Inclusion Criteria:  18 years of age or older had disability for at least one year score of less than 10 on the Modified Fatigue Impact Scale 5 question (MFIS-5) ability to read and speak English at the 6th grade level willing to use their own phone and SMS  Exclusion Criteria:  evidence of acute condition (e.g. relapse) sleep apnea inability to answer interview questions or provide consent terminal cancer