NCT01563575

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).

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
48

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jan 2012

Longer than P75 for not_applicable

Geographic Reach
11 countries

11 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2012

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

March 22, 2012

Completed
5 days until next milestone

First Posted

Study publicly available on registry

March 27, 2012

Completed
6.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 11, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 11, 2018

Completed
Last Updated

June 15, 2022

Status Verified

June 1, 2022

Enrollment Period

6.7 years

First QC Date

March 22, 2012

Last Update Submit

June 14, 2022

Conditions

SmokingExcessive DrinkingLack of Physical ActivityMalnutritionObesity

Keywords

Recognition ProcessHealth PromotionHPHWHOHospitalsHealth ServicesHealth GainService DeliveryQuality Management

Outcome Measures

Primary Outcomes (1)

  • Changed health gain of patients and staff

    Change in physical, mental, and social health status among patients and staff will be measured by short form (SF36).

    Baseline, after 1 year, after 2 years

Secondary Outcomes (1)

  • Number of health promotion services delivered

    Baseline, after 1 year, after 2 years

Study Arms (2)

Intervention Group

EXPERIMENTAL

fast-track implementation process

Other: fast-track implementation process

Control Group

NO INTERVENTION

Continue usual routine

Interventions

fast-track implementation processOTHER

Undergo fast-track implementation process (WHO-HPH recognition Process), including: baseline data collection, quality plan, implementation for one year, follow-up data collection, revision of quality plan, external site visit and data validation

Intervention Group

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

National HPH Network of Montreal, Canada

Montreal, Canada

Location

HPH Members in croatia

Zagreb, Croatia

Location

National HPH Network of the Czech Republic

Prague, CZ-128 01, Czechia

Location

HPH Members in Denmark

Middelfart, Denmark

Location

National HPH Network of the Estonia

Tallinn, Estonia

Location

National HPH Network of Indonesia

Jakarta, Indonesia

Location

National HPH Network of Japan

Tokyo, Japan

Location

HPH members in Malaysia

George Town, Pulau Pinang, Malaysia

Location

National HPH Network of Slovenia

Golnik, SI-4204, Slovenia

Location

Regional HPH Network of Taiwan

Taipei, 11221, Taiwan

Location

HPH members in Thailand

Bangkok, Thailand

Location

Related Publications (1)

  • Svane JK, Chiou ST, Groene O, Kalvachova M, Brkic MZ, Fukuba I, Harm T, Farkas J, Ang Y, Andersen MO, Tonnesen H. A WHO-HPH operational program versus usual routines for implementing clinical health promotion: an RCT in health promoting hospitals (HPH). Implement Sci. 2018 Dec 22;13(1):153. doi: 10.1186/s13012-018-0848-0.

    PMID: 30577871DERIVED

Related Links

MeSH Terms

Conditions

SmokingSedentary BehaviorMalnutritionObesity

Condition Hierarchy (Ancestors)

BehaviorNutrition DisordersNutritional and Metabolic DiseasesOverweightOvernutritionBody WeightSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Hanne Tonnesen, MD DMSc

    University Hospital Bispebjerg and Frederiksberg

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

March 22, 2012

First Posted

March 27, 2012

Study Start

January 1, 2012

Primary Completion

September 11, 2018

Study Completion

September 11, 2018

Last Updated

June 15, 2022

Record last verified: 2022-06

Locations

MY(1)SL(1)JP(1)CR(1)CA(1)ES(1)ID(1)DK(1)TH(1)TW(1)CZ(1)