Photo of Naoko Perkiö Kato

Naoko Perkiö Kato

Associate Professor, Docent

How can nurses help heart failure patients to prevent worsening of heart failure? Self-care, psychological well-being as well as medical therapy are keys for the patients to live a good life. I am involved in research projects in Japan and Sweden.


Self-care support for patients with chronic heart failure

Heart failure (HF) is a universally prevalent and money-consuming condition associated with heavy symptom burden and frequent hospital admissions. In Japan, I started to work on my own research interest, being improving care and quality of life of HF patients and their families. I started the first research in translating HF self-care scales developed in European countries (Kato et al, 2008) and in exploring factors associated with poor HF self-care behavior (Kato et al, 2009) as my master’s thesis at the department of Adult Nursing, University of Tokyo. In addition, we developed a HF self-care educational program provided by a multidisciplinary team and tested effects of the program in a randomized pilot study as my PhD dissertation at the department of Adult Nursing, University of Tokyo (Kato et al, 2012; Kato et al 2016). To assess effects of the program, the HF self-care scale as well as a Japanese HF knowledge scale we had developed previously were used (Kato et al, 2008; Kato et al, 2013). Moreover, we have revealed that insufficient self-care is associated with an increased risk of HF hospitalization and mortality in chronic HF patients (Kato et al, 2013).

Self-care support for patients with a left ventricular assist device (LVAD) and their caregivers

During my postdoctoral fellowship at the department of cardiovascular medicine, University of Tokyo Hospital in Japan, I have started a new research for patients after an implantation of LVAD. We showed that QoL of patients were improved after LVAD implantation (Kato et al, 2015), whereas caregiver’s QoL score were significantly impaired compared with the score from normal population (Kato et al, 2018). Additionally, we have conducted systematic review regarding self-care of these LVAD patients (Kato et al, 2014), and identified LVAD self-care behaviors. On the basis of the results, a LVAD self-care behavior scale was developed using a Delphi method including 10 international healthcare professionals. A study for examining the validity and reliability of this scale is now ongoing in the team of Professor Jaarsma and Professor Strömberg.

Telemonitoring for chronic HF patients

Since August 2013, I had worked as a postdoc at Linköping University in the team of Professor Jaarsma and Professor Strömberg. We have performed a questionnaire survey about HF telemonitoring in Japan and Sweden. We found that only a few Japanese hospitals and no Swedish hospitals/clinics have introduced telemonitoring for HF patients, but cardiologist and nurses could see a role for telemonitoring for their HF patients. (Kato et al, 2015).

β-blockers therapy in systolic HF patients

During my postdoc in Japan, we revealed that the composite endpoint rate of HF hospitalization and/or all-cause death was significantly decreased. Recent improvement of clinical outcome among HF with reduced ejection fraction patients may be attributable to the up-titration policy of β-blocker accompanying lowered heart rate. Resting heart rate ≤71 beats/min and β-blocker ≥10 mg/day (i.e., 50% of the target dose for Japanese patients) could be surrogate markers when titrating β-blocker (Kato et al, 2013; Kato et al, 2014).

About me


  • Registered Nurse 2001
  • Public Health Nurse 2003
  • Bachelor of Health Science 2003 (The University of Tokyo)
  • Master of Health Science 2007 (The University of Tokyo)
  • PhD in Health Science 2010 (The University of Tokyo)
  • Docent in Nursing Science 2021 (Linköping University)


  • The University of Tokyo, Department of Cardiovascular Medicine (2010-2013)
  • Linköping University, Department of Social and Welfare Studies (2013-2015)
  • Linköping University, Department of Medical and Health Sciences (2015. 11-2016. 4)


  • Associate Editor, European Journal of Cardiovascular Nursing (current)
  • Editorial Board, Korean Journal of Adult Nursing (current)


CESAR Network

Member of the CESAR, which is a group of researcher that works toward Collaboration and Exchange in Swedish cardiovascular caring Academic Research.



  • Paul Dudley White International Scholar Award (The American Heart Association) 2022
  • Early Career Investigator Travel Grant (The American Heart Association’s Council on Cardiovascular and Stroke Nursing, CVSN) 2022.
  • Nursing/Allied Professional Investigator Award Finalist (ESC Council on Cardiovascular Nursing and Allied Professions) 2013
  • A Post-Doctoral Mentoring Award (ESC Council on Cardiovascular Nursing and Allied Professions) 2011
  • Young Investigator Award (Clinical) Finalist (Japanese Heart Failure Society) 2008
  • Nursing Investigator Award (Heart Failure Society of America) 2007

Research Fellowship

  • Japan Society for the Promotion Science (JSPS) Postdoctoral Fellow for Research Abroad. (A comparative study on heart failure disease management program in Japan and Sweden). August 2013- Sep 2015
  • A Grant-in-Aid for the JSPS Postdoctoral Research Fellow. Development of a heart failure disease management program. April 2010-March 2013)
  • A Grant-in-Aid for the JSPS Research Fellow. Development and evaluation of a disease management program for heart failure patients and their family. April 2008-March 2010


Cover of publication ''
Naoko Perkiö Kato, Tiny Jaarsma, Jesus M Casida, Christopher S. Lee, Anna Strömberg, Tuvia Ben Gal (2019)

Progress in transplantation , Vol.29 , s.335-343 Continue to DOI

Cover of publication ''
Naoko Perkiö Kato, Koichiro Kinugawa, Miho Sano, Asuka Kogure, Fumika Sakuragi, Kihoko Kobukata, Hiroshi Ohtsu, Sanae Wakita, Tiny Jaarsma, Keiko Kazuma (2016)

Patient Preference and Adherence , Vol.10 , s.171-181 Continue to DOI

Cover of publication ''
Naoko Perkiö Kato, Peter Johansson, Ikuko Okada, Arjen E. de Vries, Koichiro Kinugawa, Anna Strömberg, Tiny Jaarsma (2015)

Journal of Medical Internet Research , Vol.17 , s.e258- Continue to DOI


Michela Barisone, Naoko Perkiö Kato, Maria Kalabaliki (2024) Why should a national cardiology society affiliate with the Association of Cardiovascular Nursing and Allied Professions?


Akiko Okada, Kanako Hayashi, Kanako Ichikura, Naoko Perkiö Kato, Rumi Wakabayashi, Noriko Nagao, Miyuki Tsuchihashi-Makaya (2023) Psychometric properties of the Japanese version of the Self-Care of Heart Failure Index version 7.2 European Journal of Cardiovascular Nursing Continue to DOI
Tiny Jaarsma, Naoko Perkiö Kato, Leonie Klompstra, Tuvia Ben Gal, Josiane Boyne, Eva Haegglund, Ercole Vellone, Andreas Hagenow, Lorraine S. Evangelista, Jan Martensson, Anna Strömberg (2023) Changes over time in patient-reported outcomes in patients with heart failure ESC Heart Failure Continue to DOI
Naoko Perkiö Kato, Semyon Melnikov, Quin E. Denfeld, Jesus Casida, Anna Strömberg, Tuvia Ben-Gal, Christopher S. Lee, Tiny Jaarsma (2023) Validity and reliability of the left ventricular assist device self-care behaviour scale PLOS ONE, Vol. 18, Article e0275465 Continue to DOI


Naoko Perkiö Kato, Koichiro Kinugawa (2022) Globe is Still Heterogenous from the Perspective of Heart Failure. Journal of Cardiac Failure, Vol. 28, p. 367-369, Article S1071-9164(21)00482-6 Continue to DOI


Stefan Köberich, Naoko Perkiö Kato, Christiane Kugler, Anna Strömberg, Tiny Jaarsma (2021) Methodological quality of studies assessing validity and reliability of the European Heart Failure Self-care Behaviour Scale: a systematic review using the COSMIN methodology European Journal of Cardiovascular Nursing, Vol. 20, p. 501-512 Continue to DOI
Tiny Jaarsma, Naoko Perkiö Kato, Tuvia Ben Gal, Maria Bäck, Oronzo Chiala, Lorraine Evangelista, Jan Mårtensson, Massimo F. Piepoli, Ercole Vellone, Leonie Klompstra, Anna Strömberg (2021) Factors associated with lack of improvement in submaximal exercise capacity of patients with heart failure ESC Heart Failure, Vol. 8, p. 4539-4548 Continue to DOI


Tuvia Ben Gal, Binyamin Ben Avraham, Miriam Abu-Hazira, Maria Frigerio, Maria G. Crespo-Leiro, Anne Marie Oppelaar, Naoko Perkiö Kato, Anna Strömberg, Tiny Jaarsma (2020) The consequences of the COVID-19 pandemic for self-care in patients supported with a left ventricular assist device European Journal of Heart Failure, Vol. 22, p. 933-936 Continue to DOI
Maria Liljeroos, Naoko Perkiö Kato, Martje H. L. van der Wal, Maaike Brons, Marie Louise Luttik, Dirk J. van Veldhuisen, Anna Strömberg, Tiny Jaarsma (2020) Trajectory of self-care behaviour in patients with heart failure: the impact on clinical outcomes and influencing factors European Journal of Cardiovascular Nursing, Vol. 19, p. 421-432 Continue to DOI
Tuvia Ben Gal, Naoko Perkiö Kato, Vicky Yaari, Ben Avraham, Leonie Verheijden Klompstra, Anna Strömberg, Tiny Jaarsma (2020) Psychometric Testing of the Hebrew Version of the European Heart Failure Self-Care Behaviour Scale Heart, Lung and Circulation, Vol. 7, p. E121-E130 Continue to DOI


Collaborations with other researchers