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

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

Interventions

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

Sponsors & Collaborators

• World Health Organization

  collaborator OTHER

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

  collaborator UNKNOWN

• National HPH Network of Montreal, Canada

  collaborator UNKNOWN

• National HPH Network of the Czech Republic

  collaborator UNKNOWN

• National HPH Network of Slovenia

  collaborator UNKNOWN

• National HPH Network of Estonia

  collaborator UNKNOWN

• Regional HPH Network of Taiwan

  collaborator UNKNOWN

• National HPH Network of Indonesia

  collaborator UNKNOWN

• National HPH Network of Japan

  collaborator UNKNOWN

• HPH member hospitals in Denmark

  collaborator UNKNOWN

• HPH member hospitals in Croatia

  collaborator UNKNOWN

• HPH member hospitals in Malaysia

  collaborator UNKNOWN

• HPH member hospitals in Thailand

  collaborator UNKNOWN

• Bispebjerg Hospital

  lead OTHER

Principal Investigators

• Hanne Tonnesen, MD DMSc · University Hospital Bispebjerg and Frederiksberg

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2012-01-31

Primary Completion

2018-09-11

Completion

2018-09-11

Countries

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

Study Locations