Collaborative Care to Alleviate Symptoms and Adjust to Illness in Chronic Heart Failure (CASA) Trial

Inclusion Criteria:

Age 18 years of age or older
Able to read and understand English
Consistent access to a telephone
Patients have a primary care or other provider who is willing to facilitate intervention medical recommendations
A diagnosis of heart failure with at least one of the following:

[hospitalization primarily for heart failure in the year prior (including current); taking at least 20 mg oral furosemide (or equivalent) daily in a single or divided dose; Brain natriuretic peptide(BNP) ≥ 100 or N-terminal prohormone of brain natriuretic peptide(NT-proBNP) ≥ 500; EF≤40%]

Report a low health status (KCCQ-SF≤70)
Bothered by at least one target symptom:

[Pain; Depression; Fatigue; Breathlessness]

Exclusion Criteria:

Previous diagnosis of dementia
Active substance abuse or dependence, defined by either a diagnosis of abuse or dependence or an AUDIT-C ≥ 8, or self-reported substance abuse in the past 3 months
Comorbid metastatic cancer
Nursing home resident
Heart Transplant recipient
LVAD recipient