The 5As provide a framework to start a conversation with patients.
The 5As
A behavioral intervention strategy
The 5As model is a behavioral intervention strategy that’s been modified for obesity management. It helps increase patient motivation and behavioral change in weight-management consultations.

ASK
Example:
- Ask for permission to discuss weight
- Explore readiness for change

ASSESS
Example:
- Assess obesity class and stage
- Assess for drivers, complications, and barriers

ADVISE
Example:
- Advise on obesity risks
- Explain benefits of modest weight loss
- Explain need for long-term strategy
- Discuss treatment options

AGREE
Example:
- Agree on realistic weight-loss expectations
- Focus on behavioral goals and health outcomes
- Agree on treatment plan

ASSIST
Example:
- Address drivers and barriers
- Provide education and resources
- Refer to appropriate provider
- Arrange follow-up

Need more information on the 5As of obesity management?
Beginning the weight conversation
Learn motivational interviewing techniques for productive discussions with patients to inspire lifestyle change.
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Rethink Obesity® education booklet
A guide on motivational interviewing, behavioral therapy and treatment options to support your patients' weight-loss efforts.