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| 2. |
- Hovhannisyan, Karen, et al.
(författare)
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Very Integrated Program (VIP): Smoking and other lifestyles, co-morbidity and quality of life in patients undertaking treatment for alcohol and drug addiction in Sweden.
- 2018
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 8:1, s. 14-19
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Tidskriftsartikel (refereegranskat)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.
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- Rasmussen, Mette, et al.
(författare)
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Pregnant smokers: Potential for improvement of intervention
- 2015
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 5:3, s. 67-73
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Tidskriftsartikel (refereegranskat)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.
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| 5. |
- Rasmussen, Mette, et al.
(författare)
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Smoking cessation intervention activities and outcomes before, during and after the national Healthcare Reform in Denmark
- 2012
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 2:1, s. 26-35
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundMany countries and regions undergo structural changes that intent to improve the effectiveness and quality of care. Until 2007, the municipalities, counties, hospitals and pharmacies shared the smoking cessation activities almost equally in Denmark. Among others, the Danish Healthcare Reform 2007 intended to add responsibility for smoking cessation intervention at county level to the municipality level. New regions should run the hospital services; exclusively. AimTo evaluate the influence of the Danish Healthcare Reform 2007 on national smoking cessation interventions.MethodsFrom 2006 to 2010 35,087 smokers were registered in the Danish Smoking Cessation Database. The large majority underwent the 6-weeks gold standard programme for smoking cessation; a manual based patient education, motivational counseling and nicotine replacement therapy. The data collection included the setting and compliance, self-reported quitting and overall satisfaction. ResultsThe total number of interventions reduced from 7,320 in 2006 to 6,119 in 2010 (16.4%). The municipalities doubled their smoking cessation interventions from 2007, when the counties closed down. The pharmacies stayed relatively stable, but the hospitals significantly reduced to almost no intervention. Accordingly, patients and pregnant women contributed to 85.5% (1,027 persons) of the overall reduction. A replacement from employees as a target group to general citizens took place. The follow-up rate increased after the implementation of the Healthcare Reform, but completing the programme, quit rates and satisfaction were relatively stable throughout the study period. ConclusionOne sixth of the smoking cessation interventions were lost after the Danish Healthcare Reform 2007, especially those reaching hospital patients and pregnant women. A major shift from employees to general citizens took place in the other settings.
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| 6. |
- Rasmussen, Mette, et al.
(författare)
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The Danish Smoking Cessation Database
- 2016
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 6:2, s. 36-41
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Danish Smoking Cessation Database (SCDB) was established in 2001 as the first national healthcare register within the field of health promotion.Aim of the database: The aim of the SCDB is to document and evaluate smoking cessation (SC) interventions to assess and improve their quality. The database was also designed to function as a basis for register-based research projects.Study population The population includes smokers in Denmark who have been receiving a face-to-face SC intervention offered by an SC clinic affiliated with the SCDB. SC clinics can be any organisation, place or person working with a preventive aim. There are no age limits for registering a smoker in the database.Data collection: The SCDB contains prospectively collected baseline and outcome data on SC clinics, interventions, and individual smokers. Baseline data include socio-economic, demographic, and prognostic factors. The outcome data are smoking status at the end of the programme and after six months and satisfaction with the SC intervention.Validity: Approximately 80-90% of all SC clinics offering systematic face-to-face SC interventions are reporting data to the SCDB. The data completeness of the SCDB is very high, at 95-100%. Validation checks have been implemented to ensure high data quality.Conclusion: The SCDB is a well-established clinical database and a priceless tool for monitoring and improving SC interventions in Denmark to identify the best solution to helping smokers become smoke‐free. The database is increasingly used in register-based research.
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- Reimertz, Helene, et al.
(författare)
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Health counseling in Swedish health care.
- 2016
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 6:2, s. 49-54
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Tidskriftsartikel (refereegranskat)
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| 8. |
- Skaarup, Anette West, et al.
(författare)
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Experience of pain and lifestyle risk factors.
- 2015
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 5:3, s. 74-81
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Tidskriftsartikel (refereegranskat)abstract
- Background Patients with acute and chronic pain have a significantly reduced quality of life, and it is a clinical impression thatunhealthy lifestyle influences the experience of pain. To evaluate this, surgery can be seen as a controlled trauma and acutepain 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 alcoholconsumption, smoking, physical inactivity, obesity and risk of malnutrition based on the HPH DATA Model. Pain experiencewas measured on a visual analogue scale of 0-100mm for the nociceptive and the less frequent neuropathic pain. Heavy painwas 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 orgender were not associated with heavy postoperative pain, except for physical inactivity being negatively associated with therare 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 experiencepain different from patients with a healthy lifestyle.
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| 9. |
- Svane, Jeff Kirk, et al.
(författare)
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Fast and well-reported implementation: Fast-IM and RE-AIM.
- 2020
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Ingår i: Clinical Health Promotion. - : Clinical Health Promotion Centre. - 2226-5864. ; 10:1, s. 10-14
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Tidskriftsartikel (refereegranskat)abstract
- Background Implementation in healthcare is often slow and poorly reported. Results include suboptimal outcomes and ad-verse consequences for patients. However, promising tools to remedy implementation speed and reporting already exist – such as the evidence-based, fast-track implementation model (Fast-IM) and the comprehensive RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) reporting format.Metods In combination, Fast-IM and RE-AIM may constitute a new best practice for fast and well-reported implementation. The aim of this article was to visualize the feasibility of the combination in practice via 3 examples concerning smoking cessa-tion among patients, simulation-based training of healthcare professionals, and mandatory regulation.Results Combining Fast-IM and RE-AIM is feasible and provides a useful overview of both implementation process and results.Conclusion This article describes a new best practice for fast and well-reported implementation by combining Fast-IM and RE-AIM.
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