Beynost

Researchers are evaluating a patient-centered Clinical Decision Support System CDSS called Lianeli to help primary care professionals identify patients eligible for recommended health screenings based on guidelines from the French National Authority for Health HAS. The study aims to improve shared decision-making between doctors and patients, address obstacles like lack of time and information, and reduce patient decision-making conflicts during preventive care consultations. The Lianeli platform is used first by patients through a health self-questionnaire and access to information sheets, then jointly by patients and their general practitioners during a prevention-focused consultation. This system matches individual patient data with national screening recommendations to suggest appropriate tests. The study uses a mixed approach including quantitative assessments of Lianelis use and qualitative interviews with patients and healthcare professionals to explore feasibility and satisfaction. Participants will complete questionnaires and take part in consultations using the Lianeli system, with follow-up assessments within 30 to 60 days after inclusion. Researchers will measure how fully Lianeli is used, patient and professional satisfaction, usability, and screening uptake. Interviews and focus groups will explore implementation factors. The total participation includes initial consultations, questionnaire completion, and follow-up evaluations to understand the impact of the CDSS in primary care prevention.

This research aims to improve preventive health practices in primary care by supporting changes in diet, physical activity, and sedentary behavior among adults. The study focuses on patients who are less motivated to change these behaviors and evaluates a tailored training program for general practitioners GPs in France. The goal is to enhance brief opportunistic interventions during routine consultations to reduce chronic condition risks linked to unhealthy behaviors. The study compares two groups one where GPs receive specialized training in Healthy Conversation Skills to support patients behavior change, and a control group where GPs continue usual care without this training. The training includes online courses, workshops, follow-up coaching, and patient support materials adapted from the Making Every Contact Count program. Trained GPs provide brief behavior change support during routine visits. Participants are adults registered with participating practices who have low motivation to change diet or exercise habits. Researchers will assess motivation to change behaviors using specific scales two weeks after consultation. The study monitors patients readiness to adopt healthier behaviors and gathers data on the programs implementation and effectiveness. Participation involves routine care visits and follow-up assessments, with the study running until July 2029.