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

NCT ID: NCT01563575

Last Updated: 2022-06-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-01-31
• Study Completion Date: 2018-09-11

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).

Conditions

Smoking; Excessive Drinking; Lack of Physical Activity; Malnutrition; Obesity

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Intervention Group

fast-track implementation process

Group Type: EXPERIMENTAL

fast-track implementation process

Intervention Type: OTHER

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

Control Group

Continue usual routine

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

fast-track implementation process

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 Type: OTHER

Eligibility Criteria

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

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

World Health Organization

OTHER

Sponsor Role: collaborator

International Network of Health Promoting Hospitals & Health Services (HPH)

UNKNOWN

Sponsor Role: collaborator

National HPH Network of Montreal, Canada

UNKNOWN

Sponsor Role: collaborator

National HPH Network of the Czech Republic

UNKNOWN

Sponsor Role: collaborator

National HPH Network of Slovenia

UNKNOWN

Sponsor Role: collaborator

National HPH Network of Estonia

UNKNOWN

Sponsor Role: collaborator

Regional HPH Network of Taiwan

UNKNOWN

Sponsor Role: collaborator

National HPH Network of Indonesia

UNKNOWN

Sponsor Role: collaborator

National HPH Network of Japan

UNKNOWN

Sponsor Role: collaborator

HPH member hospitals in Denmark

UNKNOWN

Sponsor Role: collaborator

HPH member hospitals in Croatia

UNKNOWN

Sponsor Role: collaborator

HPH member hospitals in Malaysia

UNKNOWN

Sponsor Role: collaborator

HPH member hospitals in Thailand

UNKNOWN

Sponsor Role: collaborator

Bispebjerg Hospital

OTHER

Sponsor Role: lead

Responsible Party

Hanne Tonnesen

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hanne Tonnesen, MD DMSc

Role: PRINCIPAL_INVESTIGATOR

University Hospital Bispebjerg and Frederiksberg

Locations

National HPH Network of Montreal, Canada

Montreal, , Canada

HPH Members in croatia

Zagreb, , Croatia

National HPH Network of the Czech Republic

Prague, , Czechia

HPH Members in Denmark

Middelfart, , Denmark

National HPH Network of the Estonia

Tallinn, , Estonia

National HPH Network of Indonesia

Jakarta, , Indonesia

National HPH Network of Japan

Tokyo, , Japan

HPH members in Malaysia

George Town, Pulau Pinang, Malaysia

National HPH Network of Slovenia

Golnik, , Slovenia

Regional HPH Network of Taiwan

Taipei, , Taiwan

HPH members in Thailand

Bangkok, , Thailand

Countries

Canada; Croatia; Czechia; Denmark; Estonia; Indonesia; Japan; Malaysia; Slovenia; Taiwan; Thailand

References

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.

Reference Type: DERIVED

PMID: 30577871 (View on PubMed)

Related Links

http://www.hphnet.org/index.php?option=com_content&view=article&id=1954&Itemid=218

Main info page

Other Identifiers

WHOHPHRP

Identifier Type: -

Identifier Source: org_study_id