An Evidence-based Guide for Obesity Treatment in Primary Care
Department of Medicine, Division of Preventive and Behavioral Medicine
Medical Subject Headings
Behavior Therapy; Counseling; Evidence-Based Medicine; Goals; Humans; Obesity; Patient Care Team; Primary Health Care; Referral and Consultation
Behavior and Behavior Mechanisms | Health Psychology | Mental and Social Health | Preventive Medicine | Primary Care
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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Citation: Am J Med. 2016 Jan;129(1):115.e1-7. doi: 10.1016/j.amjmed.2015.07.015. Epub 2015 Jul 31. Link to article on publisher's site
5As Counseling framework, Comorbidities, Obesity, Primary care
Fitzpatrick, Stephanie L.; Wischenka, Danielle; Appelhans, Bradley M.; Pbert, Lori; Wang, Monica; Wilson, Dawn K.; Pagoto, Sherry L.; and Society of Behavioral Medicine, "An Evidence-based Guide for Obesity Treatment in Primary Care" (2016). University of Massachusetts Medical School Faculty Publications. 957.