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Am J Med. 2016 Jan;129(1):115.e1-7. doi: 10.1016/j.amjmed.2015.07.015. Epub 2015 Jul 31.

An Evidence-based Guide for Obesity Treatment in Primary Care.

Author information

1
Department of Preventive Medicine, Rush University Medical Center, Chicago, Ill.
2
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY.
3
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester.
4
Department of Community Health Sciences, Boston University School of Public Health, Boston, Mass.
5
Department of Psychology, University of South Carolina, Columbia.
6
Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester. Electronic address: Sherry.Pagoto@umassmed.edu.

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.

KEYWORDS:

5As Counseling framework; Comorbidities; Obesity; Primary care

PMID:
26239092
PMCID:
PMC5988348
DOI:
10.1016/j.amjmed.2015.07.015
[Indexed for MEDLINE]
Free PMC Article

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