Inclusion Criteria:  Diagnosis of ALS Within the early stages of disease progression (i.e., able to talk, breathe, and eat independently) Speaker of English Have a family member/caregiver willing to assist as needed Have access to an electronic device and internet for tele-health  Exclusion Criteria:  A history of neurological disease (besides ALS) A history of asthma or respiratory problems (e.g., COPD, emphysema) A history of head, neck, or chest surgery (except mastectomy) A history of smoking within the last 5 years Reliance on mechanical ventilation (including CPAP)