Bibliotherapy refers to the use of written materials for therapeutic purposes. The curative effect of books, mentioned as early as antiquity, has been objectified by several studies. It is widely used in England in primary care whereas in France it appears to be used to a limited extent. The main objective of the study was to assess the state of knowledge and the use of bibliotherapy by general practitioners.An opinion survey was conducted with a digital questionnaire. The target population included all liberal generalists in Reunion Island. A sample was collected using records of email addresses. The data collection was anonymous68 responses were collected. The sample seemed representative of the target population in terms of sex and age. 43 doctors (63%) had already used books in consultation, especially for patients with psychological disorders. The main obstacles which could be identified were the lack of awareness of the technique, the lack of interest in books (patient side), the incomprehension of having books as a material prescription. At the end of the survey, 79% of doctors considered using these supports, and 87% were in favour of a website referencing books to be recommended.The term bibliotherapy is not widely known; many doctors had already used books during consultations. This approach seems to be well received by patients. The HAS (French National Authority for Health) mentions bibliotherapy among the treatments for anxiety disorders. Books are a valuable tool for accessing conventional therapies, given the difficulties they face, and for promoting therapeutic education based on books.Our study made it possible to draw up an unprecedented inventory of this practice.. The majority of the doctors who were surveyed had already used it in cases of psychological disorders. In order to develop this practice, a reference frame of books should be created to guide general practitioners and patients in their choice. Keywords Bibliotherapy, media-assisted therapy, primary care

Spiritual health is recognised as a core component of whole-person care, and is associated with positive outcomes when addressed and negative consequences when overlooked. Despite this, primary-care clinicians often report low confidence, uncertainty, and stigma when discussing spiritual health in consultations. This hesitation is reinforced by pluralistic ignorance: clinicians privately value spiritual health but feel unsure how to raise the topic professionally. Evidence highlights a training gap within primary care.To co-design an evidence-based, pragmatic training that addresses learning needs around spiritual health. The intervention aims to promote liberty of belief and practice, equity of access to spiritual-health support, and fraternity through shared learning and mutual respect.We used the Person-Based Approach (PBA), informed by Normalisation Process Theory (NPT), to co-design a practical and implementable training package: the SHARP (Spiritual Health Awareness and Recommendations in Primary care) Training. Five workshops were delivered online and in-person at Newcastle University, UK, involving GPs, social prescribers, patients, and community stakeholders. Workshops followed a structured agenda and used persona-based discussion and narrative pedagogy to explore the best ways for spiritual health training to be delivered, and identify "norm brokers" to embed good practice. Iterative prototyping combined stakeholder insights with evidence-based content.Co-design produced a usable, scalable training aligned with real life practice. Participants reported that the structured yet flexible approach reduced stigma, normalised discussion of spiritual health, and enhanced conceptual clarity. Integrating NPT ensured the intervention addressed coherence, cognitive participation, collective action, and reflexive monitoring. SHARP offers evidence-based content, practical communication strategies, and implementation supports to enhance acceptability and normalisation. Dissemination through an international CPD provider is planned.SHARP shows that sensitive and contested topics can be addressed constructively when liberty, equity and fraternity guide the process. SHARP enables clinicians to explore diverse beliefs safely (liberty), supports fair and consistent spiritual health care awareness (equity), and develops shared understanding and collaboration within primary care (fraternity). These principles help shift a stigmatised topic into a legitimate and relational component of holistic care.The SHARP training is being piloted and evaluated to support equitable access to spiritual-health education and strengthen whole-person care in primary care settings.

Anxiolytics, hypnotics and antidepressants are prescribed mainly by general practitioners (GPs). They cause numerous adverse effects and represent a burden on public health and healthcare budgets, especially as they are often overused in comparison with guidelines. The use of non-pharmacological interventions is recommended as a first-line treatment in most non-severe situations where these substances are prescribed, but they remain significantly underused. XXXX hypnotherapy is a formally described hypnosis method used in primary care that could represent a new and serious therapeutic alternative in this context.To compare the characteristics of prescriptions for anxiolytics, hypnotics and antidepressants issued by GPs who practise XXXX hypnotherapy (HGPs) in the YYYY region with those issued by untrained GPs, as well as those issued before and after their training.Cross-sectional study of reimbursement data from YYYY health database for these treatments in 2023. Prescriptions from all the 22 YYYY HGPs were compared with those of 88 other matched GPs, and one year before versus two years after training in a second longitudinal study.In 2023, HGPs were involved in 15.42 [12.19-19.31] deliveries of anxiolytic benzodiazepines and 4.47 [3.30-6.02] deliveries of hypnotics on average for every 100 different patients seen, versus 20.64 [17.18-24.58] and 7.63 [6.44-9.02] for others (p=0.475 and p=0.0016, respectively). The treatment duration for benzodiazepine anxiolytics was in line with guidelines for 92.12% [89.15%-94.33%] of HGPs versus 87.79% [85.14%-90.03%] of others (p=0.0252). No difference was observed in antidepressants nor in HGPs’ prescriptions before and after training.To our knowledge, the characteristics of prescriptions issued by GPs practising hypnotherapy had never been objectively evaluated until now. Despite its small sample size, this study represents an exhaustive survey of YYYY GPs using this hypnosis method and reveals that these physicians have a specific profile of psychotropic drug prescriptions. However, no causality can be established here between the practice of hypnotherapy and changes in physicians' drug prescribing habits, and results cannot be extrapolated to other hypnosis methods.Hypnosis might be a complementary therapy that reduces the need for psychotropic drugs, especially when performed directly by GPs, but its impact on practices needs to be studied further.

Stress-related conditions and sleep disturbances are highly prevalent in primary care and are major contributors to reduced well-being and increased healthcare use. Standard treatments often alleviate symptoms but may not sufficiently address underlying lifestyle factors. Ayurvedic lifestyle guidelines (dinacharya) emphasize circadian alignment, behavioral regulation, and preventive self-care, offering a potentially feasible, low-cost adjunct for primary care.To assess the effectiveness and acceptability of a structured ayurvedic lifestyle intervention in reducing stress and improving sleep quality among adults presenting to primary care.A mixed-methods study was conducted in an urban primary care setting. Adults aged 20–50 years with moderate stress (Perceived Stress Scale [PSS] >18) and sleep disturbance (Pittsburgh Sleep Quality Index [PSQI] >5) were recruited. Participants received individualized lifestyle recommendations grounded in ayurvedic principles, including sleep hygiene strategies, circadian routine alignment, dietary regulation, guided breathing practices, and structured digital-detox routines for 6 weeks. Quantitative outcomes included PSS, PSQI, and a 10-point subjective sleep satisfaction rating. Pre- and post-intervention changes were analyzed using descriptive statistics and paired t-tests. Semi-structured interviews explored perceived acceptability and implementation experiences, analyzed using thematic content analysis.Among 52 enrolled participants, 48 completed follow-up. Mean PSS scores decreased significantly from 22.4 to 14.8 (p < 0.001). Mean PSQI scores improved from 9.1 to 5.3 (p < 0.001). Eighty-five percent of participants reported better daytime functioning and improved sleep satisfaction. Qualitative analysis identified high acceptability, increased perceived self-efficacy, and the practicality of adopting structured lifestyle routines as key facilitators.The intervention demonstrated clinically meaningful improvements in stress and sleep quality, with strong participant endorsement and alignment with core principles of person-centred primary care. The mixed-methods design strengthened understanding of both effectiveness and implementation feasibility.A dinacharya-based lifestyle intervention appears feasible, acceptable, and effective as a low-resource adjunct for managing stress and sleep disorders in primary care. Controlled comparative studies are warranted to confirm efficacy and support broader integration into routine practice.

The present study reflects on the transdisciplinarity between Dance and Health, from the research experience on expanded dance practices developed by XXX, a gathering of artists, scholars, researchers and students from Dance, Psychology, Public Health and Biological Sciences, in partnership with XXX, a pluriethnic indigenous community and university located in urban context, in XXX. Our research considers Dance under the paradigm of One Health, recognizing the symbiotic interconnection between humans, other living beings and environmental elements of the planet.The study consisted of a cartographic research into the creation and exercise of contrachoreographic practices in dance, called practices of “beingwith”, which are grounded in the politics of encounter, with horizontal relationships in networks of affection and care between people, living beings, and physical elements of their territories.Our investigation focuses on the movements, gestures, sensations, and perceptions arising from shared experiences of care that emerge within communal activities that are closely integrated with the environment. Such praxis is inspired by the indigenous notion of body-territory, in reference to the inseparability between human existence and the elements that compose the ecosystem. The practices of "beingwith" promote a state of active presence,  with attention to "body-territory-time" relationships. The experinces create opportunities of silent and immersive actions, with contemplation of processes of life and sensations of "dilation" or "suspension" of chronological time.Based on the transdisciplinarity between Dance and Health, our research proposes to add somaffective, cartographic, and artistic experiences to care practices that develop in the strengthening of collective networks and in the deepening of community integration with inhabited territories and spaces of coexistence.We propose that the practices of "beingwith" expand the perception of the modes and meanings of transpersonal relationships that make up planetary life, fostering integration and belonging, creating a regenerative potential for global health.

Distress is common among cancer patients receiving external beam radiation therapy (EBRT), yet evidence for music-based interventions in this setting is limited.To evaluate the effect of a music-based intervention on distress levels in adult cancer patients undergoing EBRT. Secondary objectives were to describe patient clinical and sociodemographic profiles, assess distress using the NCCN- Distress Thermometer before CT simulation and planning and after the 10th radiotherapy fraction, and explore correlates of change in distress.This was a randomized, controlled open label clinical superiority trial with two parallel arms and a pre-post assessment. Adult cancer patients (18–60 years) receiving first-time EBRT were recruited from May 2025 to September 2025. Eligible participants were randomized using a computer-generated sequence. The primary outcome was the change in distress score (NCCN-DT) from pre- to post-intervention.Forty-six patients were randomized to a music-based intervention (n = 23) or non-music based intervention (n = 23) group, with well-matched baseline characteristics. The attrition rate was 13% in the music-based intervention (3/23), 4% in non-music-based intervention (1/23), and 8% overall (4/46). The music-based intervention group showed a significantly greater reduction in distress scores compared to control in both per-protocol (mean difference = 2.63, p=0.0008) and ITT analyses (mean difference = 2.67, p=0.0010). Depression rates did not differ between groups. Patients in the music-based intervention group were significantly more likely to show improvement in distress (per-protocol RR=4.13, p=0.0005; ITT RR=3.75, p=0.0023). Multivariable analysis identified music-based intervention as the sole significant predictor of improvement (OR=19.03, p=0.006).Listening to  Bach’s BWV1049 reduced heart rate and reduced the sympathetic nervous activity, as indicated by a lower Low Frequency/High Frequency ratio, suggesting suppression of the “fight or flight” response and induction of relaxation via central autonomic pathways. The main strength of this study is its well-structured randomized controlled trial design with well-matched groups, validated outcome measures, robust statistical analyses, and low attrition, all of which enhance the credibility and generalizability of the findings.Music-based intervention is a simple and effective strategy for alleviating distress in adult cancer patients undergoing radiotherapy and should be considered in the patient-centered oncologic standard of care.

Music is an integral part of human life and has been increasingly incorporated into healthcare due to its documented benefits for both patients and professionals. Studies indicate that background music in clinical environments can reduce anxiety, improve mood, relieve pain, and enhance overall well-being. In family medicine, where consultations are often personal and continuous, background music may help reduce stress for both patients and physicians, foster empathy, and enhance communication. Despite the growing recognition of its therapeutic potential, little research has examined the perspectives of both patients and family physicians in ambulatory settings.To explore the attitudes, perceptions, and preferences of patients and family physicians toward the use of background music during medical consultations.This descriptive, questionnaire-based study will recruit approximately 300 patients and 15 family physicians from Maccabi Health Services clinics. Participating physicians will conduct a series of consultations accompanied by standardized background music. After each visit, patients will complete an anonymous questionnaire assessing satisfaction, comfort, and attitudes toward the use of music. Physicians will complete a separate questionnaire at the end of the study period. Quantitative data will be analyzed using descriptive statistics, chi-square tests, t-tests or Mann–Whitney tests, and multivariate logistic regression to identify factors associated with satisfaction.Data collection and analysis are ongoing. Preliminary findings are expected to show that most patients and physicians express positive attitudes toward background music, linking it to reduced anxiety, improved mood, and a more pleasant clinical environment.Preliminary insights suggest that background music may serve as a simple, low-cost, and non-invasive method to enhance the therapeutic atmosphere and patient–physician interaction in family medicine. It could reduce stress, increase empathy, and improve satisfaction for both patients and doctors. These results align with previous research emphasizing the psychological and physiological benefits of music in hospital settings, yet highlight its underexplored value in primary care.Background music in family physicians’ offices appears to be a promising intervention to humanize medical encounters, promote comfort, and strengthen communication. Future studies should further define optimal music characteristics—such as genre, volume, and cultural suitability—to guide evidence-based implementation of music in everyday clinical practice.