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• W1569278502 abstract "Summary What is already known about this subject Obesity counselling in primary care is positively associated with self‐reported behaviour change in patients with obesity. Obesity counselling is rare, and when it does occur, it is often of low quality because of poor training and/or competency of providers' obesity management, lack of time and economical disincentives, and negative attitude towards obesity and obesity management. 5As frameworks are routinely used for behaviour‐change counselling and addiction management (e.g. smoking cessation), but few studies have examined its efficacy for weight management. What this study adds This study presents pilot data from the implementation and evaluation of an obesity management tool (5As of Obesity Management developed by the Canadian Obesity Network) in a primary care setting. Results show that the tool facilitates weight management in primary care by promoting physician–patient communications, medical assessments for obesity and plans for follow‐up care. Obesity remains poorly managed in primary care. The 5 A s of Obesity Management is a theory‐driven, evidence‐based minimal intervention designed to facilitate obesity counselling and management by primary care practitioners. This project tested the impact of implementing this tool in primary care clinics. Electronic self‐administered surveys were completed by pre‐screened obese subjects at the end of their appointments in four primary care clinics (over 25 healthcare providers [ HCPs ]). These measurements were performed before (baseline, n = 51) and 1 month after implementing the 5 A s of O besity M anagement (post‐intervention, n = 51). Intervention consisted of one online training session (90 min) and distribution of the 5 A s toolkit to HCPs of participating clinics. Subjects completing the survey before and after the intervention were comparable in terms of age, sex, body mass index, comorbidities, satisfaction and self‐reported health status ( P > 0.2). Implementing the 5 A s of O besity M anagement resulted in a twofold increase in the initiation of obesity management (19 vs. 39%, P = 0.03), and caused a statistically significant increase in the perceived follow‐up/coordination efforts (self‐reported P atient A ssessment of C hronic I llness C are components, 45 ± 22 vs. 67 ± 12 points, P = 0.002), as well as two components of the 5 A s framework: A ssess (50 ± 29 vs. 66 ± 15 points, P = 0.03) and A ssist (54 ± 26 vs. 72 ± 13 points, P = 0.01). Our results suggest that using the 5 A s of O besity M anagement facilitates weight management in primary care by promoting physician–patient communications, medical assessments for obesity and plans for follow‐up care." @default.
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• W1569278502 date "2013-10-29" @default.
• W1569278502 modified "2023-10-03" @default.
• W1569278502 title "Effect of implementing the 5As of Obesity Management framework on provider-patient interactions in primary care" @default.
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• W1569278502 doi "https://doi.org/10.1111/cob.12038" @default.
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