Table 1.

Content of Each of the 3 Modules Used in the Intervention

	Module 1	Module 2	Module 3
Cognitive component	The circulatory system, definition of HF, medications, and symptom management	Lifestyle modifications: diet, smoking cessation, alcohol, immunization, regular exercise	Directing the care, relationship, and sexual activities; prognosis
Cognitive outcomes	Increased knowledge on the chronic HF syndrome and treatment	Increased knowledge on the rationale for lifestyle changes	Increased knowledge on chronic HF care and outcomes
Support component	Introduce psychosocial support concept	Assess patient’s need of support Modify caregiver behavior	Assess partner’s need of support Discuss partner’s burden
Support outcomes	Improved mental and physical functions	Strengthen self care behavior	Improved mutual support Decreased partner’s burden Improved control
Behavioral component	Intentions, abilities and self-efficacy regarding self-care	Barriers to lifestyle modifications	Strategies to improve or maintain self-care behavior
Behavioral outcomes	Daily weighing Monitoring of symptoms Flexible diuretic intake Adherence to medications	Salt and fluid restriction Influenza and Pneumococcal immunizations Regular exercise	Identifying life priorities and planning for the future
Teaching material	Booklet 1—basic level Flip chart	Booklet 2—advanced level CD-ROM	Booklet 2—advanced level CD-ROM