Table 1 Eligibility criteria

1. Age over 18 years

Physical activity limitations due to noncardiac and/or pulmonary conditions

2. Chronic obstructive pulmonary disease (COPD) GOLD classification (classes B, C, and D) [11]

Limited life expectancy

3. Systolic and/or diastolic heart failure (HF) New York Heart Association (NYHA) classes II, II, and IV

Severe cognitive impairments

4. At least one hospitalization or visit due to HF or COPD exacerbation in the previous 12 months

5. Signed informed consent