WHO-HPH Project: Effect of a Recognition Process - a Multi-Centre Randomized Control Trial (RP)

This study is currently recruiting participants.
Verified March 2012 by Bispebjerg Hospital
Sponsor:
Collaborators:
World Health Organization Regional Office for Europe
International Network of Health Promoting Hospitals & Health Services (HPH)
National HPH Network of Austria
National HPH Network of the Czech Republic
National HPH Network of Slovenia
National HPH Network of Switzerland
Regional HPH Network of Taiwan
National HPH Network of the Republic of Korea
Regional HPH Network of Victoria, Australia
Regional HPH Network of Montreal, Canada
National HPH Network of Italy
Information provided by (Responsible Party):
Hanne Tonnesen, Bispebjerg Hospital
ClinicalTrials.gov Identifier:
NCT01563575
First received: March 22, 2012
Last updated: March 23, 2012
Last verified: March 2012
  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: WHO-HPH Recognition Process

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: WHO-HPH Project: Effect of a Recognition Process - a Multi-Centre RCT

Resource links provided by NLM:


Further study details as provided by Bispebjerg Hospital:

Primary Outcome Measures:
  • Change in number of HP 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.

  • 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).


Estimated Enrollment: 88
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
Undergo the Recognition Process immediately = Intervention group
Other: WHO-HPH Recognition Process
Undergo 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 their usual routine = Control group

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

Contacts
Contact: Hanne Tonnesen, MD DMSc +45 35313947 hanne.tonnesen@bbh.regionh.dk
Contact: Jeff K Svane, MA +45 35316797 jsva0004@bbh.regionh.dk

Locations
Australia
Regional HPH Network of Victoria, Australia Recruiting
Melbourne, Australia, 3086
Austria
National HPH Network of Austria Recruiting
Vienna, Austria, A-1020
Canada, Quebec
Regional HPH Network of Montreal, Canada Recruiting
Montreal, Quebec, Canada, H2X 3L9
Czech Republic
National HPH Network of the Czech Republic Recruiting
Prague, Czech Republic, CZ-128 01
Italy
National HPH Network of Italy Recruiting
Udine, Italy, I-33100
Korea, Republic of
National HPH Network of the Republic of Korea Recruiting
Youngdeungpo-Gu, Seoul, Korea, Republic of, 150-727
Norway
National HPH Network of Norway Recruiting
Lorenskog, Norway, N-1478
Slovenia
National HPH Network of Slovenia Recruiting
Golnik, Slovenia, SI-4204
Switzerland
National HPH Network of Switzerland Recruiting
Pampigny, Switzerland, CH-1142
Taiwan
Regional HPH Network of Taiwan Recruiting
Taipei City, Taiwan, 11221
Sponsors and Collaborators
Bispebjerg Hospital
World Health Organization Regional Office for Europe
International Network of Health Promoting Hospitals & Health Services (HPH)
National HPH Network of Austria
National HPH Network of the Czech Republic
National HPH Network of Slovenia
National HPH Network of Switzerland
Regional HPH Network of Taiwan
National HPH Network of the Republic of Korea
Regional HPH Network of Victoria, Australia
Regional HPH Network of Montreal, Canada
National HPH Network of Italy
Investigators
Principal Investigator: Hanne Tonnesen, MD DMSc Bispebjerg Hospital
  More Information

No publications provided

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: March 23, 2012
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:
Obesity
Smoking
Hypokinesia
Malnutrition
Overnutrition
Nutrition Disorders
Overweight
Body Weight
Signs and Symptoms
Habits
Dyskinesias
Neurologic Manifestations
Nervous System Diseases

ClinicalTrials.gov processed this record on April 16, 2014