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

WHO-HPH Recognition Project on Fast-Track Implementation of Clinical Health Promotion - a Multi-Centre RCT

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

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).

Recognition Process, Health Promotion, HPH, WHO, Hospitals, Health Services, Health Gain, Service Delivery, Quality Management

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

Change in physical, mental, and social health status among patients and staff will be measured by short form (SF36).

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.

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

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.