Clinical Health Promotion Centre

WHO Collaborating Centre: Implementation of Evidence-based Clinical Health Promotion

Alcohol/Drugs - Tobacco - Nutrition - Physical Activity - Co-morbidity

Clinical Health Promotion Centre

WHO Collaborating Centre: Implementation of Evidence-based Clinical Health Promotion

Alcohol/Drugs - Tobacco - Nutrition - Physical Activity - Co-morbidity

Scientific Publications


Peer-reviewed Articles

Svane, JK., Egerod, I., Tønnesen, H. (2018). Staff experiences with strategic implementation of clinical health promotion: A nested qualitative study in the WHO-HPH Recognition Process RCT. SAGE Open Medicine Volume 6: 1–12. DOI: 10.1177/2050312118792394

Rasmussen, M., Klinge, M., Krogh, J., Nordentoft, M., Tønnesen, H. Effectiveness of the Gold Standard Programme (GSP) for smoking cessation on smokers with and without a severe mental disorder: a Danish cohort study. BMJ Open 2018;8:e021114. DOI: 10.1136/bmjopen-2017-021114

Garmy, P., Jakobsson, L. (2018). Experiences of cancer rehabilitation: A cross-sectional study. J Clin Nurs. DOI: 10.1111/jocn.14321



Peer-reviewed Articles

Garmy, P., Clausson, EK., Berg, A., Steen Carlsson, K., Jakobsson, U. (2017). Evaluation of a school-based cognitive behavioral depression prevention program. Scand J Public Health. Accepted November 9th, 2017.

Lauridsen, S. V., Thomsen, T., Kaldan, G., Lydom, L.N. & Tønnesen, H. (2017). Smoking and alcohol cessation intervention in relation to radical cystectomy: a qualitative study of cancer patients’ experiences. BMC Cancer. 17:793 . DOI 10.1186/s12885-017-3792-5

Garmy, P., Clausson, E. K., Nyberg, P., & Jakobsson, U. (2017). Insufficient Sleep Is Associated with Obesity and Excessive Screen Time Amongst Ten-Year-Old Children in Sweden. J Pediatr Nurs. doi:10.1016/j.pedn.2017.11.009

Jönsson J, Maltestam M, Bengtsson Tops A, Garmy P. (2017) School Nurses’ Experiences Working With Students With Mental Health Problems. A Qualitative Study. The Journal of School Nursing, First Published 23 Nov 2017. DOI: 10.1177/1059840517744019

Raffing, R., Jensen, TB., Tønnesen H. (2017). Self-reported needs for improving the supervision competence of PhD supervisors from the medical sciences in Denmark. BMC Med Educ. 17: 188. doi: 10.1186/s12909-017-1023-z

Tønnesen, H; Hovhannisyan, K; Lauritsen, T; Bohlin, KS; Olsson, R. Livsstilsfaktorer förbisedda i kirurgiska kvalitetsregister. Läkartidningen 2017;114:EM4H 

Lauridsen, S. V., Tønnesen, H., Jensen, B. T., Neuner, B., Thind, P. & Thomsen, T. (2017). Complications and health-related quality of life after robot-assisted versus open radical cystectomy: a systematic review and meta-analysis of four RCTs. BMC Systematic Reviews. 6:150 . DOI 10.1186/s13643-017-0547-y

Andersen, A. E., Moberg, C., Bengtsson Tops, A., & Garmy, P. (2017). Lesbian, gay and bisexual parents' experiences of nurses' attitudes in child health care - a qualitative study. J Clin Nurs. doi:10.1111/jocn.14006

Kumakech, E., Andersson, S., Wabinga, H., Musubika, C., Kirimunda, S. & Berggren V. (2017). Cervical cancer risk perceptions, sexual risk behaviors and sexually transmitted infections among Bivalent Human Papillomavirus vaccinated and non-vaccinated young women in Uganda - 5 year follow up study. BMC Womens Health. 2;17(1):40. doi: 10.1186/s12905-017-0394-y.

Lauridsen, S. V., Thomsen, T., Thind, P., Tonnesen, H. (2017) STOP smoking and alcohol drinking before Operation for bladder cancer (the STOP-OP STUDY), perioperative smoking and alcohol cessation intervention in relation to radical cystectomy: study protocol for a randomised controlled trial. BMC Trials. 18:329. doi:10.1186/s13063-017-2065-6

Garmy, P., Vilhjalmsson, R., & Kristjansdottir, G. (2017). Bullying in School-aged Children in Iceland: A Cross-sectional Study. J Pediatr Nurs. doi:10.1016/j.pedn.2017.05.009

Rasmussen M, Fernández E, Tønnesen H. Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study. BMJ Open 2017; 7:e013553. Doi:10.1136/bmjopen-2016-013553.

Garmy, P., Berg, A., Clausson, E. K., Hagell, P., & Jakobsson, U. (2017). Psychometric analysis of the Salutogenic Health Indicator Scale (SHIS) in adolescents. Scand J Public Health, 45(3), 253-259. doi:10.1177/1403494816680801

Skoog, M., Hallström, I., & Berggren, V. (2017). ‘There's something in their eyes’ – Child Health Services nurses’ experiences of identifying signs of postpartum depression in non-Swedish-speaking immigrant mothers. Scand J Caring Sci. doi: 10.1111/scs.12392

Garmy, P., & Ward, T. M. (2017). Sleep Habits and Nighttime Texting Among Adolescents. J Sch Nurs. doi:10.1177/1059840517704964

Book chapter

Garmy, P.,& Clausson, E. (2017). Att förebygga psykisk ohälsa i skolan: utvärdering av DISA. I “Barnsliga sammanhang”, red. Clausson & Nilsson. Kristianstad University Press.



Peer-reviewed Articles

Garmy P, Berg A, Clausson EK, Hagell P and Jakobsson U (2016) Psychometric analysis of the Salutogenic Health Indicator Scale (SHIS) in adolescents. Scand J Public Health 2016 as doi:10.1177/1403494816680801.

Ellertsson AS, Garmy P, Clausson EK. Health Among Schoolchildren From the School Nurse’s Perspective. The Journal of School Nursing 2016 as doi:10.1177/1059840516676876.

Elgán TH, Kartengren N, Strandberg AK, Ingemarson M, Hansson H, Zetterlind U & Gripenberg J. A web-based group course intervention for 15-25-year-olds whose parents have substance use problems or mental illness: study protocol for a randomized controlled trial. BMC Public Health (2016) 16:1011. DOI 10.1186/s12889-016-3691-8.

Tønnesen H, Svane JK, Groene O, Chiou S-T. The WHO-HPH recognition project: fast-track implementeation of clinical health promotion – a protocol for multi-center RCT. Clin Health Promot. 2016;6:13-20.

Arnaud N, Baldus C, Elgán TH, De Paepe N, Tønnesen H, Csemy L, Thomasius R. Effectiveness of a Web-Based Screening and Fully Automated Brief Motivational Intervention for Adolescent Substance Use: A Randomized Controlled Trial. J Med Internet Res 2016;18:e103.

Mikkelsen LMS, Tønnesen H & Nielsen PR. Tværfaglig og tværsektoriel håndtering af patienter med komplekst regionalt smertesyndrom. Ugeskr Laeger 2016;178:2-5.




Peer-reviewed Articles

Arnaud N, Baldus C, Elgán TH, Tønnesen H, De Paepe N, Csemy L, Thomasius R. Moderators of outcome in a web-based substance use intervention for adolescents. SUCHT. 2015;61:377-87.

Skaarup AW, Rotbøll Nielsen P, Tønnesen H. Experience of pain and lifestyle risk factors. Clin Health Promot. 2015;5(3):74-80.

Kehlet M, Schroeder TV, Tønnesen H. The Gold Standard Programme for smoking cessation is effective for participants over 60 years of age. Int J Environ Res Public Health. 2015;12:2574-87.

Svane JK, Chiou S-T, Chang Y-L, Shen S-H, Huang C-H, Pan C-Y, Lin M-N, Shieh Y-H, Wu T, Wu S-C, Chau T-T, Hung L-Y, Kan Y-Y, Wang C-J, Yuan R-Y, Yu H-I, Chuo Y-H, Chen M-S, Chan H-T, Chou Y-L, Pei D, Wang NP, Tsai T-C, Wu H-C, Tønnesen H. Integration of health promotion in clinical hospital departments: standards fulfilment, documentation of needs and service delivery. Clin Health Promot 2015 5:11-17.

Zetterlind U, Kovac S. Outcome of information and coping skills training for relatives of drug abusers: A randomised controlled study. Clin Health Promot 2015;5:18-24.

Tønnesen H, Clancy L, Aveyard P, Gilljam H, Larsson M, Rasmussen M, Adami J, Friberg P, Boëthius G. Recommendations on smoking cessation intervention from Malmö International Strategic Seminar. Clin Health Promot 2015;5:25.

Ramel B, Täljemark J, Lindgren A and Johansson BA. Overrepresentation of unaccompanied refugee minors in inpatient psychiatric care. SpringerPlus 2015;4:131.

Tønnesen H, Egholm JW, Oppedal K, Lauritzen JB, Madsen BL and Pedersen B. Patient education for alcohol cessation intervention at the time of acute fracture surgery: study protocol for a randomised clinical multi-centre trial on a gold standard programme (Scand-Ankle). BMC Surg. 2015;1:52.

Aalykke M, Wernheden E, Pedersen B, Egholm JWM, Madsen BL, Lauritzen JB, Tønnesen H. Participants and Non-participants in the Scand-Ankle study - An alcohol cessation intervention at the time of fracture surgery. Clin Health Promot 2015;5:49-53.

Kehlet M, Heeseman S, Tønnesen H and Schroeder TV. Perioperative smoking cessation in vascular surgery: challenges with a randomized controlled trial. Trials 2015;16:441.


PhD Thesis

Kehlet M. Tobacco and Vascular Surgery. University of Copenhagen 2015. Published in Clin Health Promot 2015;5:Suppl 2.

Hovhannisyan K. Lund University 2015. VIP (Very Important Patient) Project: Health Promotion for Alcohol and Drug Abusers. Half way control.




Peer-reviewed Articles

Svane JK, Raisova B, Stanecka Z, Dolezel Z, Richter M, CahlikovaJ, Vlachova M, Opocenska M, Tønnesen H,  Clinical Health Promotion in the Czech Republic: Standards Compliance and Service Provision.  Clin Health Promot. 2014;4:15-21.

Wåhlin S, Tønnesen H. Dags för “alkoholfri operation” Läkartidningen. 2014;111:44-45.

Wernheden E,  Aalykke M, Pedersen B, Egholm JWM, Lauritzen JB, Madsen BL, Tønnesen H, Does an intensive alcohol cessation intervention at the time of fracture surgery induce smoking cessation? - The Scand-Ankle study.  Clin Health Promot. 2014;4:48-53.

Andersson C, Danielsson S, Silfverberg-Dymling G, Löndahl G, Johansson BA, Evaluation of Interactive Voice Response (IVR) and postal survey in follow-up of children and adolescents discharged from psychiatric outpatient treatment: a randomized controlled trial. SpringerPlus. 2014;3:77.

Thomsen T, Villebro N, Møller AM, Interventions for preoperative smoking cessation. Cochrane Database of Systematic Reviews. 2014; Issue 3. Art.

Munk T, Beck AM, Holst M, Rosenbom E, Rasmussen HH, Nielsen MA, Thomsen T, Positive effect of protein-supplemented hospital food on protein intake in patients at nutritional risk: a randomized controlled trial. J Hum Nutr Diet. 2014;27:122-32.

Arlebrink J. Ethical and existential aspects of lifestyle changes. Clin Health Promot. 2014;4:88-92.

Aalykke M, Werneheden E, Pedersen B, et al. Participants and Non-participants in the Scand-Ankle study - An alcohol cessation intervention at the time of fracture surgery. Clin Health Promot. 2014;4:83-87.


PhD Thesis


Pedersen B, Scand-Ankle: Cost-effectiveness of Alcohol Cessation Intervention in Acute Fracture Surgery.  Clin Health Promot. 2014;4 Supl 2.


Nielsen PR, Tværfagligt forebyggelses- og rehabiliteringsprogram ved operation.  Clin Health Promot. 2014;4 Supl 3.





Peer-reviewed Articles

Johansson B.A, Remvall S, Malgerud R, Lindgren A, Andersson C. Interactive voice response – an automated follow-up technique for adolescents discharged from acute psychiatric inpatient care: a randomised controlled trial. SpringerPlus 2013 2:146.

Rubinsky AD, Bishop MJ, Maynard C, Henderson WG, Hawn MT, Harris AH, Beste LA, Tønnesen H, Bradley KA. Postoperative risks associated with alcohol screening depend on documented drinking at the time of surgery. Drug Alcohol Depend. (2013)

Pedersen B, Askgaard G, Oppedal K. Disulfiram for alcohol use disorder. Cochrane Database of Systematic Reviews 2013 Issue 4. Art. No.: CD010487.

Tønnesen H, Sass N, Hoborg KJ, Nielsen HJ. Influence of acute alcohol intoxication on certain immune reactions. Clin Health Promot 2013; 3:20-4.

Eriksson S, Tønnesen H. Review: Experiences and preferences of counselling about living habits in healthcare – a systematic review of studies on the patient perspective. Clinical Health Promotion. 2013;3(2):46.

Neumann T, Rasmussen M, Heitmann BL, Tønnesen H. Gold standard program for heavy smokers in a real-life setting. International Journal of Environmental Research and Public Health. 2013;10(9):4186-99.

Tønnesen H, Ståhlbrandt H, Pedersen B. Review: Web-based brief interventions for young adolescent alcohol and drug abusers - a systematic review. Clinical Health Promotion. 2013;3(3):75-82.

Lindahl ML, Berglund M, Tönnesen H. Case management in aftercare of involuntarily committed patients with substance abuse. A randomized trial. Nordic Journal of Psychiatry. 2013 jun;67(3):197-203.

Rasmussen M, Heitmann BL, Tønnesen H. Effectiveness of the gold standard programmes (GSP) for smoking cessation in pregnant and non-pregnant women. International Journal of Environmental Research and Public Health. 2013 aug;10(8):3653-66.

Hansson H, Rundberg J, Österling A, Öjehagen A, Berglund M. Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial. Nord J Psychiatry. 2013 Aug;67(4):274-81.

Neumann T, Rasmussen M, Ghith N, Heitmann BL, Tønnesen H. The Gold Standard Programme for smoking cessation interventions for disadvantaged smokers is effective in a real life setting. Tob Control. 2013 Nov;22(6):e9.




Peer-reviewed Articles

Aust B, Helverskov T, Nielsen MBD, Bjorner JB, Rugulies R, Nielsen K, Sørensen OH, Grundtvig G, Andersen MF, Hansen JV, Buchardt HL, Nielsen L, Lund TL, Andersen I, Andersen MH, Clausen AS, Heinesen E, Mortensen OS, Ektor-Andersen J, Ørbæk P, Winzor G, Bültmann U, Poulsen OM. The Danish national return-to-work program--aims, content, and design of the process and effect evaluation. Scand J Work Environ Health. 2012;38:120-33.

Bradley KA, Rubinsky AD, Sun H, Blough DK, Tønnesen H, et al. Prevalence of alcohol misuse among men and women undergoing major noncardiac surgery in the Veterans Affairs health care system. Surgery. 2012;152:69-81.

Elgan TH, Hansson H, Zetterlind U, Kartengren N, Leifman H. Design of a web-based individual coping and alcohol-intervention program (web-ICAIP) for children of parents with alcohol problems: study protocol for a randomized controlled trial. BMC Public Health. 2012;12:35.

Forslund CM, Johansson BA. Pervasive refusal syndrome among inpatient asylum-seeking children and adolescents: a follow-up study. Eur Child Adolesc Psychiatry. 2012;3. [Epub].

Ghith N, Ammari ABH, Rasmussen M, Frølich A, Cooper K, Tønnesen H. Impact of compliance on quit rates in a smoking cessation intervention: population study in Denmark. Clin Health Promot 2012;3:111-19.

Hansson H, Rundberg J, Osterling A et al. Intervention with feedback using Outcome Questionnaire 45 (OQ-45) in a Swedish psychiatric outpatient population. A randomized controlled trial. Nord J Psychiatry. 2012;19 [Epub].

Jørgensen MB, Faber A, Jespersen T, et al. Implementation of physical coordination training and cognitive behavioural training interventions at cleaning workplaces--secondary analyses of a randomised controlled trial. Ergonomics. 2012;55:762-72.

Lid TG, Oppedal K, Pedersen B, Malterud K. Alcohol-related hospital admissions: Missed opportunities for follow up? A focus group study about general practitioners' experiences. Scand J Public Health. 2012;40:531-6.

Lindahl ML, Berglund M, Tønnesen H. Case management in aftercare of involuntarily committed patients with substance abuse. A randomized trial. Nord J Psychiatry. 2012;2. [Epub]

Neumann T, Rasmussen M, Ghith N, Heitmann BL, Tønnesen H. The Gold Standard Programme: smoking cessation interventions for disadvantaged smokers are effective in a real-life setting. Tob Control. 2012 Jun 16. [Epub].

Nielsen PR, Christensen PA, Meyhoff CS, Werner MU. Post-operative pain treatment in Denmark from 2000 to 2009: a nationwide sequential survey on organizational aspects. Acta Anaesthesiol Scand. 2012;56:686-94.

Oppedal K, Møller AM, Pedersen B, Tønnesen H. Preoperative alcohol cessation prior to elective surgery. Cochrane Database Syst Rev. 2012;11:7.

Rasmussen M, Ammari ABH, Pedersen B, Tønnesen H. Smoking cessation intervention activities and outcomes before, during and after the national Healthcare Reform in Denmark. Clin. Health Promot. 2012;2:26-35.

Rubinsky AD, Sun H, Blough DK, Maynard C, Bryson CL, Harris AH, Hawkins EJ, Beste LA, Henderson WG, Hawn MT, Hughes G, Bishop MJ, Etzioni R, Tønnesen H, Kivlahan DR, Bradley KA. AUDIT-C Alcohol Screening Results and postoperative Inpatient Health Care Use. J Am Coll Surg. 2012;214:296-305.

Schäfer CN, Jørgensen HL, Riis T, Lauritzen JB. Impact of co-morbidity and adverse lifestyle on complications in elective total knee arthroplasty Clin. Health Promot. 2012;2:19-25.

Ståhlbrandt H, Johnsson KO & Berglund M. Alcohol patterns and their relation to social climate in student residence halls – a multilevel analysis. Open J of Prev Med 2012, 2:299-305.

Täljemark J, Johansson BA. Drug-induced acute psychosis in an adolescent first-time user of 4-HO-MET. Eur Child Adolesc Psychiatry. 2012;21:527-8.

Tønnesen H, Svane JK, Lenzi L, et al. Handling Clinical Health Promotion in the HPH DATA Model: Basic Documentation of Health Determinants in Medical Records of tobacco, malnutrition, overweight, physical inactivity & alcohol. Clin. Health Promot. 2012;2:5-11.

Tønnesen H, Nelbom BM, Wind B, Olsen VM, Madsen T, Backer V. Smoking cessation intervention in emergency neurology - introduction of a new practice Clin. Health Promot. 2012; 2:64-9.

Tønnesen H, Pedersen S, Lavrsen M, et al. Reduced wound healing capacity in alcohol abusers – reversibility after withdrawal. Clin Health Promot 2012; 3:89-92.


Arlebrink J. (2012) Existentiella frågor – inom vård och omsorg. Studentlitteratur: Lund.

Tønnesen H. (ed.) (2012) Engage in the Process of Change - Facts and Methods.  World Health Organization. Regional Office for Europe: Copenhagen.




Peer-reviewed Articles

Oppedal K, Nesvåg S, Pedersen B, Daltveit JT, Tønnesen H. Hazardous drinkers in Norwegian hospitals – a cross-sectional study of prevalence and drinking patterns among somatic patients. Norsk Epidemiologi. 2011;1:93-8.

Jakab Z, Tønnesen H. A new era begins. Clinical health promotion to provide evidence for the benefit of patients, professionals and communities. Editorial. Clin Health Promot. 2011;1(1):3-4.

Tønnesen H, Møller AM, Lauritzen JB, Adami J, Svensson O. Clinical Guidelines: Smokers undergoing scheduled surgery: The Gold Standard Programme. Clin Health Promot. 2011;1(1):27-8.

Bradley KA, Rubinsky AD, Sun H, Bryson CL, Bishop MJ, Blough DK, Henderson WG, Maynard C, Hawn MT, Tønnesen H, Hughes G, Beste LA, Harris AH, Hawkins EJ, Houston TK, Kivlahan DR. Alcohol Screening and Risk of Postoperative Complications on Male VA Patients Undergoing Major Non-cardiac Surgery. J Gen Intern Med. 2011;26(2): 162-9.

Hakansson A, Schlyter F, Berglund M. Associations between polysubstance use and psychiatric problems in a criminal justice population in Sweden. Drug Alcohol Depend. 2011 Oct 1;118(1):5-11.

Hakansson A, Isendahl P, Wallin C, Berglund M. Efficacy of mobile telephone contact for follow-up in injecting heroin users. Am J Drug Alcohol Abuse. 2011 Mar;37(2):89-92.

Hakansson A, Bradvik L, Schlyter F, Berglund M. Variables associated with repeated suicide attempt in a criminal justice population. Suicide Life Threat Behav. 2011 Oct;41(5):517-31.

Pedersen B, Alva-Jørgensen P, Raffing R, Tønnesen H. Fractures and alcohol abuse - patient opinion of alcohol intervention. Open Orthop J. 2011 Jan 7;5:7-12.

Jørgensen CH, Pedersen B, Tønnesen H. The efficacy of disulfiram for the treatment of alcohol use disorder. Alcohol Clin Exp Res. 2011 Oct;35(10):1749-58.

Skau JKH, Stage LC, Nielsen DM. Evaluating postgraduate courses in Health Promotion. Clin HP 2011;1:16-21.

Oppedal K, Pedersen B, Daltveit JT, Oppedal LM, Nesvåg S. Do alcohol-attributable diagnoses reflect current hazardous drinking patterns in Norwegian hospital patients? Clin HP 2011 Dec 1(2):50-54.

Nielsen PR, Tønnesen H. Does the amount of physical exercise before arthroplasty influence the postoperative outcome? Clin HP 2011 Dec 1(2) 55-62.

Oppedal K, Nesvåg S, Pedersen B, Skjøtskift S, Aarstad AK, Ullaland S, Pedersen KL, Vevatne K, Tønnesen H. Health and the need for health promotion in hospital patients. Eur J Public Health. 2011 Dec;21(6):744-9.

Pedersen B, Oppedal K, Egund L, Tønnesen H. Will emergency and surgical patients participate in and complete alcohol interventions? A systematic review. BMC Surg. 2011 Sep 23;11:26.

Højgaard B, Olsen KR, Pisinger C, Tønnesen H, Gyrd-Hansen D. The potential of smoking cessation programmes and a smoking ban in public places: Comparing gain in life expectancy and cost effectiveness. Scand J Public Health. 2011 Dec;39(8):785-96.

Brådvik L and Berglund M. Antidepressant Therapy in Severe Depression May Have Different Effects on Ego-Dystonic and Ego-Syntonic Suicidal Ideation. Depression Research and Treatment, vol. 2011, Article ID 896395, 6 pages, 2011. doi:10.1155/2011/896395.

Brådvik L, Berglund M. Repetition of suicide attempts across episodes of severe depression. Behavioural sensitisation found in suicide group but not in controls. BMC Psychiatry. 2011 Jan 7;11:5.

Petersen SH, Feldinger B, Jessen N, Kaufmann H, Pedersen B, Tønnesen H. Patient experienced side effects and adverse events after cancer treatment – Patient initiated research. Clin HP 2011;1:5-8.

Tønnesen H, Thomsen T. Review: Long-term effect of perioperative smoking cessation programmes. Clin HP 2011;1:22-26.

Tønnesen H. Surgery and smoking at first and second hand: time to act. Anesthesiology. 2011 Jul;115(1):1-3.

PhD Thesis

Marianne Larsson Lindahl. Patients in Court-Ordered Substance Abuse Treatment. Lund University 2011.