Research Projects


VIP - Very Integrated Program

A project with people in treatment for alcohol and drug addiction in Skåne, Sweden. The purpose of this project is to investigate the effect of integrating health activities in the treatment of alcohol and drug addiction. VIP identified the presence of health and comorbidity for men and women, and evaluated the effect of health activities on living habits and effect of addiction treatment in a randomized controlled trial.

Contact person: Karen Hovhannisyan


In this study we investigate whether an evidence-based education in 4 weeks after surgery can have the same positive effect in cases where the surgery is acute and an alcohol free period not is possible before the surgery, focusing on ankle fractures. Scand-Ankle is a Nordic project involving about 70 patients and conducted by orthopedic surgeons and alcohol researchers from Sweden, Denmark and Norway.

Contact person: Hanne Tönnesen

Sleep, media habits and lifestyle in school age children

Sleep problems in school-aged children have increased threefold since the late 1980s. The amount of sleep that children and adolescents have has reduced by about an hour over the last 100 years. Meanwhile, the number of overweight and obese children is increasing, putting those affected at risk of cardiovascular and other diseases. Both short and overly long periods of sleep are associated with being overweight as an adult. At the same time, media habits and activity patterns have changed significantly. This is a longitudinal survey study (March 2008 to June 2020), where we are investigating sleep duration, body perception, physical activity, BMI and media habits with questionnaires and height and weight measures in school-aged children and adolescents.

Contact person: Pernilla Garmy

Does snuff, e-cigarettes and nicotine products (SEN) affect the orthopedic treatment outcome?

There is evidence that smoking cessation in surgery halves the complication rate, which makes intervention cost-effective. The question is whether this applies to other forms of tobacco dependence, namely the use of snuff and other forms of nicotine addiction, such as the use of e-cigarettes and the long-term use of nicotine products? If the answer is yes, the users should quit prior to surgery - just as for smoking. If the answer is no, it should be of great importance for future recommendations in the treatment of surgical patients.

We evaluate a possible effect of SEN on treatment outcomes and quality of life among approx. 7000 adult patients at the orthopedic clinic in Kristianstad-Hässleholm. All patients are monitored after 1, 6 and 12 months. We will also through interviews gather knowledge about the attitude and preferences of patients and staff during the study. It is a 4-year study with 2 years of inclusion and 1 year of follow-up.

Contact person: Hanne Tönnesen

Children of alcohol dependent parents

The aim of the study is to investigate whether children to alcohol dependent parents are affected by their upbringing in a longer perspective, i.e. up in adulthood. The studied group is children / adolescents who participated in a children's project in 1993-2002. A follow-up was made 2003-2004 and a further follow-up is ongoing.

Contact person: Ulla Zetterlind

Systematic Reviews

Effect of clinical health promotion on patient pathway and treatment results in 7 areas: surgery, mental illness, heart disease, lung disease, diabetes, pregnancy and perinatal care as well as teaching and training of staff.

Contact person: Hanne Tönnesen

Existential aspects of alcohol abuse and addiction

The purpose of the study is to evaluate existential aspects among patients in treatment for alcohol abuse and addiction. After informed consent, profound interviews of dependent patients are conducted on their perception of life and experiences of treatment and reflections on future goals. Individual patient interviews have been completed.

Contact person: Jan Arlebrink

Ethics in addiction treatment

How does patients experience being offered / not offered physical activity?

Contact person: Jan Arlebrink



Fast-track implementation of evidence-based practice

Multi-centre randomized clinical trial. The purpose is to evaluate the impact of the WHO-HPH ‘Fast-track implementation model’ on health gains of patients and staff, on service delivery and on standard compliance.

36 clinical departments (max 1 from each hospital) from 8 nations were included with acceptance from the department and hospital management. Departments were randomized to the Fast Track model or to their usual implementation routines. At baseline and follow-up after 1 year, the health status of patients and staff was measured, assessment of need for and associated delivery of clinical health promotion services was measured, and the degree to which the departments met the 5 WHO standards was measured. External audit, validation and performance recognition at site visits was also conducted.

Contact person: Jeff Kirk Svane


Strong for Surgery - Strong for Life

Focus is to examine how living habits are recorded in surgical quality databases from a complication reduce perspective and how the implementation works for the patients in the surgical clinics. The aim is to clarify the evidence for the ability to improve the preparation of patients with risky lifestyle before surgery. The data are now being presented.

Contact person: Hanne Tönnesen



QUIT - National project on the effect of stop-smoking interventions for different groups of smokers in Sweden

The aim of this project is to evaluate which programs are most effective for different groups of smokers, including disadvantaged and vulnerable groups in Sweden. The method is based on a Danish model of collection of individual data via an online project database. At least 8,000 smokers are to be recruited in 2018-2019. Data include tobacco profile including snuff and e-cigarettes, socioeconomics, use of smoking cessation intervention programs, costs and follow-up for successful quitting after 6 weeks and 6 months. The database is available from WHO-CC and the Danish National Board of Health and Welfare, but require adaption to the Swedish socio-demographics, use of snuff etc. By 2020, the main analysis will be carried out including identification of important factors for quitting smoking.

This project will contribute to the knowledge on the effect of Swedish tobacco intervention for different groups.


Contact person: Hanne Tönnesen

Add Life - Treatment of patients addicted to alcohol and drugs

The overall objective is to evaluate the effect of alcohol / drug addiction treatment in the years 1968-2013, morbidity, life expectancy and causes of death. Sub-analyses are related to the duration of treatment, gender, age, patterns of use, tobacco and socioeconomic factors. Analyzes of the costs and cost-effectiveness are also included.

Contact person: Hanne Tönnesen



Clinical Health Promotion Centre, WHO CC   |   Health Sciences, Lund University   |   Addiction Centre, Region Skåne  

Södra Förstadsgatan 35, 4th floor, SE 20502 Malmö, Sweden   |   |   Tel: +46 40 332977