Handling Clinical Health Promotion in the HPH DATA MODEL: Basic Documentation of Health Determinants in Medical Records of tobacco, malnutrition, overweight, physical inactivity & alcohol

Research output: Contribution to journalArticle


Clinical Health Promotion activities contribute to the reduction of disease and treatment, and improve outcomes and prognosis. Accordingly, major health determinants such as smoking, physical inactivity, risk of malnutrition, overweight and hazardous drinking should be easily identified in the medical records. To that end, this study evaluates a simple 9 question health documentation model (HPH DATA Model) to be used in the medical records of patients in need of health promotion.
The multi-national study took place in 78 pilot centres from 12 nations / regions.
First, the HPH DATA Model was pilot tested by clinical specialists in a standardised manner for control under international conditions (A). Then it was tested under local conditions (B). After gaining familiarity with the model, the clinical specialists evaluated whether the model was understandable, applicable and sufficient (C). They were also invited to give comments.
The response rate was 87-100%; the missing data among responders were 0 - 2.6%. The inter-rater agreement in documenting the 5 risk factors using the HPH DATA Model was substantial to nearly perfect across the pilot centres at International Conditions (A); Kappa value 0.85 (0.65 - 0.99). The clinical specialists categorized 66% (29 - 94%) of the patients from their own clinical practice regarding the need for health promotion (B). Except for waist measure-
ments, the clinical specialists found the model understandable, applicable and sufficient. It was also determined that the clinical specialists were in need of a more comprehensive definition of the term “severe illness” (C).
The simple HPH DATA Model for systematic registration of 5 significant health
determinants was found to be understandable, applicable and sufficient in different clinical settings.


  • HPH Network in Tuscany, Italy; Spain; Ontario, Canada and Germany
External organisations
  • Bispebjerg Hospital
  • Rovereto Hospital, Trentino
  • Sumperk Hospital
  • Tallinn Children's Hospital
  • Akershus University Hospital
  • Taiwan Landseed Hospital
  • Lausanne University Hospital
  • Central Finland Health Care District
  • Krankenhaus Hietzing mit Neurologischem Zentrum Rosenhugel
  • Windber Research Institute
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Public Health, Global Health, Social Medicine and Epidemiology
Original languageEnglish
Pages (from-to)5-11
Number of pages7
JournalClinical Health Promotion
Issue number1
Publication statusPublished - 2012 Apr
Publication categoryResearch