The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.
Physicians' use of the 5As in counseling obese patients: is the quality of counseling associated with patients' motivation and intention to lose weight?
Open accessAbstract
BACKGROUND: Physicians are encouraged to counsel obese patients to lose weight, but studies measuring the quality of physicians' counseling are rare. We sought to describe the quality of physicians' obesity counseling and to determine associations between the quality of counseling and obese patients' motivation and intentions to lose weight, key predictors of behavior change. METHODS: We conducted post-visit surveys with obese patients to assess physician's use of 5As counseling techniques and the overall patient-centeredness of the physician.. Patients also reported on their motivation to lose weight and their intentions to eat healthier and exercise. One-way ANOVAs were used to describe mean differences in number of counseling practices across levels of self-rated intention and motivation. Logistic regression analyses were conducted to assess associations between number of 5As counseling practices used and patient intention and motivation. RESULTS: 137 patients of 23 physicians were included in the analysis. While 85% of the patients were counseled about obesity, physicians used only a mean of 5.3 (SD = 4.6) of 18 possible 5As counseling practices. Patients with higher levels of motivation and intentions reported receiving more 5As counseling techniques than those with lower levels. Each additional counseling practice was associated with higher odds of being motivated to lose weight (OR 1.31, CI 1.11-1.55), intending to eat better (OR 1.23, CI 1.06-1.44), and intending to exercise regularly (OR 1.14, CI 1.00-1.31). Patient centeredness of the physician was also positively associated with intentions to eat better (OR 2.96, CI 1.03-8.47) and exercise (OR 26.07, CI 3.70-83.93). CONCLUSIONS: Quality of physician counseling (as measured using the 5As counseling framework and patient-centeredness scales) was associated with motivation to lose weight and intentions to change behavior. Future studies should determine whether higher quality obesity counseling leads to improved behavioral and weight outcomes.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“each additional counseling step is associated with increased patient motivation to lose weight (odds ratio, 1.31; 95% CI, 1.11-1.55).35”
From Obesity Management in Adults: A Review (2023) · cites this paper as [35]
In the citing paper
“However, progress has been made, and for both obesity and smoking, a majority of providers now perform the first 2 A’s: Assess the risk behavior and advise behavior change.46–48”
From Better Population Health Through Behavior Change in Adults: A Call to Action (2013) · cites this paper as [46]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
(1980) · Medical Entomology and Zoology · Cited by 25,810
(1998) · PsycEXTRA Dataset · doi:10.1037/e565682010-001 · Cited by 9,453
Effective physician-patient communication and health outcomes: a review.
(1995) · Europe PMC (PubMed Central) · Cited by 4,085
(1998) · PubMed · Cited by 2,737
The impact of patient-centered care on outcomes.
Stewart, M., Brown, J. B., DONNER, A. P., McWhinney, I. R., Oates, J., Weston, W. W., & Jordan, J. (2000) · PubMed · Cited by 2,508
Davis, D. A., Mazmanian, P. E., Fordis, M., Van Harrison, R., Thorpe, K. E., & Perrier, L. (2006) · JAMA · doi:10.1001/jama.296.9.1094 · Cited by 2,375
Brief questions to identify patients with inadequate health literacy.
Chew, L. D., Bradley, K. A., & Boyko, E. J. (2004) · PubMed · Cited by 1,913
Motivational interviewing: a systematic review and meta-analysis.
Rubak, S., Sandbæk, A., Lauritzen, T., & Christensen, B. (2005) · Europe PMC (PubMed Central) · Cited by 1,841
Obesity Evaluation and Treatment: Expert Committee Recommendations
Barlow, S. E., & Dietz, W. H. (1998) · PEDIATRICS · doi:10.1542/peds.102.3.e29 · Cited by 1,554
Epstein, R. M., Franks, P., Fiscella, K., Shields, C. G., Meldrum, S. C., Kravitz, R. L., & Duberstein, P. R. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.02.001 · Cited by 1,211
Research works printed but not linked: 1
- Ware J, Snyder M, Wright W: Development and Validation of Scales to Measure Patient Satisfaction with Medical Care Services. Vol I, Part B: Results Regarding Scales Constructed from the Patient Satisfaction Questionnaire and Measures of Other Health Care Perceptions. 1976, Springfield, VA: National Technical Information Service
Cited by
Sorted by citations
Items 101–157 of 157
Sylvetsky, A. C., Welsh, J. A., Walsh, S., & Vos, M. B. (2012) · Open Journal of Pediatrics · doi:10.4236/ojped.2012.23037 · Cited by 5
Health Care Systems and National Policy
Jones, J. L., & Sundwall, D. N. (2016) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2015.08.008 · Cited by 5
Let's move our next generation of patients toward healthy behaviors
Nsiah-Kumi, P. A., Kang, K., & Parker (2012) · Journal of Multidisciplinary Healthcare · doi:10.2147/jmdh.s23578 · Cited by 4
Jeong, H.-S., Jee, S. H., Nam, C. M., & Lee, J. K. (2011) · The Korean Journal of Obesity · doi:10.7570/kjo.2011.20.1.23 · Cited by 4
Hodsdon, A., Smith, N. A., & Story, D. (2020) · Perioperative Medicine · doi:10.1186/s13741-020-00154-4 · Cited by 4
Burton, A. M., Brezausek, C. M., Hendricks, P. S., Agne, A. A., Hankins, S. L. R., & Cherrington, A. (2015) · Journal of Education and Training Studies · doi:10.11114/jets.v3i4.707 · Cited by 4
Hauner, H., Wirth, A. G., Gola, U., Teufel, M., Zipfel, S., de Zwaan, M., Hüttl, T. P., Kramer, K. M., & Winckler, K. (2013) · Springer eBooks · doi:10.1007/978-3-642-22855-1_7 · Cited by 4
Obesity and Nutrition Epidemiology: A Study of Cause and Effect
Alexander, C. A., & Wang, L. (2017) · World Journal of Nutrition and Health · doi:10.12691/jnh-3-1-2 · Cited by 4
(2025) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2026-006247 · Cited by 4
Training Medical Students in Diet Assessment and Brief Counseling
Johnston, E. A., Beasley, J. M., & Jay, M. R. (2021) · Advances in Medical Education and Practice · doi:10.2147/amep.s333370 · Cited by 3
Self-citationChew, H. S. J., Ang, W. W., Tan, X. S., Vashishtha, R., Chan, S. L., & Sevdalis, N. (2026) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2026.04.013 · Cited by 3
Gudzune, K. A., Perreault, L., Apovian, C. M., Aroda, V. R., Aronne, L. J., Fitch, A., Fitzpatrick, S. L., Garvey, W. T., Kahan, S. I., Khunti, K., et al. (2026) · Diabetes Obesity and Cardiometabolic CARE · doi:10.2337/doci26-0003 · Cited by 7
Human Behaviour in Veterinary Care
MacKay, J. R. D., & Pollock, K. (2023) · Animal Behaviour and Welfare Cases · doi:10.1079/abwcases.2023.0021 · Cited by 5
Development of a Mapped Diabetes Community Program Guide for a Safety Net Population
Zallman, L., Ibekwe, L. N., Thompson, J., Ross‐Degnan, D., & Oken, E. (2014) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721714531076 · Cited by 3
Applying Childhood Obesity and Cardiovascular Health Risk Reduction Guidelines
Taft, N., Collier, D. N., & Kolasa, K. M. (2012) · Nutrition Today · doi:10.1097/nt.0b013e31826c50da · Cited by 4
Fitzpatrick, S., Rosales, A. G., Brown, S. D., Arterburn, D. E., Daley, M. F., Horberg, M., Koebnick, C., Oshiro, C., & Young, D. (2020) · Obesity Science & Practice · doi:10.1002/osp4.411 · Cited by 2
Food choice behavior: a case study in South Korea
Kim, Y. H., Lee, S., & Barber, N. (2021) · British Food Journal · doi:10.1108/bfj-05-2021-0556 · Cited by 3
Welsh, J. A., Lange, S. J., Figueroa, J., Walsh, S., Gooding, H. C., & Cheung, P. C. (2022) · Obesity Science & Practice · doi:10.1002/osp4.588 · Cited by 3
Anderson, C. D., & Hammond, R. (2016) · American Journal of Lifestyle Medicine · doi:10.1177/1559827616670581 · Cited by 2
Weight loss attempts in a racially diverse sample of primary care patients
Halbert, C. H., Jefferson, M. S., Nemeth, L. S., Melvin, C. L., Nietert, P. J., Rice, L., & Chukwuka, K. M. (2017) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2017.11.009 · Cited by 2
Assessment and Management of Adult Obesity in a Primary Care Practice
Orlowski, M., Adkins, S. M., Ellison, S. A., Choh, A. C., Terwoord, N. A., & Schuster, R. J. (2013) · World Medical & Health Policy · doi:10.1002/wmh3.18 · Cited by 2
Managing obese patient: Using the Five A′s approach
Al-Asmari, B. (2014) · Saudi Journal of Obesity · doi:10.4103/2347-2618.147347 · Cited by 2
Students’ Report of Preceptor Weight Management Counseling at Eight U.S. Medical Schools
Geller, A. C., Ockene, J. K., Kulkarni, M., Churchill, L., Frisard, C., Okuliar, C. A., Ashe, K. M., Crawford, S. L., Shaw, M. A., White, K., et al. (2018) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2018.06.014 · Cited by 2
Tanas, R., Federica, M., Caggese, G., Rossato, E., Martin, D., & Marcolongo, R. (2013) · Open Journal of Pediatrics · doi:10.4236/ojped.2013.32028 · Cited by 1
Behavior Change and Nutrition Counseling
Frates, E. P., & Bonnet, J. P. (2016) · Springer eBooks · doi:10.1007/978-3-319-43027-0_3 · Cited by 2
Physical activity learning by medical students: the current picture in Brazil
Bortolini, C. S. F., Mastro, A. C., Barbosa, G. M., Resende, R., de Medeiros, L. A., da Silva, R. D. S. U., Penha‐Silva, N., & Bortolini, M. J. S. (2021) · Revista Brasileira de Educação Médica · doi:10.1590/1981-5271v45.2-20200050.ing · Cited by 1
Friedman, G. G., Perez, R. V., & Chen, L. (2024) · Current Transplantation Reports · doi:10.1007/s40472-024-00430-y · Cited by 1
Woolford, S. J., Sallinen, B. J., Clark, S. J., IglayReger, H. B., & Gordon, P. M. (2011) · Journal of Primary Care & Community Health · doi:10.1177/2150131911421202 · Cited by 1
Prevalence and Self-Reported Medical History of Overweight in a Cardiac Stress Testing Population
Dittoe, N., Hahn, H. S., Sansone, R. A., & Wiederman, M. W. (2011) · Southern Medical Journal · doi:10.1097/smj.0b013e31821e9359 · Cited by 1
Malan, J. E. (2015) · SUNScholar (Stellenbosch University) · Cited by 1
Patient-Centered Strategies for Effective Weight Management
Kolasa, K. M. (2014) · Springer eBooks · doi:10.1007/978-1-4939-0548-5_32
Ae, O., & Dankyau, M. (2015) · International Journal of Health Sciences and Research
Vallis, M., Piccinini‐Vallis, H., Sharma, A. M., & Freedhoff, Y. (2013) · Europe PMC (PubMed Central)
Enhancing Clinical Practice with Community-Based Self-Management Support Programs
Brady, T. J. (2015) · Springer eBooks · doi:10.1007/978-3-319-22858-7_15
Determinants of the intention to use the internet to lose weight
Jansen, E. (2016)
APPLICATIONS OF AC4P PRINCIPLES
Geller, E. S. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107785304.012
Johnson, S. B., & Geller, E. S. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107785304.017
Al, A., & Ismail, L. (2016) · CRC Press eBooks · doi:10.1201/9781315368511-4
Vallis, M., Piccinini‐Vallis, H., Sharma, A. M., & Freedhoff, Y. (2013) · Canadian Family Physician
Exploring the role of the general practitioner in obesity management in Australian primary care
Sturgiss, E. A. (2018) · ANU Open Research (Australian National University) · doi:10.25911/5d6512531e41e
Adult Obesity Management: Knowledge, Attitudes, and Practices of Alberta Family Physicians
Short, H. (2014) · ERA: Education and Research Archive (University of Alberta) · doi:10.7939/r3j38kr18
Winters-Miner, L. A. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-411643-6.00020-x
Goswami, G., & Ruddock, J. S. (2018) · Springer eBooks · doi:10.1007/978-3-319-68379-9_9
Ruddock, J. S., & Goswami, G. (2022) · Springer eBooks · doi:10.1007/978-3-031-15353-2_10
Streur-Kranenburg, M. (2023) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2863-5_14
Efeitos do autocuidado apoiado sobre o perfil antropométrico de pacientes hipertensos
da Cruz, H. R. F. V., & Moraes, J. C. O. (2024) · Congresso Brasileiro de Medicina do Estilo de Vida · doi:10.61661/congresso.cbmev.7.2024.132
Crabtree, D. R., Bradley, S. M., Connelly, J., Bauermeister, L., Gorely, T., & MacRury, S. M. (2024) · Lifestyle Medicine · doi:10.1002/lim2.70006
Beurskens, P., Norder, G., van Rhenen, W., de Rijk, A. E., & Houkes, I. (2025) · BMC Public Health · doi:10.1186/s12889-025-23417-5
Obesity in Primary Care: A Comprehensive Approach for Family Physicians
Medipally, M., Avasia, A., & Parasnis, M. S. (2025) · Cureus · doi:10.7759/cureus.90742
Alrashdi, F. M. K., Aljuaid, M. S. J., Alotaibi, T. M. M., Alshammari, N. M. S., Alanazi, B. S., Almutaibri, F. R. R., Al-Motairi, N. A., Alruwaili, A. N., Alomayri, R. S., Alruwaili, D. G. G., et al. (2024) · International Journal of Computational and Experimental Science and Engineering · doi:10.22399/ijcesen.4238
Weight-related conversations with patients: reducing stigma and promoting healthful change
Mulrooney, H. M. (2025) · Practice Nursing · doi:10.12968/pnur.2025.0089
Depression Associated with Other Medical Conditions
Sunzeri, F., & Sunzeri, E. (2026) · Springer eBooks · doi:10.1007/978-3-032-14465-2_12
Rosenthal, M., Larson, D. N., Lueck, J., Pyada, R., Rochat, P., Tierney, W. M., & Burgermaster, M. (2026) · Journal of General Internal Medicine · doi:10.1007/s11606-026-10721-y
Obesity Surveillance in Childhood
Garcia, J. (2015) · ScholarWorks (Walden University)
Investigating fidelity of health behaviour change interventions in general practice
Taylor, C. (2012) · The Open Collections (Coventry University)
Metadata
- Authors
- Jay, M., Gillespie, C., Schlair, S., Sherman, S., & Kalet, A.
- Affiliations
- New York University (US)
- Montefiore Medical Center (US)
- VA NY Harbor Healthcare System (US)
- Corresponding author
- Jay, Melanie
- Venue
- BMC Health Services Research
- Published
- 2010-06-09
- Volume
- 10
- Issue
- 1
- Pages
- 159-159
- ISSN
- 1472-6963 (ISSN-L)
- PMC
- PMC2903583
- OpenAlex
- W2007650959
- Cited by
- 158
- References
- 48
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 9 · 2023: 4 · 2022: 7 · 2021: 9 · 2020: 8 · 2019: 10 · 2018: 11 · 2017: 11 · 2016: 13 · 2015: 19 · 2014: 15 · 2013: 15 · 2012: 11
- FWCI
- 23.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Health Services Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Centers for Disease Control and Prevention (CD000146-03)
- Health Resources and Services Administration
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity and Health Practices
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- obesity counseling, patient-centeredness, weight loss motivation, weight loss intentions, healthy eating intentions, exercise intention, behavior change, physician-patient communication
- MeSH terms
- Adult, Counseling, Female, Humans, Interviews as Topic, Male, Middle Aged, Models, Theoretical, Motivation, New York City, Obesity, Patients, Physician-Patient Relations, Weight Loss, Health Care Surveys, Intention, Risk Reduction Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
