WHO-HPH Recognition Project on Fast-Track Implementation of Clinical Health Promotion

Not Applicable

Completed

• Conditions: Smoking; Obesity; Malnutrition; Excessive Drinking; Lack of Physical Activity
• Interventions: Other: fast-track implementation process

• Registration Number: NCT01563575
• Lead Sponsor: Bispebjerg Hospital

Brief Summary

The project's background is the notion that patient centred clinical health promotion has been shown to significantly improve both outcomes and patient safety. Accordingly, the WHO describes health promotion as a key dimension of quality in hospitals, and the organization has developed standards on the topic in order to help hospital management and staff members to assess and improve the quality of health care and thereby achieve better health for patients, staff, and community. Even so, however, health promotion is still a very implicit part of nearly all quality standards on hospitals. Moreover, assessing hospitals departments' health promotion performance is still quite an unexplored area. On this basis, this project will test a new recognition process that uses the relevant WHO-HPH tools and standards to assess performance, by way of explicit documentation and evaluation of clinical health promotion activity. The project is deigned as a RCT, with a control group that undergoes the recognition process immediately and a control group that continue usual clinical routine. Then, after one year, the control group also begins the recognition process (= delayed start), while the Intervention group (=immediate-start) continues with the recognition process. Doing this allows for a great array of measurements, and hopefully the project will then show whether the recognition process really benefits implementation of health promotion in hospitals and health services, and also, if this really generates better health gains for patients and staff. The outcome measurements will be frequency of health promotion services delivered on smoking, excessive alcohol use, overweight, malnutrition, and physical activity to patients in need. Such services could for instance be motivational counselling and brief interventions, as well as intervention, rehabilitation and after treatment. Physical, mental, and social health status among patients and staff will be measured by short form (SF36).

Detailed Description

Not available

Study Timeline

• Study Start: 2012-01
• Study First Submitted: 2012-03-22
• Study First Submitted QC: 2012-03-23
• Study First Posted: 2012-03-27
• Primary Completion: 2018-09-11
• Study Completion: 2018-09-11
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-14
• Last Update Posted: 2022-06-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 48

Inclusion Criteria

• Clinical hospital departments from university hospitals
• Clinical hospital departments from non-university hospitals

Exclusion Criteria

• Palliative care departments
• Pediatric departments
• Nursing homes
• Non-hospital departments
• Primary care facilities

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	fast-track implementation process	fast-track implementation process

Primary Outcome Measures

Name	Time	Method
Changed health gain of patients and staff	Baseline, after 1 year, after 2 years	Change in physical, mental, and social health status among patients and staff will be measured by short form (SF36).

Secondary Outcome Measures

Name	Time	Method
Number of health promotion services delivered	Baseline, after 1 year, after 2 years	Change in the frequency of health promotion services delivered on smoking, excessive alcohol use, overweight, mal-nutrition, and physical activity to smoking, excessive drinking, overweight, malnourished, and physical inactive patients. These services concern clinical health promotion activities, like motivational counselling and brief interventions, as well as intervention, rehabilitation and after treatment.

Trial Locations

Locations (11)

National HPH Network of the Czech Republic; 🇨🇿 Prague, Czechia

National HPH Network of Japan; 🇯🇵 Tokyo, Japan

HPH Members in croatia; 🇭🇷 Zagreb, Croatia

HPH Members in Denmark; 🇩🇰 Middelfart, Denmark

National HPH Network of Montreal, Canada; 🇨🇦 Montreal, Canada

National HPH Network of Indonesia; 🇮🇩 Jakarta, Indonesia

National HPH Network of the Estonia; 🇪🇪 Tallin, Estonia

HPH members in Thailand; 🇹🇭 Bangkok, Thailand

HPH members in Malaysia; 🇲🇾 George Town, Pulau Pinang, Malaysia

National HPH Network of Slovenia; 🇸🇮 Golnik, Slovenia

Regional HPH Network of Taiwan; 🇨🇳 Taipei City, Taiwan