Inclusion Criteria:  Diagnosis of heart failure Receiving home health care from Penn Medicine at Home at time of screening. Technology capabilities to participate in the program (laptop or tablet with a camera, internet access). Able to read and write in English. Cognitive ability to participate in the program if the participant is able to score12/15 on the Montreal Cognitive Assessment (MoCA) 5 Minute Phone Test.  Exclusion Criteria:  Hearing impairment that impacts communication. Previous experience receiving occupational therapy services from the principal investigator.