Clinical Health Promotion - Research and Best Practice for patients, staff and community最新文献

{"title":"Standards for Children and Adolescents’ health promotion in Hospitals: The Task Force HPH-CA experience","authors":"I. Simonelli, R. Mullen, G. Fornero, Arian Tarbal Roquer, L. Suurorg, D. Scheiber, D. Tangolo, E. Torri","doi":"10.29102/clinhp.18004","DOIUrl":"https://doi.org/10.29102/clinhp.18004","url":null,"abstract":"","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"502 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133171427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accelerate the implementation of evidence-based health promotion in healthcare","authors":"H. Tønnesen","doi":"10.29102/clinhp.18001","DOIUrl":"https://doi.org/10.29102/clinhp.18001","url":null,"abstract":"","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133737092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Very Integrated Project (VIP): Smoking and other lifestyles, co-morbidity and quality of life in patients undertaking treatment for alcohol and drug addiction in Sweden","authors":"K. Hovhannisyan, J. Adami, M. Wikström, H. Tønnesen","doi":"10.29102/CLINHP.18003","DOIUrl":"https://doi.org/10.29102/CLINHP.18003","url":null,"abstract":"Background Most patients with alcohol and drug addiction have other risky lifestyles and non-communicable diseases (NCDs), adding to their morbidity and pre-mortality. Those are, however, potentially preventable. The aim was to identify and compare the patients in treatment for alcohol and drug addiction and identify important factors for high risk. Methods Data was collected prospectively by interviews, questionnaires, examinations and laboratory tests regarding demographics, smoking, overweight, malnutrition, sedentary lifestyle, heart, lung and liver diseases, diabetes and quality of life. High-risk was identified by >2 NCDs and risky lifestyles. Results 322 (192 and 130) patients participated, aged 52 years in median (ranging 24-80) and 67% men. Only 7% had no other risky lifestyles and NCDs. 62% were smokers, 11% in risk of malnutrition, 36% physical inactive and BMI was 27 (17-50). Furthermore, 41% had cardiovascular illness, 27% liver and 25% respiratory diseases, and 7% diabetes. After adjustment for confounders, drug addiction was significantly associated to younger age (46 vs. 56 years; OR 0.92 [CI 0.89-0.94]), unemployment (85% vs 66%; 0.35 [0.17-0.72]) and liver disease (49% vs. 12%; 0.21 [0.11-0.40]). The high-risk group was significantly older and more often unemployed. Health-related quality of life was not different between the groups. Conclusion The large majority of patients in treatment for alcohol and drug addiction have common risky lifestyles and NCD comorbidity. They also have similar conditions, including quality of life. This may be important when planning a future very intergrated program (VIP) of health promotion.","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122242347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive Smoking Cessation Interventions in Denmark - Based on data from the Danish Smoking Cessation Database","authors":"Mette Rasmussen","doi":"10.29102/clinhp.18010","DOIUrl":"https://doi.org/10.29102/clinhp.18010","url":null,"abstract":"Background Tobacco smoking is by far the most deadly and preventable lifestyle factor for public health, both globally and nationally. Nevertheless, it is estimated that worldwide, more than 1.1 billion adults are smokers. Today, 16% (0.8 million) of the adult population in Denmark are daily smokers, while 23% (1.1 million) consider themselves smokers, and one in four deaths are smoking related. The most effective method of reducing smoking prevalence is by employing a two-tier strategy to 1) prevent adolescents from initiating smoking and 2) offer effective help to smokers to quit. The aim of this thesis was to evaluate the effect of intensive smoking cessation interventions (ISCI) on successful quitting through different study designs, synthesised from cohort studies and a review of randomised controlled trials. The aim was fulfilled through 4 scientific studies, each with their own objective. Studies A systematic review with meta-analysis (I) was set up to compare ISCI and shorter interventions in randomised controlled trials (RCT). Initially, 9,569 unique papers were identified, and, after screening for relevant studies, 18 RCTs were included, investigating a total of 10,131 smokers. The studies were primarily conducted in Western Europa and the USA. The body of evidence for three of four outcomes were graded moderate, and the last outcome was graded low. A random effect meta-analysis revealed that smokers randomised to ISCI were significantly more likely to be successful quitters compared to shorter interventions for all four outcomes. The primary outcome (continuous abstinence in the short and long term) increased the chance of success 3-fold. A methodological study (II) of the Danish National Smoking Cessation Database (SCDB) was undertaken. The development of the SCDB and the most commonly registered smoking cessation interventions (SCI) were described, as were the data collection and validity. Two cohort studies based on the data from the SCDB were conducted to evaluate the effectiveness of SCI in real life. One study investigated the effectiveness of five different SCIs (III) and found that the intensive Gold Standard Programme’ (GSP - Standard SCI in Denmark) was the only intervention that was effective for both men and women. The other cohort study was set up to investigate the effectiveness of the GSP in a vulnerable subgroup of smokers diagnosed with severe mental disorder (SMD) (IV). The study showed that smokers with SMD were significantly less likely to become successful quitters compared to smokers without mental disorders. However, one in every four smokers with SMD managed to stay continuously smoke-free for at least 6 months compared to one in three in the comparison group. The data were analysed using a mixed-effect logistic regression model. In both cohort studies, compliance was identified as the strongest predictor of a successful outcome. Conclusion This thesis adds to the evidence on intensive smoking cessation interven","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"124 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131404912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fast-track implementation of clinical health promotion","authors":"Jeff Kirk Svane","doi":"10.29102/clinhp.18002s","DOIUrl":"https://doi.org/10.29102/clinhp.18002s","url":null,"abstract":"Introduction Clinical health promotion (CHP) addressing the risks of daily smoking, malnutrition and overweight/obesity, hazardous alcohol consumption and insufficient physical activity (SNAP) is relevant in hospitals. CHP improves clinical quality, outcomes, and patient safety and also contributes to population health. A prerequisite to obtaining clinical benefits, however, is remedying the slow and lacking CHP implementation. Aim The aim of this thesis was 1) to develop a new operational program for CHP (paper I), 2) to describe the fast-track implementation model (Fast-IM) used and a comprehensive reporting format (paper II), 3) to evaluate the effect of the operational program (paper III), and 4) to explore how staff and managers experienced the program (paper IV). Materials and methods An operational program for CHP was developed in the Fast-IM format using available resources (paper I). The Fast-IM was further described along with a comprehensive reporting format (paper II). The effect of the program was evaluated in a randomized clinical trial (RCT) at the level of clinical hospital departments (paper III). Staff and managers from the RCT’s intervention group were interviewed about their experiences with and perceptions of the program (paper IV). Results The operational program was developed, although the evidence to build on was sparse (paper I). The Fast-IM and the reporting format were described and might prove useful for speeding up implementation and monitoring of CHP, especially regarding the low frequency of intensive intervention to only 0-35% of patients with SNAP risk and the low rate of follow up for effect for only 0-25% (paper II). Potential health effects remained unknown, but the program improved implementation; SNAP risk identification (81% vs. 60%, p<0·01), information and intervention (54% vs. 39%, p<0·01 for information/shorter intervention and 43% vs. 25%, p<0·01 for intensive intervention), as well as standards compliance (95% vs. 80%, p=0·02) (paper III). Staff and managers were positive towards the program (paper IV). Conclusion The operational program for CHP in the Fast-IM format can be useful for fasttracking implementation in hospitals in a way that is generally considered meaningful and acceptable among staff and managers. The immediate health effects of individual CHP programs are known from the literature, but health gain resulting from the operational program, as well as the Fast-IM’s potential effect in other areas, remains to be demonstrated in future randomized studies.","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116621512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations towards the Tobacco Endgame from international workshop on smoking cessation interventions","authors":"Luke Clancy, J. Suelves, H. Gilljam, Göran Boethius, Iréne Nilsson-Carlsson, Mette Gry Münchow, Anne Sode Grønbæk, H. Tønnesen","doi":"10.29102/clinhp.16009","DOIUrl":"https://doi.org/10.29102/clinhp.16009","url":null,"abstract":"On December 14 and 15, 2016, an international multidisciplenary panel met in Copenhagen for an international workshop on the process towards the Tobacco Endgame.","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"25 3 Suppl 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128301096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pregnant smokers: Potential for improvement of intervention","authors":"M. Rasmussen, H. Tønnesen","doi":"10.29102/clinhp.150010","DOIUrl":"https://doi.org/10.29102/clinhp.150010","url":null,"abstract":"Background In many countries, smoking is considered as the most important preventable risk factor for a complicated pregnancy and delivery. However in Denmark, there is no clear picture of pregnant women. The aim was therefore to examine the prevalence, characteristics and registration of maternal smoking and quitting during pregnancy as well as estimate the potential for improvement. Methods This is a cohort study on smoking and quitting prevalence among 422,221 pregnant women in Denmark from 2006- 2012. Data from the Danish National Birth Register was linked with data from the Danish National Smoking Cessation Database in order to identify pregnant smokers undertaking a formalised smoking cessation intervention. Results Overall, 13% of the pregnant women were smokers. The smoking prevalence was highest among mothers younger than 25 years of age (29%) compared to 10-11% among the other age groups. All prognostic factors in the final analyses were in some way associated with the outcome. A group of 1,279 pregnant women underwent formal smoking cessation intervention programs with follow-up after 6 months. Of these, 232 were registered as non-smokers and 40 had no information on smoking in the Danish National Birth Registry. The potential for reducing smoking among pregnant women was high. 25-32% more quitters would be expected with a comprehensive Gold Standard Programme for smoking cessation. Conclusion This study indicates an urgent need for increased focus on offering effective smoking cessation programs to all groups of pregnant smokers, but with a special attention to the youngest group.","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125117138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of pain and lifestyle risk factors","authors":"A. Skaarup, P. R. Nielsen, H. Tønnesen","doi":"10.29102/CLINHP.150011","DOIUrl":"https://doi.org/10.29102/CLINHP.150011","url":null,"abstract":"Background Patients with acute and chronic pain have a significantly reduced quality of life, and it is a clinical impression that unhealthy lifestyle influences the experience of pain. To evaluate this, surgery can be seen as a controlled trauma and acute pain model with standardised guidelines. The aim was to investigate the association between lifestyle risk factors and experience of heavy postoperative pain and their duration after major orthopaedic surgery. Methods 109 patients undergoing spine, hip or knee surgery were included. Lifestyle was recorded as self-reported alcohol consumption, smoking, physical inactivity, obesity and risk of malnutrition based on the HPH DATA Model. Pain experience was measured on a visual analogue scale of 0-100mm for the nociceptive and the less frequent neuropathic pain. Heavy pain was defined as maximal pain >30mm at rest or 50mm as dynamic or duration of maximal pain >40min. Preoperative pain history and the methods of pain relief were noted. The postoperative pain was followed for three days. Results Univariate analyses were performed prior to the final multi-variate analyses. Interestingly, unhealthy lifestyle, age or gender were not associated with heavy postoperative pain, except for physical inactivity being negatively associated with the rare neuropathic pain. Unsurprisingly, the study confirmed the significant associations between preoperative and postoperative heavy pain. Conclusion The results showed no or very little support to the clinical impression that patients with poor lifestyle experience pain different from patients with a healthy lifestyle.","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126745842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical and existential aspects of lifestyle changes","authors":"J. Arlebrink","doi":"10.29102/CLINHP.150012","DOIUrl":"https://doi.org/10.29102/CLINHP.150012","url":null,"abstract":"Background Many people change their lifestyle and such changes can be either voluntary or involuntary. Often, some sort of crisis forces people to change their lifestyles. Therefore, the difficult existential questions become relevant to those who have been forced to change their lifestyle. Methods This paper will explore different kinds of lifestyle changes within an ethical and existential context. The ethical context is constituted by the Danish ethicist K.E. Løgstrup and his thoughts on the basic conditions of life for the human being. The existential context is constituted by questions dealing with the foundations of our existence and which man cannot avoid. Results In the examples given, the patients seldom receive any help to process their existential questions and as a consequence their problems become more severe. Conclusion It is important to treat every patient as a subject and to take care of not only his or her medical problems but also of the patient´s existential questions generated by the medical problems.","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128858378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendations on smoking cessation intervention from Malmö International Strategic Seminar","authors":"H. Tønnesen, L. Clancy, P. Aveyard, H. Gilljam, M. Larsson, M. Rasmussen, J. Adami, P. Friberg, G. Boëthius","doi":"10.29102/clinhp.15020","DOIUrl":"https://doi.org/10.29102/clinhp.15020","url":null,"abstract":"","PeriodicalId":311770,"journal":{"name":"Clinical Health Promotion - Research and Best Practice for patients, staff and community","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115289385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}