Inclusion Criteria:  enrolled in the UTHealth-Harris Health House Call Service (HCS) frail or prefrail by The Fried Frailty Phenotype (FFP) medically stable  Exclusion Criteria:  robust by FFP have Mini-Cog score <3 and/or are unable to follow instructions have a pre-diagnosed terminal illness unable to ambulate unable to use their upper extremities, and/or are already participating in physician-prescribed physical therapy or occupational therapy.