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Proactive Health Support is a randomized controlled trial of telephone-based self-management support. The primary aim of the intervention is to reduce hospital admissions and improve quality of life in patients with a high risk of hospital admission.
Participants are identified through an algorithm, that assigns each patient with a risk score of 0-100%. Patients with the highest risk in each of the five regions of Denmark are invited to participate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Proactive Health Support | Experimental | The purpose of the intervention is to enhance patients' self-management strategies and thereby enable patients to cope with illness at home and prevent the development of those conditions, that are sensitive to preventive efforts.The intervention includes active listening, coaching and counselling and elements from case management such as assessing the need for healthcare services. Emphasis is on supporting and empowering the patient to make the necessary contacts to healthcare professionals. |
|
| Usual care | No Intervention | Usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Proactive Health Support | Behavioral | Active listening, coaching and counselling |
|
| Measure | Description | Time Frame |
|---|---|---|
| Hospital admissions | 6 months | |
| Quality of life | Questionnaire SF 36 - Mental Health Composite Score (Norm-based T-score of 45-55 is considered normal) | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Patient education | Questionnaire Hei-Q - all 8 subscales (health-directed activities, positive and active engagement in life, emotional distress, self-monitoring and insight, constructive attitudes and approaches, skill and technique acquisition, social integration and support, health service navigation, range 1-4) | 3, 6 and 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ulla Toft, PhD | Frederiksberg University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Clinical Research and Prevention | Frederiksberg | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42380860 | Derived | Fredens M, Terkildsen MD, Gronkjaer M, Toft U, Hawkins J, Nielsen CP. Balancing standardisation and flexibility in National complex intervention scale-up: a qualitative study of leadership experiences and management in the implementation of Proactive Health Support in Denmark. BMC Health Serv Res. 2026 Jun 30. doi: 10.1186/s12913-026-15030-y. Online ahead of print. | |
| 32320846 |
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Randomized controlled trial with 1:1 randomization stratified for risk of hospital admission and region
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| Outpatient consultations |
| 3, 6 and 12 months |
| Use of primary healthcare | 3, 6 and 12 months |
| Use of prescription medication | 3, 6 and 12 months |
| Survival | 1 year |
| Quality of life | Questionnaire SF36: All eight subscales (physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, mental health and health transition, range 0-100. Furthermore, norm-based T-scores are reported, 45-55 is considered normal) and two composite scores (mental and physical health, norm-based T-score of 45-55 is considered normal) | 3, 6 and 12 months |
| Incremental cost effectiveness ratio by comparison of costs with quality adjusted life years | 3, 6 and 12 months |
| Regional differences in resource use and costs | 3, 6 and 12 months |
| Resource use in primary care and rehabilitation | 3, 6 and 12 months |
| Benthien KS, Rasmussen K, Nielsen CP, Hjarnaa L, Rasmussen MK, Kidholm K, Nielsen BK, Nissen NK, Fredens M, Winther S, Gronkjaer M, Toft U. Proactive health support (PaHS) - telephone-based self-management support for persons at risk of hospital admission: Study protocol for a randomized controlled trial. Contemp Clin Trials. 2020 Jun;93:106004. doi: 10.1016/j.cct.2020.106004. Epub 2020 Apr 19. |