SedentaryAPPRENDRENCT07391462
Supporting Preventive Practices in Primary Care: Amplifying the Potential of Opportunistic Interventions
An observational study of Sedentary and Suboptimal Health Status, run by Hospices Civils de Lyon at 4 sites in France.
Trial summary
In France, as worldwide, the prevalence of chronic conditions is increasing, with high burden on populations and healthcare systems. Behaviour is a key risk factor, and needs to be tackled within the social and environmental context in which it occurs. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Sedentary, Suboptimal Health Status
- What is being tested?
- Training for GPs to learn healthy conversation skills for supporting patients' health behavior change and No training for GP
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 882 participants
- Where
- 4 sitesFrance
- Study dates
- 1 Apr 2025to 31 Jul 2029
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: The target populations will be : * the general population aged 18 or over with sub-optimal health behaviours in terms of sedentary time or physical activity and diet, consulting in the practice of a GP recruited for the study for a routine consultation * GPs benefiting or not from the training evaluated
Patients Inclusion Criteria:
- Age ≥ 18 years old
- Registered with a participating practice/practitioner
- Score < 5 for the "Stages of Change of Exercise Behaviour Scale" (pre-contemplation or contemplation stage) and/or Stage precontemplation or contemplation for the "Stages of Change for Healthy Diet Scale" (Precontemplation = answer to question 1 < 5 and answer to question 3 is no and Contemplation = answer to question 1 < 5, answer to question 3 is yes, and answer to question 4 is no).
Primary care professionals:
- GPs practicing in the Rhône-Alpes region
- Working in ambulatory care
Patients Exclusion Criteria:
- Being under guardianship and curatorship
- Pathological disordered eating (e.g., anorexia nervosa, bulimia nervosa,...)
- Acute severe pathology, life threatening condition
- Engaged in another research on diet or physical activity
Primary care professionals:
- Exclusive specialist practice (e.g., only sonography, angiology, addictiology , cosmetic surgery…)
Trial locations and contacts
4 sites in 1 country. Contact the study team or a site near you to ask about taking part.
France4 sites, 4 recruiting
- Recruiting
Dr Rémy BOUSSAGEON
Beynost, 01700
Remy BOUSSAGEON, MD, +33 4 72 11 53 81, karine.poyau@chu-lyon.fr
- Recruiting
MSP D'Oullins
Oullins, 69600
Marc CHANELIERE, MD, +33 4 72 11 53 81, karine.poyau@chu-lyon.fr
- Recruiting
MSP du 8 mai 1945
Saint-Priest, 69008
Juliette MACABREY, MD, +33 4 72 11 53 81, karine.poyau@chu-lyon.fr
- Recruiting
MSP Clos Caroline
Villeurbanne, 69100
Sylvie ERPELDINGER, md, +33 4 72 11 53 81, karine.poyau@chu-lyon.fr
About this study
Official title: Supporting Preventive Practices in Nutrition, Physical Activity and Sedentary Lifestyle in Primary Care: Amplifying the Potential of Opportunistic Interventions in Routine Consultations
In France, as worldwide, the prevalence of chronic conditions is increasing, with high burden on populations and healthcare systems. Behaviour is a key risk factor, and needs to be tackled within the social and environmental context in which it occurs. For example in 2017, the French eat too much processed food and salt, not enough fibers, 34% are overweight and 17% obese, and 80% present excessive sedentary time. In parallel, in France 5.4% of all cancers were attributable to sub-optimal nutrition (especially low fruits consumption and dietary fibers, and high processed meats consumption), and 6.3% to overweight/obesity or insufficient physical activity. Governments and health systems, including in France, have therefore considered a priority to intervene preventively on health behaviours throughout the lifespan.
For a populational approach to prevention via behaviour change, primary care professionals are best placed to intervene, due to the long-term relationship that can be established with healthcare users in their everyday life environments, and the many opportunities for brief interventions which can be delivered and followed up depending on individual needs. Research suggests that brief interventions can be effective in producing small but important changes in behaviour (Keyworth 2020) particularly if the intervention is based on a theoretical model of behaviour change (e.g., Prochaska's transtheoretical model or Bandura's cognitive social theory).
Read more
One such Public Health program is Making Every Contact Count (MECC), a program developed in England and deployed since 2007 and more recently implemented in Wales and Ireland as well. The development and implementation have been supported by epidemiological, behaviour change and implementation science research and continues to adapt to current challenges in preventive healthcare needs and provision. The "Healthy Conversation Skills" is a training program for healthcare professionals within the MECC program that focuses on how they can assess and support their patients' goals to improve behaviours such as physical activity and diet. It has been delivered since 2015 and shown effective (Adam 2020).
In France, 98% of general practitioners (GPs) consider prevention as part of their professional roles. However, initial and continuous training for primary care professionals focuses mainly on healthcare rather than prevention, and the latter is only addressed through physiological and epidemiological perspective but not on behaviour determinants and change techniques. Actually, there is at the moment limited training on assessing and supporting health behaviour change in primary care professionals in France, which limits the opportunities and effectiveness of a preventive approach to behavioural risk factors in chronic conditions. However, a direct transfer of the "Healthy Conversation Skills" program to the French context is unlikely to achieve optimal benefit, as differences in culture and health system organisation are considerable in behavioural care (de Bruin 2018). Collaborative approaches to developing and implementing training programs are recommended. The investigators therefore propose to co-construct a training program tailored to the context of GP practice in France, and study its effectiveness and implementation in supporting changes in diet, physical activity and sedentary time in adult patients from the general population consulting in routine care.
- Conditions
- Sedentary, Suboptimal Health Status
- Being tested
- Training for GPs to learn healthy conversation skills for supporting patients' health behavior change, No training for GP
- Keywords
- primary care, health behaviours, behaviour change techniques, co-construction, implementation science
- Medical subject headings
- Sedentary Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Training for GPs to learn healthy conversation skills for supporting patients' health behavior changeBehavioural
GP training to deliver a brief opportunistic, behaviour change support on diet, physical activity and/or sedentary time to patients consulting them in routine practice.
GPs in the intervention group will receive initial training (MOOC, C-MOOC and simulation workshops), follow-up training (feedback and personalized coaching), and toolkit of supporting materials for patients. Training and toolkit for GPs will be derived from Making Every Contact Counts materials and Cards for Change adapted to the French context and will be co-constructed with GP and patients.
No training for GPOther
GP do not receive dedicated training for delivery of brief opportunistic behaviour change support to patients on diet, physical activity and/or sedentary time.
| Study group | Role | What they receive |
|---|---|---|
| Brief opportunistic health behaviour change support group | Patients will receive a brief opportunistic behaviour change support on diet, physical activity and/or sedentary time by their trained General Practitioner (GP) during a routine consultation. Receives: Behavioral: Training for GPs to learn healthy conversation skills for supporting patients' health behavior change | |
| Control group | Patients will be managed as usual during a routine consultation with their GP, without any special intervention. Receives: Other: No training for GP |
What is being measured
The primary outcome is the main question the study is designed to answer.
Motivation for patients to change diet and/or physical activity behaviours, operationalsed as Readiness to change, measured by the "Stages of Change of Exercise Behaviour Scale" and the "Revised Dietary Stages of Change Measure"
Both scales measure motivation to practice regular physical activity or to increase daily portions of fruits and vegetables on a five-step scale corresponding to the stage of behavior change, according to the Prochaska's model.
The primary endpoint will be considered as positive when reported score of at least one health behaviour is improved of at least one stage, compared to the pre-consultation score.
The proportion of patients with improvement of at least one stage for at least one health behaviour will be analysed and compared between the two groups with a mixed logistic regression model.
Measured: At 2 weeks after the consultation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Feb 2026
- Study start1 Apr 2025
- Primary completion1 Jan 2029 (estimated)
- Study completion31 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SedentaryStudies of the same condition, open and under way.
- More trials run by Hospices Civils de LyonThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 882 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Hospices Civils de Lyon
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07391462
- Sponsor's protocol ID
- 69HCL21_1050
- Other IDs
- 24-5409
- Acronym
- APPRENDRE
- Status last verified
- Jan 2026
- First submitted
- 29 Jan 2026
- Last updated
- 5 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 5 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Supporting Preventive Practices in Nutrition, Physical Activity and Sedentary Lifestyle in Primary Care: Amplifying the Potential of Opportunistic Interventions in Routine Consultations
- ClinicalTrials.gov ID
- NCT07391462
- Acronym / sponsor ID
- APPRENDRE / 69HCL21_1050
- Conditions
- Sedentary, Suboptimal Health Status
- Keywords
- primary care, health behaviours, behaviour change techniques, co-construction, implementation science
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 882 participants (estimated)
- Lead sponsor
- Hospices Civils de LyonUniversity, hospital or other
- Study start
- 1 Apr 2025 (actual)
- Primary completion
- 1 Jan 2029 (estimated)
- Study completion
- 31 Jul 2029 (estimated)
- First posted
- 5 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In France, as worldwide, the prevalence of chronic conditions is increasing, with high burden on populations and healthcare systems. Behaviour is a key risk factor, and needs to be tackled within the social and environmental context in which it occurs. For example in 2017, the French eat too much processed food and salt, not enough fibers, 34% are overweight and 17% obese, and 80% present excessive sedentary time. In parallel, in France 5.4% of all cancers were attributable to sub-optimal nutrition (especially low fruits consumption and dietary fibers, and high processed meats consumption), and 6.3% to overweight/obesity or insufficient physical activity. Governments and health systems, including in France, have therefore considered a priority to intervene preventively on health behaviours throughout the lifespan.
For a populational approach to prevention via behaviour change, primary care professionals are best placed to intervene, due to the long-term relationship that can be established with healthcare users in their everyday life environments, and the many opportunities for brief interventions which can be delivered and followed up depending on individual needs. Research suggests that brief interventions can be effective in producing small but important changes in behaviour (Keyworth 2020) particularly if the intervention is based on a theoretical model of behaviour change (e.g., Prochaska's transtheoretical model or Bandura's cognitive social theory).
One such Public Health program is Making Every Contact Count (MECC), a program developed in England and deployed since 2007 and more recently implemented in Wales and Ireland as well. The development and implementation have been supported by epidemiological, behaviour change and implementation science research and continues to adapt to current challenges in preventive healthcare needs and provision. The "Healthy Conversation Skills" is a training program for healthcare professionals within the MECC program that focuses on how they can assess and support their patients' goals to improve behaviours such as physical activity and diet. It has been delivered since 2015 and shown effective (Adam 2020).
In France, 98% of general practitioners (GPs) consider prevention as part of their professional roles. However, initial and continuous training for primary care professionals focuses mainly on healthcare rather than prevention, and the latter is only addressed through physiological and epidemiological perspective but not on behaviour determinants and change techniques. Actually, there is at the moment limited training on assessing and supporting health behaviour change in primary care professionals in France, which limits the opportunities and effectiveness of a preventive approach to behavioural risk factors in chronic conditions. However, a direct transfer of the "Healthy Conversation Skills" program to the French context is unlikely to achieve optimal benefit, as differences in culture and health system organisation are considerable in behavioural care (de Bruin 2018). Collaborative approaches to developing and implementing training programs are recommended. The investigators therefore propose to co-construct a training program tailored to the context of GP practice in France, and study its effectiveness and implementation in supporting changes in diet, physical activity and sedentary time in adult patients from the general population consulting in routine care.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Brief opportunistic health behaviour change support group | – | Behavioral: Training for GPs to learn healthy conversation skills for supporting patients' health behavior changePatients will receive a brief opportunistic behaviour change support on diet, physical activity and/or sedentary time by their trained General Practitioner (GP) during a routine consultation. |
| Control group | – | Other: No training for GPPatients will be managed as usual during a routine consultation with their GP, without any special intervention. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- The target populations will be : * the general population aged 18 or over with sub-optimal health behaviours in terms of sedentary time or physical activity and diet, consulting in the practice of a GP recruited for the study for a routine consultation * GPs benefiting or not from the training evaluated
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Training for GPs to learn healthy conversation skills for supporting patients' health behavior changeGP training to deliver a brief opportunistic, behaviour change support on diet, physical activity and/or sedentary time to patients consulting them in routine practice. GPs in the intervention group will receive initial training (MOOC, C-MOOC and simulation workshops), follow-up training (feedback and personalized coaching), and toolkit of supporting materials for patients. Training and toolkit for GPs will be derived from Making Every Contact Counts materials and Cards for Change adapted to the French context and will be co-constructed with GP and patients. | Behavioural | Brief opportunistic health behaviour change support group |
| No training for GPGP do not receive dedicated training for delivery of brief opportunistic behaviour change support to patients on diet, physical activity and/or sedentary time. | Other | Control group |
Primary outcome
Motivation for patients to change diet and/or physical activity behaviours, operationalsed as Readiness to change, measured by the "Stages of Change of Exercise Behaviour Scale" and the "Revised Dietary Stages of Change Measure"
Time frame: At 2 weeks after the consultation
Both scales measure motivation to practice regular physical activity or to increase daily portions of fruits and vegetables on a five-step scale corresponding to the stage of behavior change, according to the Prochaska's model. The primary endpoint will be considered as positive when reported score of at least one health behaviour is improved of at least one stage, compared to the pre-consultation score. The proportion of patients with improvement of at least one stage for at least one health behaviour will be analysed and compared between the two groups with a mixed logistic regression model.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Feb 2026.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Sedentary and Suboptimal Health Status, run by Hospices Civils de Lyon at 4 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 5 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Anne Marie SCHOTT, MD (+33 4 72 11 51 65, anne-marie.schott-pethelaz@chu-lyon.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Motivation for patients to change diet and/or physical activity behaviours, operationalsed as Readiness to change, measured by the "Stages of Change of Exercise Behaviour Scale" and the "Revised Dietary Stages of Change Measure" (time frame: At 2 weeks after the consultation). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Feb 2026.