Inclusion Criteria:  age ≥ 18 years old; length of ICU stay >5 days (excludes patients with less comorbidity); recruitment within 48 hours of ICU discharge (standardizes time to begin intervention); able to independently move upper and lower extremities (required to participate in intervention); cognitively able to complete the assessments and comply with physical testing instructions; able to speak English or Spanish; and reside at home prior to ICU admission.  Exclusion Criteria:  documented mental incompetence; dependent status pre-ICU admission (assessed by the Katz Index of Independence in Activities of Daily Living); evidence of delirium assessed using the Confusion Assessment Method; hearing impairment; documented "comfort measures only" or impending death; prior residence in a long-term care facility; and unstable clinical measures defined as Heart Rate (>140 beats/minute) or Respiratory Rate (>35 breaths/minute), blood pressure (systolic blood pressure >180 mmHg or < 90mmHg), ventilation problems, agitation, or perspiration. We will not enroll adults unable to consent, individuals who are not yet adults (infants, children, teenagers), pregnant women, and prisoners.