ReviewCanadian family physician Medecin de famille canadien2013
Clinical review: modified 5 As: minimal intervention for obesity counseling in primary care.
Review in Canadian family physician Medecin de famille canadien, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
110 citing papers in PubMed, 3 syntheses or guidelines pooled it, 154 citations in OpenAlex.
- iCARDIO Alliance Global Implementation Guidelines for the Management of Obesity 2025.Journal of cachexia, sarcopenia and muscle · 2026Guideline
- Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland.Obesity facts · 2022Guideline
- Obesity in adults: a clinical practice guideline.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020 · on this mapGuideline
- Using a brief web-based 5A intervention to improve weight management in primary care: results of a cluster-randomized controlled trial.BMC family practice · 2021Trial
- An economic evaluation of a specialist preventive care clinician in a community mental health service: a randomised controlled trial.BMC health services research · 2020Trial
- Theoretical and Pragmatic Adaptation of the 5As Model to Patient-Centered Hypertension Counselling.Journal of health care for the poor and underserved · 2018Trial
- Effect of an obesity best practice alert on physician documentation and referral practices.Translational behavioral medicine · 2017Trial
- A randomized controlled trial of a 12-week intensive lifestyle intervention program at a primary care obesity clinic for adults in western Saudi Arabia.Saudi medical journal · 2017Trial
- Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study.Clinical obesity · 2016Trial
- Trial
- Missing an opportunity: the embedded nature of weight management in primary care.Clinical obesity · 2015Trial
- Implementation and evaluation of the 5As framework of obesity management in primary care: design of the 5As Team (5AsT) randomized control trial.Implementation science : IS · 2014Trial
- Improving chronic disease prevention and screening in primary care: results of the BETTER pragmatic cluster randomized controlled trial.BMC family practice · 2013Trial
- Screening, Diagnosis, Evaluation, and Staging of Obesity in Adults: Standards of Care in Overweight and Obesity-2026.BMJ open diabetes research & care · 2026Review
- iCARDIO Alliance global implementation guidelines for the management of obesity 2025 focus on prevention and treatment of cardiometabolic disease.American journal of preventive cardiology · 2026Article
- Obesity prevalence: comparison of traditional and new classification approaches in a Swiss population-based study (2005-2024).International journal of obesity (2005) · 2026Article
- Discrimination of persons living with obesity by healthcare professionals.Anales del sistema sanitario de Navarra · 2026Article
- Method to engage invested partners to co-create feasible and sustainable approaches to design and implement cancer prevention and control tools.Research involvement and engagement · 2026Article
- Impact and scope of Mexican clinical practice guideline for adult overweight and obesity on weight stigma.Lancet regional health. Americas · 2026Article
- Nutritional and lifestyle supportive care recommendations for management of obesity with GLP-1 - based therapies: An expert consensus statement using a modified Delphi approach.Obesity pillars · 2026Review
50 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo adapt the 5 As model in order to provide primary care practitioners with a framework for obesity counseling. SOURCES OF INFORMATION: A systematic literature search of MEDLINE using the search terms 5 A's (49 articles retrieved, all relevant) and 5 A's and primary care (8 articles retrieved, all redundant) was conducted. The National Institute of Health and the World Health Organization websites were also searched. MAIN MESSAGE: The 5 As (ask, assess, advise, agree, and assist), developed for smoking cessation, can be adapted for obesity counseling. Ask permission to discuss weight; be nonjudgmental and explore the patient's readiness for change. Assess body mass index, waist circumference, and obesity stage; explore drivers and complications of excess weight. Advise the patient about the health risks of obesity, the benefits of modest weight loss, the need for a long-term strategy, and treatment options. Agree on realistic weight-loss expectations, targets, behavioural changes, and specific details of the treatment plan. Assist in identifying and addressing barriers; provide resources, assist in finding and consulting with appropriate providers, and arrange regular follow-up.
conclusionThe 5 As comprise a manageable evidence-based behavioural intervention strategy that has the potential to improve the success of weight management within primary care.
Indexed as
Identifiers
23341653PMC3555649W2171923301What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.