Cited by 125Obesity and Health PracticesObesity, Physical Activity, DietPharmacology and Obesity Treatment

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An evidence-based guide for obesity treatment in primary care.

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Fitzpatrick, Stephanie L., Wischenka, Danielle, Appelhans, Bradley M., Pbert, Lori, Wang, Monica, Wilson, Dawn K., Pagoto, Sherry L.·2016·The American Journal of Medicine

DOI 10.1016/j.amjmed.2015.07.015PMC PMC5988348

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Abstract

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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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: Fitzpatrick, Stephanie L.
Appelhans, Bradley M.
Pbert, Lori
Wang, Monica
Wilson, Dawn K.
Pagoto, Sherry L.
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)
DOI: 10.1016/j.amjmed.2015.07.015
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
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 › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Medicine › Pharmacology (medical) › 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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An evidence-based guide for obesity treatment in primary care.

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