Inclusion Criteria:  Age 18 years or older Speak and read English A diagnosis of acute coronary syndrome (ACS) based on ICD10 codes in the electronic health record within the past 12 months. Scored >1 (sometimes, often, or very often) on at least one item from the Aversive Cognitions about Physical Activity Scale Express interest in participating  Exclusion Criteria:  Severe disabling chronic medical and/or psychiatric comorbidities determined on a case-by-case basis that prevent safe or adequate participation Participated in >1 cardiac rehabilitation program session within the past 12 months Unable to comply with the protocol (either self-selected or indicated during screening that s/he could not complete all requested tasks) for reasons that include, but are not limited to, patients with a level of cognitive impairment indicative of dementia, patients with current alcohol or substance abuse, patients with a significant movement disorder that interferes with walking, and patients with severe mental illness (e.g., schizophrenia) Unavailable for follow-up for reasons such as terminal illness and imminent plans to leave the United States (as we have migrant or mobile patients due to their citizenship and work issues). Do not own either a tablet or smartphone (iPhone or Android) to conduct Zoom video visits