prof. dr. B.C.C. (Tiny) Berlo

prof. dr. B.C.C. (Tiny) Berlo

Full Professor
prof. dr. B.C.C. (Tiny) Berlo
  • Department of Public Health, Healthcare Innovation & Evaluation and Medical Humanities (PHM)

Research Programs

Circulatory Health



Tiny Jaarsma is employed part time as a professor at Nursing Science since 2018, placed in the Julius Center, University Medical Center Utrecht with a position as a professor in Chronic Care/ Cardiovascular Nursing Care. She is also full professor in Nursing at Linköping University in Sweden, were she lives with her family.

Tiny Jaarsma received her bachelor education in nursing HBO-V in Groningen, the Netherlands, received her master degree in Health Sciences from the University of Maastricht in 1992, as part of a Dr Dekker fellowship of the Netherlands Heart Foundation. She studied 6 months at the UCLA in 1993 and completed her doctoral degree in 1999 at the University of Maastricht.

Her working life, she spend mostly in research and nursing. After her graduation she worked as a nurse in the University Medical Center in Groningen in the departments of internal medicine and cardiology. After her master degree, she worked as an assistant professor at the University of Maastricht. After her doctoral degree she worked as a post-doc researcher at the Netherlands Heart Foundation (from 1988-2000), and as a researcher and associate professor in the University Medical Center Groningen from 2000-2010. In 2010 she immigrated to Sweden to work at Linköping University as a full professor in Nursing. Together with professors Strömberg and Märtensson she is heading a research group (CESAR) with 25 national and international researchers in the area of cardiac care in Sweden. Her research has been published in over 400 publications ranging from short practical communications, book chapters to scientific publications in peer reviewed journals.

The last 15 years, Tiny Jaarsma has obtained more than 22 international competitive research grants from national (Netherlands and Sweden) and European funding (FP7 funding), with the largest grant held for the COACH study 3,3 mil Euro). 

Tiny her main scientific achievement is the integration of current scientific knowledge in a middle range theory: ‘the middle range theory of self-care in chronic illness’ developed with professors Anna Strömberg (LiU and Barbara Riegel (University of Pennsylvania). Related to this main achievement is the development of the European Heart Failure Self-care Behavior Scale that is currently translated in 21 languages and used in international research trials.

Side Activities

  • Editor-in Chief of the European Journal of Cardiovascular Nursing 
  • Associate editor of the European Heart Journal and ESC-Heart Failur
  • AHA CVSN Leadership committee (2016-now)
  • American Association of Heart Failure Nursing Research Consortium (2018-now)
  • Board member of the Association for Cardiovascular Nursing and Allied professionals of the European Society of Cardiology (now)
  • Board member of the Heart Failure Association of the European Society of Cardiology (now)
  • Member of Steering committee Fresh-Up study (Gommers, NL)

chair in webinars of TMA and heart failure policy network 


Research Output (50)

Guidance on the management of left ventricular assist device (LVAD) supported patients for the non-LVAD specialist healthcare provider:executive summary

Ben Gal Tuvia, Ben Avraham Binyamin, Milicic Davor, Crespo-Leiro Marisa G, Coats Andrew J S, Rosano Giuseppe, Seferovic Petar, Ruschitzka Frank, Metra Marco, Anker Stefan, Filippatos Gerasimos, Altenberger Johann, Adamopoulos Stamatis, Barak Yaron, Chioncel Ovidiu, de Jonge Nicolaas, Elliston Jeremy, Frigerio Maria, Goncalvesova Eva, Gotsman Israel, Grupper Avishai, Hamdan Righab, Hammer Yoav, Hasin Tal, Hill Loreena, Itzhaki Ben Zadok Osnat, Abuhazira Miriam, Lavee Jacob, Mullens Wilfried, Nalbantgil Sanemn, Piepoli Massimo F, Ponikowski Piotr, Potena Luciano, Ristic Arsen, Ruhparwar Arjang, Shaul Aviv, Tops Laurence F, Tsui Steven, Winnik Stephan, Jaarsma Tiny, Gustafsson Finn 18 Aug 2021, In: European Journal of Heart Failure. 23 , p. 1597-1609 13 p.

Status of theory use in self-care research

Jaarsma Tiny, Westland Heleen, Vellone Ercole, Freedland Kenneth E., Schröder Carin, Trappenburg Jaap C.A., Strömberg Anna, Riegel Barbara 2 Dec 2020, In: International journal of environmental research and public health. 17 , p. 1-13 13 p.

Self-care of heart failure patients:practical management recommendations from the Heart Failure Association of the European Society of Cardiology

Jaarsma T, Hill L, Bayes-Genis A, Brunner La Rocca H P, Castiello T, Čelutkienė J, Marques-Sule E, Plymen C M, Piper S E, Riegel B, Rutten F H, Ben Gal T, Bauersachs J, Coats Ajs, Chioncel O, Lopatin Y, Lund L H, Lainscak M, Moura B, Mullens W, Piepoli M F, Rosano G, Seferovic P, Strömberg A 20 Oct 2020, In: European Journal of Heart Failure. 23 , p. 157-174 18 p.

Integration of a palliative approach into heart failure care:a European Society of Cardiology Heart Failure Association position paper

Hill Loreena, Prager Geller Tal, Baruah Resham, Beattie James M., Boyne Josiane, de Stoutz Noemi, Di Stolfo Giuseppe, Lambrinou Ekaterini, Skibelund Anne K., Uchmanowicz Izabella, Rutten Frans H., Čelutkienė Jelena, Piepoli Massimo Francesco, Jankowska Ewa A., Chioncel Ovidiu, Ben Gal Tuvia, Seferovic Petar M., Ruschitzka Frank, Coats Andrew J.S., Strömberg Anna, Jaarsma Tiny 2020, In: European Journal of Heart Failure. 22 , p. 2327-2339 13 p.

Characteristics of self-care interventions for patients with a chronic condition:A scoping review

Riegel Barbara, Westland Heleen, Iovino Paolo, Barelds Ingrid, Bruins Slot Joyce, Stawnychy Michael A, Osokpo Onome, Tarbi Elise, Trappenburg Jaap C A, Vellone Ercole, Strömberg Anna, Jaarsma Tiny 2020, In: International Journal of Nursing Studies. 116 , p. 1-10

Effects of exergaming on exercise capacity in patients with heart failure:results of an international multicentre randomized controlled trial

Jaarsma Tiny, Klompstra Leonie, Ben Gal Tuvia, Ben Avraham Binyamin, Boyne Josiane, Bäck Maria, Chialà Oronzo, Dickstein Kenneth, Evangelista Lorraine, Hagenow Andreas, Hoes Arno W, Hägglund Eva, Piepoli Massimo F, Vellone Ercole, Zuithoff Nicolaas P A, Mårtensson Jan, Strömberg Anna 2020, In: European Journal of Heart Failure. 23 , p. 114-124 11 p.

Exercise training in patients with ventricular assist devices:a review of the evidence and practical advice. A position paper from the Committee on Exercise Physiology and Training and the Committee of Advanced Heart Failure of the Heart Failure Association of the European Society of Cardiology

Adamopoulos Stamatis, Corrà Ugo, Laoutaris Ioannis D, Pistono Massimo, Agostoni Pier Giuseppe, Coats Andrew J S, Crespo Leiro Maria G, Cornelis Justien, Davos Constantinos H, Filippatos Gerasimos, Lund Lars H, Jaarsma Tiny, Ruschitzka Frank, Seferovic Petar M, Schmid Jean-Paul, Volterrani Maurizio, Piepoli Massimo F Jan 2019, In: European Journal of Heart Failure. 21 , p. 3-13 11 p.

Optimism and quality of life in patients with heart failure

Kraai I H, Vermeulen K M, Hillege H L, Jaarsma T, Hoekstra T Dec 2018, In: Palliative & supportive care. 16 , p. 725-731 7 p.

The rise of activity monitoring

Jaarsma Tiny, Klompstra Leonie, Strömberg Anna 26 Nov 2018, In: European Journal of Preventive Cardiology. 26 , p. 380-381 2 p.

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

Riegel Barbara, Jaarsma Tiny, Lee Christopher S, Strömberg Anna 19 Nov 2018, In: Advances in Nursing Science. 42 , p. 206-215 10 p.

All research output

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