Heart failure is a leading cause of hospitalization and death, with significant consequences for quality of life and health economics. Despite exisiting knowledge and clear guidelines, only a small number of heart failure patients receive follow-up care after hospital discharge, mainly due to a lack of capacity and resources.

The interdisciplinary»Individualized Tailored Home Follow-up after Hospitalization for HEART Failure (IT-HEART)» project aims to determine whether customized home follow-up is a cost-effective and feasible approach to monitoring multi-illness patients following hospitalization for worsening heart failure. The project includes an observational study involving 85 participants and a multi-center clinical trial (https://clinicaltrials.gov/study/NCT05447598) where approximately 200 patients from 2023 to 2025 hospitalized with worsening heart failure are randomized to current clinical practice or digital home follow-up. The intervention involves patient education, symptom monitoring, and at-home self-recording over three months, linked to selv-care plan. Data to describe the study population and evaluate the potential effects of the intervention are collected from hospital records, clinical examinations and tests, questionnaires, digital platforms, and national registers at the start of the study and after 3 and 12 months of follow-up. Qualitative in-depth interviews with patients and study personnel will also be conducted to evaluate intervention feasibility and user/patient satisfaction.

The project is led by John Munkhaugen in collaboration with post-doctoral researcher, and involves two PhD candidates.