IRCT20211122053151N1 IRCT 2021-12-27 University of social welfare and rehabilitation sciences The effect of self-management program based on 5A model on self-management ability and Symptoms of heart failure of the elderly The effect of implementing a self-management program based on Model 5A on self-management ability and symptoms of heart failure in the elderly with chronic heart failure 2022-01-10 anticipated 80 Complete https://irct.ir/trial/60175 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Education/Guidance, Randomization description: Sequentially (numbered, opaque, sealed envelopes) In this study, samples will be assigned to the intervention and control groups using sealed envelopes. In this way, 40 cards with the english letter A and 40 cards with the english letter B will be prepared and placed in sealed envelopes, and each patient will choose one of these cards at random without insertion, and if The choice of the letter A will be in the intervention group and if the card B is selected in the control group. N/A Heart failure. Intervention 1: Intervention group: The self-management program based on model 5A, which includes 5 stages of assess, advise, agree, assist and arrange, will be implemented in the intervention group. In the first stage or assess, the problems of each person are identified, in the second stage based on the results of previous stage, the client is instructed about the problems and stressors. In the third stage or agree, the researcher and the client agree on the behavioral goals and plans to achieve those goals. In the fourth stage or assist, advice is given based on the needs of patients, by face-to-face oral instruction or handing out brochures. Finally, in the fifth stage, Follow-up will be done by phone and visit in the clinic. This program includes theoretical and practical training, as a program with the follow up of behavioral goals set during 12 weeks. In the first week, stage 1 ,2 and 3 will performed in an individual meeting (90 minutes). In the second and third week, will performed stage 4 in a group meeting (2 hours) and an individual meeting (60 minutes) and the stage 5 will performed from fourth to twelfth week of follow-up in next 2 months by phone call (daily phone call, in the first two weeks; twice a week phone call, in the next two weeks and then monthly calls) and face-to-face meeting (every four weeks). Intervention 2: Control group: The control group will receive the usual training (what is routinely taught in the clinic; such as reading educational pamphlets if desired). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Based on university regulations raw data will be kept in the custody of the main researcher or the Ethical Committee.