 Statistical analyses will be conducted to meet the planned study objectives. With regard to intervention effects, one way analysis of variance with planned contrasts will be used to examine between-group differences for each of the continuous variables Patient Activity, Kansas City Cardiomyopathy Questionnaire KCCQ, Patient Health Questionnaire PHQ-9, six-minute walk test 6MWT, 30 second timed chair rise 30-s TCR, heart rate variability, Optivol Fluid Index. If the data do not meet the requisite assumptions, the Kruskal-Wallis analysis of variance by ranks will be used. Baseline to 3 months data will be used to assess immediate intervention effects and to 9 month follow-up will be used to assess retention effects. 