This trial is active, not recruiting.

Conditions smoking, excessive drinking, lack of physical activity, malnutrition, obesity
Treatment fast-track implementation process
Sponsor Bispebjerg Hospital
Collaborator World Health Organization
Start date January 2012
End date December 2016
Trial size 48 participants
Trial identifier NCT01563575, WHOHPHRP


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).

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Primary purpose prevention
fast-track implementation process
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)
Continue usual routine

Primary Outcomes

Changed health gain of patients and staff
time frame: Baseline, after 1 year, after 2 years

Secondary Outcomes

Number of health promotion services delivered
time frame: Baseline, after 1 year, after 2 years

Eligibility Criteria

Male or female participants of any age.

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

Additional Information

Official title WHO-HPH Recognition Project on Fast-Track Implementation of Clinical Health Promotion - a Multi-Centre RCT
Principal investigator Hanne Tonnesen, MD DMSc
Trial information was received from ClinicalTrials.gov and was last updated in April 2016.
Information provided to ClinicalTrials.gov by Bispebjerg Hospital.