An Evidence-based Guide for Obesity Treatment in Primary Care

被引：82

作者：

Fitzpatrick, Stephanie L. ^{[1
]}

Wischenka, Danielle ^{[2
]}

Appelhans, Bradley M. ^{[1
]}

Pbert, Lori ^{[3
]}

Wang, Monica ^{[4
]}

Wilson, Dawn K. ^{[5
]}

Pagoto, Sherry L. ^{[3
]}

机构：

[1] Rush Univ, Med Ctr, Dept Prevent Med, Chicago, IL 60612 USA

[2] Yeshiva Univ, Ferkauf Grad Sch Psychol, Bronx, NY USA

[3] Univ Massachusetts, Sch Med, Div Prevent & Behav Med, Worcester, MA USA

[4] Boston Univ, Sch Publ Hlth, Dept Community Hlth Sci, Boston, MA USA

[5] Univ S Carolina, Dept Psychol, Columbia, SC 29208 USA

来源：

AMERICAN JOURNAL OF MEDICINE | 2016年 / 129卷 / 01期

关键词：

5As Counseling framework; Comorbidities; Obesity; Primary care; LIFE-STYLE INTERVENTION; WEIGHT-LOSS; BEHAVIORAL TREATMENT; AFRICAN-AMERICANS; TASK-FORCE; MANAGEMENT; OVERWEIGHT; ADULTS; PREVENTION; DEPRESSION;

D O I：

10.1016/j.amjmed.2015.07.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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. (C) 2016 Elsevier Inc. All rights reserved.

引用

页码：115.e1 / 115.e7

页数：7

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