Vence

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 how psychiatric disorders and the use of psychotropic medications affect the sexual health of young people hospitalized for psychiatric care. The study aims to increase discussions about sexual health between care teams and young patients by providing training to psychiatric staff. This research focuses on adolescents and young adults aged 15 and older receiving care in clinics affiliated with the French Society for Child and Adolescent Psychiatry (FSEF). The study involves three main phases. First, a mixed-method evaluation is conducted, including a self-administered questionnaire offered to all psychiatric patients during a one-month assessment period and qualitative surveys involving young patients and caregivers. Next, training programs for healthcare professionals are developed and delivered based on initial findings, alongside interventions for young people conducted both individually and in groups. Finally, the original quantitative survey is repeated after the intervention to measure changes in how often sexual health topics are discussed. Participants will complete self-questionnaires during two separate one-month periods—before and after the training intervention—to assess the impact of the study. Qualitative feedback from young people and caregivers will also be collected. Researchers will compare questionnaire results from before and one year after the team training to evaluate changes in communication about sexual health related to psychiatric disorders and psychotropic treatments. The study includes monitoring of patient consent and ensures follow-up during hospitalization in the psychiatric care settings.