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The 5As

The 5As provide a framework to start a conversation with patients.

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.

Example:

  • Ask for permission to discuss weight
  • Explore readiness for change

ASK

Example:

  • Ask for permission to discuss weight
  • Explore readiness for change

Example:

  • Assess obesity class and stage
  • Assess for drivers, complications, and barriers

ASSESS

Example:

  • Assess obesity class and stage
  • Assess for drivers, complications, and barriers

Example:

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

ADVISE

Example:

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

Example:

  • Agree on realistic weight-loss expectations
    • Focus on behavioral goals and health outcomes
    • Agree on treatment plan

AGREE

Example:

  • Agree on realistic weight-loss expectations
    • Focus on behavioral goals and health outcomes
    • Agree on treatment plan

Example:

  • Address drivers and barriers
    • Provide education and resources
    • Refer to appropriate provider
    • Arrange follow-up

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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