The 5 A’s Model for Behavior Change and Its Use for Weight Management in Practice (22)

1. Assess• Assess patients for obesity or overweight with metabolic risk factors
• Assess for patients’ readiness and ability to make change at this time
2. Advise• Advise patients about the increased risks of cardiovascular disease with excess adiposity
• Advise patients of the health benefits of weight loss and lifestyle change
3. Agree• Agree with patients on a quantifiable and achievable weight loss goal that will lead to health benefits (i.e., a goal of losing 5% of initial body weight in 6 months)
4. Assist• Assist patients in defining a weight management strategy (i.e., practice-based weight loss counseling vs. referral to a weight loss program)
5. Arrange• Arrange follow-up to create a structure for accountability and feedback on progress