Development and Evaluation of 'My Voice': a Randomized Controlled Trial

This study is testing a web-based tool called 'My Voice' that helps patients with heart failure and their caregivers communicate their treatment preferences and end-of-life wishes to their medical team. The goal is to improve advance care planning and make sure patients' values guide their medical decisions. **You may be eligible if (as a patient)...** - You are 21 or older, a Singaporean citizen or permanent resident - You have been diagnosed with heart failure (NYHA class II with ejection fraction ≤ 35%, or class III/IV) - You have adequate cognition (based on Abbreviated Mental Test) - You can speak and read English, Mandarin, or Malay - You have a mobile phone or landline and a permanent Singapore address **You may NOT be eligible if...** - You have significant cognitive impairment - You do not speak English, Mandarin, or Malay - You were previously enrolled in an earlier phase of this study - You are unwilling to complete a web-based program Talk to your doctor to see if this trial is right for you.