Online training to support Hospital-at-Home services in Scandinavia

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Using a randomized design, hospitals in Denmark, Norway, and Sweden will be assigned to receive the NorDigHE online education embedded in the WHO Fast-track Implementation Model or to continue usual practice. The primary outcome is implementation at the organizational level, measured as increased Hospital-at-Home activity, with secondary outcomes including staff knowledge and motivation, patient days in hospital, days hospitalized at home, 30-day readmission, and mortality. Data will be collected at baseline, 3 months, and 6 months, with nested qualitative studies to explore barriers and facilitators. Hospitals are recruited via open call and must have or be ready to establish essential governance, IT, communication, and clinical guideline prerequisites for HaH.

Why it matters

Who can join: the full rules

Inclusion criteria:

Hospitals with clinical departments treating acutely ill in-patients that have, or are ready to establish, the prerequisites and infrastructure for HaH - regardless of the specific approach, envisioned HaH model, primary sector collaborations, or local sector collaboration agreements and frameworks. Each hospital must have or be ready to establish:

1. a governance structure to organize and oversee HaH-services.
2. an IT-platform capable of managing data from and to HaH patients.
3. a safe communication pathway between HaH-patient and the hospital.
4. clear agreements on types of data to be exchanged between HaH-patient and hospital.
5. agreements on roles, responsibilities, and capacity (incl. possibly primary sector entities).
6. clinical guidelines, standard operating procedures, and action plans to support the HaH work.

Exclusion Criteria:

* Hospitals that do not have or are not ready to secure relevant pre-requisites listed above (a to f).

Where it's running

• Nordsjællands Hospital
  Hillerød, Capitol Region of Denmark, Denmark Recruiting
• University College of Østfold
  Fredrikstad, Østfold fylke, Norway Recruiting
• Sahlgrenska University hospital
  Göteborg, Skåne County, Sweden Recruiting

Study contacts

• Principal investigator: Thea K Fischer — Forskningsafdelingen, Nordsjællands Hospital
• Study coordinator: Mie H Martinussen
• Email: mie.hjort.martinussen@regionh.dk
• Phone: +45 20529362

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.