Clinical trial NCT01563575: WHO-HPH Recognition Project on Fast-Track Implementation of Clinical Health Promotion
Official title: WHO-HPH Recognition Project on Fast-Track Implementation of Clinical Health Promotion - a Multi-Centre RCT
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Smoking
Excessive Drinking
Lack of Physical Activity
Malnutrition
Obesity
Keywords: Recognition Process
Health Promotion
HPH
WHO
Hospitals
Health Services
Health Gain
Service Delivery
Quality Management
Lead sponsor: Bispebjerg Hospital
Sponsor class: OTHER
Collaborators: name: World Health Organization
name: International Network of Health Promoting Hospitals & Health Services (HPH)
name: National HPH Network of Montreal, Canada
name: National HPH Network of the Czech Republic
name: National HPH Network of Slovenia
name: National HPH Network of Estonia
name: Regional HPH Network of Taiwan
name: National HPH Network of Indonesia
name: National HPH Network of Japan
name: HPH member hospitals in Denmark
name: HPH member hospitals in Croatia
name: HPH member hospitals in Malaysia
name: HPH member hospitals in Thailand
First posted: 2012-03-27
Enrollment: 48
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

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).


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

Primary outcomes:
measure: Changed health gain of patients and staff
timeFrame: Baseline, after 1 year, after 2 years
Secondary outcomes:
measure: Number of health promotion services delivered
timeFrame: Baseline, after 1 year, after 2 years
Other outcomes:
Locations:
city: Montreal
country: Canada
facility: National HPH Network of Montreal, Canada
city: Zagreb
country: Croatia
facility: HPH Members in croatia
city: Prague
country: Czechia
facility: National HPH Network of the Czech Republic
city: Middelfart
country: Denmark
facility: HPH Members in Denmark
city: Tallin
country: Estonia
facility: National HPH Network of the Estonia
city: Jakarta
country: Indonesia
facility: National HPH Network of Indonesia
city: Tokyo
country: Japan
facility: National HPH Network of Japan
city: George Town
country: Malaysia
facility: HPH members in Malaysia
state: Pulau Pinang
city: Golnik
country: Slovenia
facility: National HPH Network of Slovenia
city: Taipei City
country: Taiwan
facility: Regional HPH Network of Taiwan
city: Bangkok
country: Thailand
facility: HPH members in Thailand
Study officials:
affiliation: University Hospital Bispebjerg and Frederiksberg
name: Hanne Tonnesen, MD DMSc
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.