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This article presents a novel adaptation of the 5 A\u2019s framework (Assess, Advise, Agree, Assist, Arrange) titled \u2018The 5 A\u2019s Approach to Promoting Nutrition Counseling in Primary Care\u2019, by incorporating validated assessment tools and evidence-based strategies to support implementation in clinical settings. To address practical challenges, implementation approaches are proposed including alternative delivery and payment models. The 5 A\u2019s adaptation can be a tool used to address the critical need for standardized nutrition counseling in primary care.<\/jats:p>","DOI":"10.1177\/21501319251338566","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T11:12:51Z","timestamp":1747998771000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The 5 A\u2019s Approach to Promoting Nutrition Counseling in Primary Care"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8779-4242","authenticated-orcid":false,"given":"Farhad","family":"Mehrtash","sequence":"first","affiliation":[{"name":"Harvard T.H. Chan School of Public Health, Department of Nutrition, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"JoAnn E.","family":"Manson","sequence":"additional","affiliation":[{"name":"Harvard T.H. 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