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5As in Practice: The Evidence

A pilot study first presented at Obesity Week 2013 provides the first evidence that the implementation of the 5As of Obesity Management promotes physician–patient communications, medical assessments for obesity and plans for follow-up care in a primary care setting.
 
Researchers tested the impact of implementing the 5As tool in four primary care clinics with over 25 healthcare providers; the intervention consisted of one online training session (90 min) and distribution of the 5As toolkit to HCPs of participating clinics.
 
Based on measurements performed before (baseline, n = 51) and one month after implementing the 5As of Obesity Management (post-intervention, n = 51), the authors observed a two-fold increase in the initiation of obesity management (19 vs. 39%, P = 0.03), a statistically significant increase in the perceived follow-up/coordination efforts (self-reported Patient Assessment of Chronic Illness Care components, 45 ± 22 vs. 67 ± 12 points, P = 0.002), as well as two components of the 5As framework: Assess (50 ± 29 vs. 66 ± 15 points, P = 0.03) and Assist (54 ± 26 vs. 72 ± 13 points, P = 0.01).
 
The results, published in Clinical Obesity, suggest that using the 5As framework facilitates weight management in primary care – the first essential step towards any hope of promoting meaningful obesity management in primary care practice.
 
A large-scale evaluation of the implementation of the 5As of Obesity Management framework into primary practice is currently under way as a prospective 18-month cluster randomised trial. 
 
Check back here for updates on 5As evidence, or follow us on Twitter @CanObesityNet. 
 
From www.drsharma.ca