Clinical Health Promotion Centre

WHO Collaborating Centre: Implementation of Evidence-based Clinical Health Promotion

Alcohol/Drugs - Tobacco - Nutrition - Physical Activity - Co-morbidity

Clinical Health Promotion Centre

WHO Collaborating Centre: Implementation of Evidence-based Clinical Health Promotion

Alcohol/Drugs - Tobacco - Nutrition - Physical Activity - Co-morbidity

Projects

Randomised Controlled Trials, RCT

Scand-Ankle

In this study we investigate whether an evidence-based education in 4 weeks after surgery can have the same positive effect in cases where the surgery is acute and an alcohol free period not is possible before the surgery, focusing on ankle fractures. Scand-Ankle is a Nordic project involving about 70 patients and conducted by orthopedic surgeons and alcohol researchers from Sweden, Denmark and Norway. The results, including cost effectiveness are being analyzed.

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VIP - Very Integrated Program

The study's purpose is to identify the prevalence of comorbidity and risk factors for men and women with alcohol and drug addiction and with randomized controlled trial evaluate the effect of adding the VIP program for health promotion to the usual treatment for alcohol and drug addiction.

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Cohort Studies

Add Life - Treatment of patients addicted to alcohol and drugs

The overall objective is to evaluate the effect of alcohol / drug addiction treatment in the years 1968-2013, morbidity, life expectancy and causes of death. Sub-analyses are related to the duration of treatment, gender, age, patterns of use, tobacco and socioeconomic factors. Analyzes of the costs and cost-effectiveness are also included.

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National project on the effect of stop-smoking interventions for different groups of smokers in Sweden

The aim of this project is to evaluate which programs are most effective for different groups of smokers, including disadvantaged and vulnerable groups in Sweden. The method is based on a Danish model of collection of individual data via an online project database. At least 8,000 smokers are to be recruited in 2018-2019. Data include tobacco profile including snuff and e-cigarettes, socioeconomics, use of smoking cessation intervention programs, costs and follow-up for successful quitting after 6 weeks and 6 months. The database is available from WHO-CC and the Danish National Board of Health and Welfare, but require adaption to the Swedish socio-demographics, use of snuff etc. By 2020, the main analysis will be carried out including identification of important factors for quitting smoking.

This project will contribute to the knowledge on the effect of Swedish tobacco intervention for different groups.

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Does snuff, e-cigarettes and nicotine products (SEN) affect the orthopedic treatment outcome?

There is evidence that smoking cessation in surgery halves the complication rate, which makes intervention cost-effective. The question is whether this applies to other forms of tobacco dependence, namely the use of snuff and other forms of nicotine addiction, such as the use of e-cigarettes and the long-term use of nicotine products? If the answer is yes, the users should quit prior to surgery - just as for smoking. If the answer is no, it should be of great importance for future recommendations in the treatment of surgical patients.

We evaluate a possible effect of SEN on treatment outcomes and quality of life among approx. 7000 adult patients at the orthopedic clinic in Kristianstad-Hässleholm. All patients are monitored after 1, 6 and 12 months. We will also through interviews gather knowledge about the attitude and preferences of patients and staff during the study. It is a 4-year study with 2 years of inclusion and 1 year of follow-up.

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Research and Development

Strong for surgery - Strong for Life

Focus is to examine how living habits are recorded in surgical quality databases from a complication reduce perspective and how the implementation works for the patients in the surgical clinics. The aim is to clarify the evidence for the ability to improve the preparation of patients with risky lifestyle before surgery. The data are now being presented.

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Children of alcohol dependent parents

The aim of the study is to investigate whether children to alcohol dependent parents are affected by their upbringing in a longer perspective, i.e. up in adulthood. The studied group is children / adolescents who participated in a children's project in 1993-2002. A follow-up was made 2003-2004 and a further follow-up is ongoing.

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Strengthening health systems for maternal care in Limpopo Province: A multisectorial approach

The aim of this study is to contribute to the reduction of the burden of maternal and neonatal deaths including the children who die between the ages of one month to five years in Limpopo Province, South Africa. This project will specific invest in cost-effective interventions, which will be delivered through totally integrated approaches by different stakeholders to strengthen health system by focusing on the improvement of maternal health outcomes.

A mixed method design with both quantitative and qualitative data and the Continuum of care framework, a core principle of programs for maternal, newborn, and child health will be used. The project will emphasis patients and healthcare professionals’ perspectives. Healthcare professionals will be trained, and policies will be formulated in collaboration with the provincial government to improve quality of care to pregnant women and others from the target groups. The project has integrated strategies to achieve maternal- and infant health gains as stated in the UN Sustainable Development Goals (SDGs) and expects these to be achieved.

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Existential aspects of alcohol abuse and addiction

The purpose of the study is to evaluate existential aspects among patients in treatment for alcohol abuse and addiction. After informed consent, profound interviews of dependent patients are conducted on their perception of life and experiences of treatment and reflections on future goals. Individual patient interviews have been completed.

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Regional Projects

WHO-CC is involved in different projects in Region Skåne. One concerns the implementation of smoke-free and alcohol-free operation. Swedish and Danish co-studies have shown that including smoking stop or alcohol stop before surgery halves complications of the surgery. In this project the new model for fast track implementation will be used. WHO-CC shall also contribute to the work of the project Smokefree Skåne by 2025.