Piloting the IPROACTIF Program to Preserve Functioning and Prevent Cognitive Decline

Inclusion Criteria: * English speaking * Community-dwelling * 55 years of age * Primary diagnosis of heart disease (coronary artery disease, ischemic heart disease, hypertensive heart disease), or uncontrolled diabetes (HBA1c greater than/equal to 10) * Self-reported risk of functional decline (score of 3 or higher) on the 11-item Brief Risk Identification of Geriatric Health Tool or self-reported need for assistance with disease management Exclusion Criteria * Current/past diagnosis of stroke or other neurological disorders * Receiving pharmacological treatment for cognition * Participating in other exercise or ADL-focused intervention studies * Non-English speaking * Residing in a long-term care institution * Compromised decision-making capacity (score \>8 on SOMCT)