Hospital-at-Home Education as Implementation Tool - RCT

Recruiting now · Not applicable

Conditions studied: Hospital

In brief

To enhance implementation of Hospital-at-home (HaH) in Scandinavia, the Nordic Digital Health \& Education (NorDigHE) project has developed a comprehensive virtual education on HaH for clinical staff. The goal of this clinical trial is to evaluate whether an online education for clinical staff can enhance the implementation of HaH services in hospitals across Denmark, Norway, and Sweden. The primary outcome of the RCT is HaH implementation measured at organization level, understood as a change in clinical practice by increased HaH activity. Secondary outcomes are HaH knowledge and motivation among clinical staff as well as patient days in hospital, days hospitalized at home, 30-day readmission, and mortality. Researchers will compare hospitals receiving the NorDigHE education (intervention group) to hospitals continuing treatment as usual (control group) to see if the education leads to greater adoption of HaH and changes in service delivery. Participants will: * Complete baseline, 3-month, and 6-month surveys assessing HaH activity, staff knowledge, and motivation. * Participate in a 12-month follow-up assessment (intervention group only). * Be invited (patients, staff, and management) to take part in semi-structured interviews to share experiences and preferences related to HaH. * (For staff in the intervention group) Complete the NorDigHE virtual education program embedded in the WHO Fast-IM. After the study, the control group will be offered access to the NorDigHE education as a participant retention measure.

Key facts

Study ID: NCT07166653
Run by: Nordsjaellands Hospital
People needed: 14
Starts: 2025-09-01
Expected to finish: 2026-12-31
Last updated by the study team: 2025-09-10

Who can join

Age: any. Sex: any. Healthy volunteers: accepted.

You may qualify if…

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

You may not qualify if…

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

Where it is running

Nordsjællands Hospital — Hillerød, Capitol Region of Denmark, Denmark (enrolling)
University College of Østfold — Fredrikstad, Østfold fylke, Norway (enrolling)
Sahlgrenska University hospital — Göteborg, Skåne County, Sweden (enrolling)

Full record on ClinicalTrials.gov

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