Overview

The goal of this pilot interventional study is to assess the feasibility and acceptability of a supportive intervention for patients affected by heart failure. The main questions it aims to answer are:

• Are implementation strategies effective in facilitating participant fidelity?
• What factors contribute to patients' satisfaction with the designed intervention, and how can these be optimized for improved patient experience and adherence?
• Are the methods and tools established the most appropriate to ensure the completeness of the data collection?

Participants will follow a combined intervention consisting of:

1. pre-discharge educational meeting;
2. telephone nurse-led coaching sessions;
3. home telemonitoring of vital signs.

In the main trial, researchers will compare data from the intervention group with a control group to assess whether it reduces hospitalization rates and improves self-care capabilities

Eligibility

Inclusion Criteria:

• aged 65 and over
• hospitalized for cardiac decompensation, regardless of ejection fraction (FE) value (preserved or decreased)
• expected to be discharged home will be considered eligible.

Exclusion Criteria:

• Individuals who lack the cognitive and/or physical capabilities (Mini-COG +) for self-monitoring of vital signs, and without a caregiver available to assist them
• people who receive other medical services