. Growers defined vineyard soil health as a balanced, biodiverse, and resilient ecosystem that supports high-quality grape production. Barriers such as economic risks and knowledge gaps hinder the adoption of soil health practices, especially among Late Majority growers, emphasizing the need for targeted outreach and practical, outcome-based research. The second chapter focuses on assessing the variability of soil health indicators, such as those that represent carbon, nutrient and water cycling functions as well as microbial diversity, across grower-defined challenging and ideal soils in vineyards. Soil texture emerged as a key determinant of soil health for the growers due to its influence on water cycling functions and perceived effects on vine balance and grape quality. In contrast, disturbance (till vs no-till) practices and vineyard zone (vegetative cover in the tractor rows vs bare and irrigated vine rows) influenced the variability of several soil health indicators. This work underscores the value of incorporating grower collaboration to link soil health assessments with management decisions, particularly those targeting carbon and water cycling. The third chapter investigates the diversity of soil microbial communities and their relationships with soil health indicators in vineyards. Variability in microbial alpha (Shannon diversity index) and beta (Bray-Curtis dissimilarity) diversity was influenced by soil texture, disturbance, and depth. Key soil health indicators, such as TC, MBC, WAS, and NO3--N, correlated with microbial diversity, revealing critical connections between microbial dynamics and soil health functions. Together, these studies illustrate the importance of integrating grower perspectives, soil health assessments, and microbial diversity analyses to enhance sustainable vineyard management, advancing our understanding of grower needs, soil health functions, and their role in viticulture.