An evidence-based guide for obesity treatment in primary care.
Open accessAbstract
On behalf of the Society of Behavioral Medicine, we present a model of obesity management in primary care based on the 5As counseling framework (Assess, Advise, Agree, Assist, and Arrange). Primary care physicians can use the 5As framework to build and coordinate a multidisciplinary team that: 1) addresses patients' psychosocial issues and medical and psychiatric comorbidities associated with obesity treatment failure; 2) delivers intensive counseling that consists of goal setting, self-monitoring, and problem solving; and 3) connects patients with community resources to assist them in making healthy lifestyle changes. This paper outlines reimbursement guidelines and weight-management counseling strategies, and provides a framework for building a multidisciplinary team to maximize the patient's success at weight management.
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“The Society for Behavioral Medicine has an evidence-based model for primary care obesity management based on the 5As counseling framework (assess, advise, agree, assist, and arrange), 16 which can be used to promote the implementation of obesity treatments in clinical practice settings (Figure 2).”
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Lieffers, J. R. L. (2016) · UWSpace (University of Waterloo)
- Authors
- Fitzpatrick, S. L., Wischenka, D., Appelhans, B. M., Pbert, L., Wang, M., Wilson, D. K., & Pagoto, S. L.
- Affiliations
- Rush University Medical Center (US)
- Yeshiva University (US)
- University of Massachusetts Chan Medical School (US)
- Boston University (US)
- University of South Carolina (US)
- Corresponding author
- Pagoto, Sherry L.
- ORCID
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 129
- Issue
- 1
- Pages
- 115.e1-115.e7
- ISSN
- 0002-9343 (ISSN-L)
- PMC
- PMC5988348
- OpenAlex
- W1040189553
- Cited by
- 125
- References
- 58
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 5 · 2023: 13 · 2022: 16 · 2021: 18 · 2020: 16 · 2019: 9 · 2018: 13 · 2017: 9 · 2016: 8
- FWCI
- 25.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K01DK102447)
- Topics
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Pharmacology › Pharmacology and Obesity Treatment
- Keywords
- obesity treatment, primary care, weight management counseling, multidisciplinary team, psychosocial problems, psychiatric comorbidity, goal setting, self-monitoring, problem solving, community resources, reimbursement guidelines, lifestyle modification
- MeSH terms
- Behavior Therapy, Counseling, Goals, Humans, Obesity, Patient Care Team, Primary Health Care, Referral and Consultation, Evidence-Based Medicine
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