Study Design -A randomized, multicenter, national, phase II clinical trial aimed at evaluating the effectiveness of self-care promotion using a multifaceted strategy based on sending text messages(SMS) to patients with heart failure.~Methodological quality~-Central randomization with allocation concealment; Decision committee for blind outcome assessment; Intention-to-treat analysis~Primary Objective -To develop and evaluate the feasibility of a monitoring, education and self-care strategy to optimize the management of patients with heart failure (HF) after hospital discharge.~Secondary Objectives~-To evaluate, in patients with heart failure, the effect of a self-care promotion program using a multifaceted strategy in comparison to the usual care about acceptability to the application of SMS, patient and / or family satisfaction with care, quality of life scales health scales, self-care scales and knowledge on HF, visual analog scale of dyspnea, and clinical outcomes at 30 and 180 days.~Experimental group:~-Self-care promotion using a multifaceted strategy based on the use of a tele-monitoring device, based on short message system (SMS) messages and self-care teaching tools.~Patients will receive daily messages to optimize self-care in heart failure with the following functions:~customized reminders about medication schedules~weight and symptoms of decompensation monitoring assessing a decision tree with diuretics adjustment if needed and alerts that define the need to contact a health professional for early intervention before deterioration of the clinical state, identifying situations that require clinical intervention.~educational content on heart failure for the patient (symptoms of the disease, healthy habits for HF, warning signs for severity)~diary for registration of visits to health services and clinical setting.~Control group:~-Usual outpatient care~Follow-up~Follow up will be at least 180 days from the inclusion in the study.~Sample size estimation 350 patients per group (700 patients)
Study Design: A randomized, multicenter, national, phase II clinical trial aimed at evaluating the effectiveness of self-care promotion using a multifaceted strategy based on sending text messages(SMS)to patients with heart failure.~Methodological quality:~Central randomization with allocation concealment;~Decision committee for blind outcome assessment;~Intention-to-treat analysis