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

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborators:
World Health Organization
International Network of Health Promoting Hospitals & Health Services (HPH)
National HPH Network of Montreal, Canada
National HPH Network of the Czech Republic
National HPH Network of Slovenia
National HPH Network of Estonia
Regional HPH Network of Taiwan
National HPH Network of Indonesia
National HPH Network of Japan
HPH member hospitals in Denmark
HPH member hospitals in Croatia
HPH member hospitals in Malaysia
HPH member hospitals in Thailand
Information provided by (Responsible Party):
Hanne Tonnesen, Bispebjerg Hospital
ClinicalTrials.gov Identifier:
NCT01563575
First received: March 22, 2012
Last updated: April 5, 2016
Last verified: April 2016
  Purpose
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).

Condition Intervention
Smoking
Excessive Drinking
Lack of Physical Activity
Malnutrition
Obesity
Other: fast-track implementation process

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: WHO-HPH Recognition Project on Fast-Track Implementation of Clinical Health Promotion - a Multi-Centre RCT

Resource links provided by NLM:


Further study details as provided by Bispebjerg Hospital:

Primary Outcome Measures:
  • Changed health gain of patients and staff [ Time Frame: Baseline, after 1 year, after 2 years ] [ Designated as safety issue: No ]
    Change in physical, mental, and social health status among patients and staff will be measured by short form (SF36).


Secondary Outcome Measures:
  • Number of health promotion services delivered [ Time Frame: Baseline, after 1 year, after 2 years ] [ Designated as safety issue: No ]
    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.


Enrollment: 48
Study Start Date: January 2012
Estimated Study Completion Date: December 2016
Estimated Primary Completion Date: December 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Intervention Group
fast-track implementation process
Other: 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
No Intervention: Control Group
Continue usual routine

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01563575

Locations
Canada
National HPH Network of Montreal, Canada
Montreal, Canada
Croatia
HPH Members in croatia
Zagreb, Croatia
Czech Republic
National HPH Network of the Czech Republic
Prague, Czech Republic, CZ-128 01
Denmark
HPH Members in Denmark
Middelfart, Denmark
Estonia
National HPH Network of the Estonia
Tallin, Estonia
Indonesia
National HPH Network of Indonesia
Jakarta, Indonesia
Japan
National HPH Network of Japan
Tokyo, Japan
Malaysia
HPH members in Malaysia
Penang, Malaysia
Slovenia
National HPH Network of Slovenia
Golnik, Slovenia, SI-4204
Taiwan
Regional HPH Network of Taiwan
Taipei City, Taiwan, 11221
Thailand
HPH members in Thailand
Bangkok, Thailand
Sponsors and Collaborators
Bispebjerg Hospital
World Health Organization
International Network of Health Promoting Hospitals & Health Services (HPH)
National HPH Network of Montreal, Canada
National HPH Network of the Czech Republic
National HPH Network of Slovenia
National HPH Network of Estonia
Regional HPH Network of Taiwan
National HPH Network of Indonesia
National HPH Network of Japan
HPH member hospitals in Denmark
HPH member hospitals in Croatia
HPH member hospitals in Malaysia
HPH member hospitals in Thailand
Investigators
Principal Investigator: Hanne Tonnesen, MD DMSc Bispebjerg-Frederiksberg Hospital
  More Information

Additional Information:
Responsible Party: Hanne Tonnesen, Professor, Bispebjerg Hospital
ClinicalTrials.gov Identifier: NCT01563575     History of Changes
Other Study ID Numbers: WHOHPHRP 
Study First Received: March 22, 2012
Last Updated: April 5, 2016
Health Authority: Denmark: Danish Dataprotection Agency

Keywords provided by Bispebjerg Hospital:
Recognition Process
Health Promotion
HPH
WHO
Hospitals
Health Services
Health Gain
Service Delivery
Quality Management

Additional relevant MeSH terms:
Hypokinesia
Malnutrition
Dyskinesias
Nervous System Diseases
Neurologic Manifestations
Nutrition Disorders
Signs and Symptoms

ClinicalTrials.gov processed this record on April 27, 2016