The findings suggest the need for psychologists, nurses, and other health professionals to integrate psychosocial aspects into existing cardiac rehabilitation program in order to potentially improve other domains of QOL in Colombian patients with CHF. Delivery of the regular and long-term patient support required to improve diabetes self-management remains a challenge for health systems. This study is evaluating the health outcomes and costeffectiveness of a program using an automated interactive telephone system, the Diabetes Telephone Linked Care (TLC) Australia, designed to promote and support behaviour change and disease management.