Physical activity on prescription (PAP) is recognized as an effective preventive and therapeutic intervention for numerous chronic conditions. Despite these proven benefits, PAP remains under-prescribed in primary care. Existing guidance from the French National Authority for Health (HAS) offers general recommendations, but no consensus-validated prescription model currently exists to support clinicians in structuring PAP prescriptions.To develop and validate a consensus-based model for PAP prescription, including frequency, intensity, time, and type of activity, designed for integration into a clinical decision aid for general practioners.A preliminary decision tree was constructed based on a systematic literature review and recommendations from scientific bodies, including the HAS. Experts were recruited by inviting members of a scientific geriatric organization and through snowball sampling. Experts (physicians, physiotherapists, physical trainers) were consulted through iterative Delphi rounds using online questionnaires to validate the prescription model. Consensus for each item was defined as a median agreement score ≥7 on a 9-point Likert scale and ≥70% of responses within the [7–9] range. Items not meeting consensus thresholds were resubmitted in subsequent rounds until consensus was achieved.Three Delphi rounds were conducted. Most items reached consensus in the first round. Experts validated specific PAP modalities for patients with mild neurocognitive disorders, including: light-intensity endurance training 3 days per week for 30–60 minutes; muscle strengthening more than 2 days per week; flexibility exercises at least twice per week; and both static and dynamic balance exercises at least twice per week.  Conversely, experts agreed that PAP is not adapted for advanced neurocognitive disorders; in these cases, physiotherapy was recommended instead, depending on mobility and functional autonomy.This study provides the first consensus-based PAP prescription model for patients with Alzheimer’s disease and represents a step toward integrating structured PAP recommendations into a decision aid for primary care physicians. Limitations include a small, non-representative expert panel and the need to evaluate the model’s usability and impact in real-world primary care.We established a multidisciplinary consensus model for PAP prescription in Alzheimer’s disease. This model will serve as the foundation for a clinical decision aid intended to further improve PAP utilization in primary care settings.

Complex situations are increasing in a GP Practice. But the application of clinical practice guidelines faces specific challenges in complex or multi-morbid situa­tions.In these cases, the proposal is to shift the focus from disease-oriented care to patient’s goal-oriented care (GOC), in which disease management becomes a means of sup­porting the achievement of the person’s life goals. The GOC approach (“Goal Oriented Care”) offers a method and tools for implementing this approach. Different primary care practices experimented the approach, giving lessons learned to go further in the application of the approach in general practice.This approach implies a series of conditions for implementation. The GOC involves listening skills, reflexivity, taking into account the context of the patient, with healthcare professionals translating the patient’s personal goals into realistic professional objectives. It promotes better coordi­nation of care, it aim to improve patient satisfaction and to respond to various challenges in the current healthcare system. It complements other approaches that already exist in the practice.GOC gives an opportunity for better involving the patient in the decisions about their healthcare. Otherwise, professionals have to pay attention on some risks of this shift in a cultural context of over-responsabilizing persons in taking care of their health. This can happen in a balance between repescting the preferences of the patients, and giving the right to vulnerability.Goal oriented care is an approach to prioritize the care by following patient’s life goals and prorities. Professionnals are trying it with satisfaction.

Insomnia is a major public health problem in France. Outpatient treatment focuses on improving sleep hygiene and non-pharmacological interventions (NPIs). Hypnotherapy is becoming increasingly popular in primary care. A growing number of publications attest to its effectiveness, but they suffer from poor methodological quality. How can the benefits of this brief therapy in the treatment of chronic insomnia in general practice be demonstrated?In 2009, the IDEAL conceptual framework was proposed in The Lancet  to evaluate an innovative surgical method and strengthen the methodological quality of clinical evaluations of complex therapies. Description of how our team has adopted this concept, illustrating each step of the process with the work carried out by our team. •     “I” (Idea): describe the innovative technique through a case study. A publication described the innovative hypnotherapy method used. •     “D” (Development): explore the importance of developing research in the field concerned with several qualitative and quantitative studies in general medicine. •     “E” (Exploration): ensure feasibility through a retrospective descriptive study. •     “A” (Assessment): evaluate the effectiveness of the hypnosis method with an ongoing randomized controlled trial. •     “L” (Long Term Study): conduct long-term follow-up.After several project funding refusals due to a lack of structure and a re-evaluation of our previous approach, we adopted the IDEAL approach to conduct a randomized controlled trial. This is the price that research teams must pay to be able to carry out highly methodological work in general practice.This innovative approach allows a comprehensive and rigorous evaluation of a complex therapy, hypnotherapy, for insomnia, common problem in general practice. Research teams in our discipline would benefit from adopting this IDEAL framework, which is a lengthy but rigorous process.IDEAL approach opens up ambitious research prospects for general practice and could contribute to the growth of research in our discipline to improve general medical care.

Physical activity (PA) plays a key role in children's overall development. WHO recommendations specify the duration and intensity of PA required for children aged 0 to 5 years. Factors such as sensory disorders or pet ownership may influence the level of PA in young children.The aim of this study is to describe the level of PA among preschool children attending healthcare facilities in the Île-de-France region and to analyze its link with their psychomotor development and sociodemographic profile.This is a multicenter study conducted using a self-administered questionnaire completed by parents of children aged 18 months to 4 years. It is divided into four sections : sociodemographic characteristics, medical information, psychomotor development and assessment of physical and sedentary activity using the EY-PAQ questionnaire. Bivariate analyses (Student's t-tests and ANOVA) explored the associations between PA, sedentary behavior, and the identification of a neurodevelopmental disorder on the one hand, and sociodemographic factors on the other. Linear and logistic regressions were then used to adjust these relationships, taking into account the identified confounding factors. The data were processed using Excel and R++, with a significance threshold set at 0.05.The recruitment period runs from October 2024 to February 2025. Our study population includes 311 children, 52% of whom are boys. Children engaged in an average of 155 minutes per day of moderate to vigorous PA and 219 minutes per day of sedentary activity. Lower levels of moderate to vigorous PA are significantly associated with the identification of neurodevelopmental disorders. Low parental education and the presence of a dog in the household are associated with higher levels of PA. A positive correlation between PA and sedentary behavior was also observed.Our study highlights levels of PA are consistent with WHO recommendations, but much higher levels of sedentary activity. The positive association between PA and sedentary activity requires further studies using profile-based approaches. Children suspected of having neurodevelopmental disorders should receive special support in their PA.PA for preschool children requires both parental support and policies to prevent sedentary lifestyles.

Physical activity provides numerous health benefits for people with disabilities, yet their participation rates remain significantly lower than those of the general population.This study aimed to explore how individuals with motor disabilities perceive the role of general practitioners in promoting physical activity.This qualitative study was based on semi-structured individual interviews conducted between December 2023 and June 2024 with adults living with permanent motor disabilities. Participants were recruited either from specialized rehabilitation centers or through regional sports committees for individuals with disabilities. Data were analysed using an inductive thematic approach.Twenty-five participants aged 21 to 78 years, presenting diverse motor impairments, were interviewed. They reported multiple barriers to physical activity (e.g., accessibility issues, lack of information...) as well as substantial perceived benefits. Several avenues for action by general practitioners were identified: screening for physically inactive patients, communication and awareness-raising, referral to appropriate structures, individualized follow-up, and peer connection with individuals already engaged in parasport.General practitioners are central in promoting physical activity among individuals with motor disabilities. The development of initiatives such as Sport-Health pathways and parasport networks offers opportunities to enhance access and participation. Structural, social, and educational barriers limit opportunities despite well-documented benefits. Improving the visibility of adapted physical activity networks and coordination among healthcare providers are key levers. This study provides actionable insights to guide future Sport-Health initiatives in primary care and highlights the need to strengthen prevention strategies for this underserved population, supported by a summary poster compiling useful resources for healthcare professionals and patients.General practitioners play a pivotal role in supporting individuals with motor disabilities to engage in physical activity, by providing guidance, ensuring safety, and facilitating access to adapted resources.

The GRAPPE (Groupe de Recherche en Activité Physique en soins PrEmiers) emerged in 2024 in a university-based primary care centre (MSPU) in northern France, in response to two converging needs: the sharp increase in thesis supervision demands following the national reform of postgraduate training, and the lack of primary care research on physical activity (PA). The simultaneous arrival of two master’s students in Adapted Physical Activity (APA) catalysed collaboration between health and sport sciences, creating fertile ground for an interprofessional learning and research environment.The initiative was designed to support interns in their thesis projects, pool supervisory expertise, and progressively build research culture within the care team. Monthly workshops, alternating with individual mentoring, guide students through question formulation, methodological choices, ethics and regulation, fieldwork, and dissemination. A shared digital workspace consolidates tools, protocols, and meeting summaries. The interprofessional group comprises 50 members, including medical, pharmaceutical, APA, nursing, sport science and administrative professionals, as well as a patient partner. To date, 18 students have developed projects. Strengths include flexibility of entry, strong local anchoring, and diverse expertise; limitations include heterogeneous student timelines and reliance on voluntary involvement.Key learnings include the value of collective supervision, the importance of shared tools, and the need for explicit governance to sustain engagement. This project led to the submission of an application for Sport-Health Centre accreditation.While France hosts interprofessional initiatives such as the service sanitaire, few focus explicitly on producing primary care knowledge. Internationally, GRAPPE aligns with learner-centred research networks such as TUTOR-PHC, ARCs, or PBRNs, but distinguishes itself by a local scale bridging MSPU and CPTS, and by its single thematic entry point—physical activity—as a unifying, transdisciplinary domain.GRAPPE demonstrates that a locally rooted, interprofessional and thematic approach can enhance research capacity in primary care. Its adaptability and collaborative governance offer promising avenues for sustainability and potential replication.

Type 2 diabetes mellitus (T2DM) represents a substantial global health challenge, with primary care serving as the cornerstone for long-term disease management. Whilst physical exercise is widely acknowledged as a fundamental therapeutic component, its systematic implementation within primary care remains suboptimal. This integrative review synthesizes contemporary evidence examining the effectiveness of structured exercise interventions on glycemic outcomes in adults with T2DM managed in primary healthcare settings. To evaluate the impact of structured physical exercise interventions delivered within primary care on glycated hemoglobin (HbA1c) and fasting plasma glucose levels in adults with T2DM.This PRISMA-compliant integrative review searched PubMed/MEDLINE using five controlled MeSH descriptors: Diabetes Mellitus Type 2, Exercise, Primary Health Care (including Family Practice and Community Health Services), Glycated Hemoglobin, and Blood Glucose. Eligible studies comprised primary research (randomized controlled trials, quasi-experimental designs, cohort studies, and analytical cross-sectional studies) published between 2015 and 2025 in English, Portuguese, or Spanish. Two independent reviewers conducted title/abstract screening and full-text assessment, with discrepancies resolved through consensus. Quality appraisal was performed using appropriate validated tools according to study design.From 42 identified records, 24 studies met eligibility criteria following systematic screening. Exercise interventions consistently demonstrated clinically significant improvements in glycemic parameters. Aerobic training, predominantly walking programmes at moderate intensity (3–5 sessions weekly), yielded HbA1c reductions of 0.3–1.8%, accompanied by significant decreases in fasting glucose.Resistance training produced comparable benefits, particularly when supervised and progressively intensified. Combined training protocols achieved the greatest HbA1c reductions. Primary care-integrated strategies (nurse-led counselling, community-based groups, mobile applications, and structured lifestyle programmes) proved feasible with high adherence rates. Digital health interventions enhanced self-management and sustained glycemic improvements. Notably, even modest activity increments, such as step-count targets, yielded meaningful metabolic benefits.Structured exercise interventions implemented within primary care effectively improve glycemic control in adults with T2DM. Evidence supports aerobic, resistance, and combined modalities, with community-based and digitally-supported approaches demonstrating particular promise for sustainability and scalability. Integrating exercise prescription as standard primary care practice may substantially enhance metabolic outcomes and long-term diabetes management.