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Low back pain is a common condition affecting about 23% of the general population and can lead to challenges such as psychosocial difficulties and prolonged inability to work. In France, treatment usually involves general practitioners and sometimes physiotherapists. Researchers are evaluating whether coordinated care involving general practitioners, physiotherapists, and occupational health services can improve the management and outcomes for patients with subacute or recurrent acute low back pain compared to standard care. The study compares two approaches: coordinated care and standard care. Coordinated care includes early contact with occupational health services initiated by the general practitioner and the use of an occupational retention tool. Patients in this group also receive an active physiotherapy program consisting of 15 individual, intensive, and regular rehabilitation sessions lasting one hour each, scheduled two to three times per week. This approach is deployed at the territory level to assess its impact on patient outcomes. Participants will be followed for one year after enrollment. During this time, researchers will monitor the perceived inability to work as the primary outcome. The study involves regular assessments and tracking of patient progress to evaluate the effectiveness of coordinated care in reducing prolonged disability related to low back pain. Overall, the study aims to improve the care pathway and reduce the risk of long-term disability for patients in primary care settings.

Researchers are evaluating the effectiveness of a hypnotherapy method called E2R in managing chronic insomnia in primary care. Chronic insomnia is commonly treated with hypnotic drugs in France, though these have notable side effects. Cognitive-behavioral therapy is recommended as a first-line non-drug treatment but is not widely used due to limited availability and time demands. The study aims to compare E2R hypnotherapy to standard care without hypnosis in patients with chronic insomnia. Patients will be randomly assigned to one of two groups: the E2R hypnosis group or the standard care control group. Those in the hypnosis group will receive four 30-minute hypnotherapy sessions over six weeks with a hypnotherapist located within 30 minutes of their home. The control group will receive the usual care by their general practitioner, which may include psychotherapy or medication but will exclude hypnosis. Both groups will have follow-up visits at three and six months after randomization. During the study, patients will complete questionnaires such as the Insomnia Severity Index and Pittsburgh Sleep Quality Index. Researchers will track use of psychotropic medications, any non-drug therapies, practice of self-hypnosis, events affecting sleep, and any adverse neuropsychiatric events. The main outcome measured is the severity of insomnia at six months. Safety and treatment effects will be assessed through these follow-ups, with the total study duration being six months.