{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T23:24:48Z","timestamp":1783034688862,"version":"3.54.6"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"1","funder":[{"DOI":"10.13039\/501100000145","name":"Alberta Innovates - Health Solutions","doi-asserted-by":"publisher","award":["201200852"],"award-info":[{"award-number":["201200852"]}],"id":[{"id":"10.13039\/501100000145","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Fam Pract"],"published-print":{"date-parts":[[2017,12]]},"DOI":"10.1186\/s12875-017-0596-2","type":"journal-article","created":{"date-parts":[[2017,2,8]],"date-time":"2017-02-08T12:37:28Z","timestamp":1486557448000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["The 5As team patient study: patient perspectives on the role of primary care in obesity management"],"prefix":"10.1186","volume":"18","author":[{"given":"Jacqueline","family":"Torti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thea","family":"Luig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Borowitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Johnson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arya M.","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise L.","family":"Campbell-Scherer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2017,2,8]]},"reference":[{"key":"596_CR1","unstructured":"Government of Canada SC. Body mass index, overweight or obese, self-reported, adult, by age group and sex (Number of persons). 2016. http:\/\/www.statcan.gc.ca\/tables-tableaux\/sum-som\/l01\/cst01\/health81a-eng.htm . Accessed 4 Feb 2016."},{"issue":"6","key":"596_CR2","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/jhn.12273","volume":"28","author":"CJ Metzgar","year":"2015","unstructured":"Metzgar CJ, Preston AG, Miller DL, Nickols-Richardson SM. Facilitators and barriers to weight loss and weight loss maintenance: a qualitative exploration. J Hum Nutr Diet. 2015;28(6):593\u2013603.","journal-title":"J Hum Nutr Diet"},{"issue":"01","key":"596_CR3","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1017\/S1463423615000171","volume":"17","author":"EA Janke","year":"2016","unstructured":"Janke EA, Ramirez ML, Haltzman B, Fritz M, Kozak AT. Patient\u2019s experience with comorbidity management in primary care: a qualitative study of comorbid pain and obesity. Prim Health Care Res Dev. 2016;17(01):33\u201341.","journal-title":"Prim Health Care Res Dev"},{"issue":"7","key":"596_CR4","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1016\/j.socscimed.2009.11.017","volume":"70","author":"J Greener","year":"2010","unstructured":"Greener J, Douglas F, van Teijlingen E. More of the same? Conflicting perspectives of obesity causation and intervention amongst overweight people, health professionals and policy makers. Soc Sci Med. 2010;70(7):1042\u20139.","journal-title":"Soc Sci Med"},{"issue":"6","key":"596_CR5","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1177\/1049732314529667","volume":"24","author":"SF Kirk","year":"2014","unstructured":"Kirk SF, Price SL, Penney TL, Rehman L, Lyons RF, Piccinini-Vallis H, et al. Blame, shame, and lack of support a multilevel study on obesity management. Qual Health Res. 2014;24(6):790\u2013800.","journal-title":"Qual Health Res"},{"issue":"11","key":"596_CR6","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1111\/j.1467-789X.2010.00766.x","volume":"11","author":"AM Sharma","year":"2010","unstructured":"Sharma AM. M, M, M & M: a mnemonic for assessing obesity A. M. Sharma Obesity mnemonic. Obes Rev. 2010;11(11):808\u20139.","journal-title":"Obes Rev"},{"key":"596_CR7","unstructured":"Canadian Medical Association. CMA recognizes obesity as a disease. 2015. https:\/\/www.cma.ca\/En\/Pages\/cma-recognizes-obesity-as-a-disease.aspx . Accessed 14 Mar 2016."},{"issue":"3","key":"596_CR8","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1503\/cmaj.140887","volume":"187","author":"P Brauer","year":"2015","unstructured":"Brauer P, Connor Gorber S, Shaw E, Singh H, Bell N, Shane AR, et al. Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. CMAJ. 2015;187(3):184\u201395.","journal-title":"CMAJ"},{"issue":"5","key":"596_CR9","doi-asserted-by":"crossref","first-page":"373","DOI":"10.7326\/0003-4819-157-5-201209040-00475","volume":"157","author":"VA Moyer","year":"2012","unstructured":"Moyer VA. Screening for and management of obesity in adults: U.S. preventive services task force recommendation statement. Ann Intern Med. 2012;157(5):373\u20138.","journal-title":"Ann Intern Med"},{"issue":"16","key":"596_CR10","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1001\/jama.282.16.1583","volume":"282","author":"CC Wee","year":"1999","unstructured":"Wee CC, McCarthy EP, Davis RB, Phillips RS. Physician counseling about exercise. JAMA J Am Med Assoc. 1999;282(16):1583\u20138.","journal-title":"JAMA J Am Med Assoc"},{"issue":"3","key":"596_CR11","first-page":"404","volume":"54","author":"J Sinclair","year":"2008","unstructured":"Sinclair J, Lawson B, Burge F. Which patients receive advice on diet and exercise? Do certain characteristics affect whether they receive such advice? Can Fam Physician M\u00e9decin Fam Can. 2008;54(3):404\u201312.","journal-title":"Can Fam Physician M\u00e9decin Fam Can"},{"issue":"3","key":"596_CR12","first-page":"122","volume":"73","author":"PM Brauer","year":"2012","unstructured":"Brauer PM, Sergeant LA, Davidson B, Goy R, Dietrich L. Patient reports of lifestyle advice in primary care. Can J Diet Pract Res Publ Dietit Can Rev Can Prat Rech En Di\u00e9t\u00e9tique Une Publ Di\u00e9t\u00e9tistes Can. 2012;73(3):122\u20137.","journal-title":"Can J Diet Pract Res Publ Dietit Can Rev Can Prat Rech En Di\u00e9t\u00e9tique Une Publ Di\u00e9t\u00e9tistes Can"},{"issue":"1","key":"596_CR13","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1111\/cob.12038","volume":"4","author":"CF Rueda-Clausen","year":"2014","unstructured":"Rueda-Clausen CF, Benterud E, Bond T, Olszowka R, Vallis MT, Sharma AM. Effect of implementing the 5As of Obesity Management framework on provider-patient interactions in primary care: 5As of obesity management in primary care. Clin Obes. 2014;4(1):39\u201344.","journal-title":"Clin Obes"},{"issue":"1","key":"596_CR14","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1186\/1472-6963-9-106","volume":"9","author":"M Jay","year":"2009","unstructured":"Jay M, Kalet A, Ark T, McMacken M, Messito M, Richter R, et al. Physicians\u2019 attitudes about obesity and their associations with competency and specialty: a cross-sectional study. BMC Health Serv Res. 2009;9(1):106.","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"596_CR15","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.amjmed.2015.07.015","volume":"129","author":"SL Fitzpatrick","year":"2016","unstructured":"Fitzpatrick SL, Wischenka D, Appelhans BM, Pbert L, Wang M, Wilson DK, et al. An evidence-based guide for obesity treatment in primary care. Am J Med. 2016;129(1):115. e1\u2013115.e7.","journal-title":"Am J Med"},{"issue":"4","key":"596_CR16","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/j.1369-7625.2008.00490.x","volume":"11","author":"SL Thomas","year":"2008","unstructured":"Thomas SL, Hyde J, Karunaratne A, Herbert D, Komesaroff PA. Being \u201cfat\u201d in today\u2019s world: a qualitative study of the lived experiences of people with obesity in Australia. Health Expect. 2008;11(4):321\u201330.","journal-title":"Health Expect"},{"issue":"2","key":"596_CR17","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1038\/ijo.2011.80","volume":"36","author":"SFL Kirk","year":"2012","unstructured":"Kirk SFL, Penney TL, McHugh T-L, Sharma AM. Effective weight management practice: a review of the lifestyle intervention evidence. Int J Obes. 2012;36(2):178\u201385.","journal-title":"Int J Obes"},{"issue":"10","key":"596_CR18","doi-asserted-by":"crossref","first-page":"2458","DOI":"10.1016\/j.socscimed.2005.11.011","volume":"62","author":"ML Loureiro","year":"2006","unstructured":"Loureiro ML, Nayga Jr RM. Obesity, weight loss, and physician\u2019s advice. Soc Sci Med. 2006;62(10):2458\u201368.","journal-title":"Soc Sci Med"},{"issue":"1","key":"596_CR19","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/1748-5908-9-78","volume":"9","author":"DL Campbell-Scherer","year":"2014","unstructured":"Campbell-Scherer DL, Asselin J, Osunlana AM, Fielding S, Anderson R, Rueda-Clausen CF, et al. Implementation and evaluation of the 5As framework of obesity management in primary care: design of the 5As Team (5AsT) randomized control trial. Implement Sci. 2014;9(1):78.","journal-title":"Implement Sci"},{"issue":"1","key":"596_CR20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13104-015-1685-8","volume":"8","author":"A Ogunleye","year":"2015","unstructured":"Ogunleye A, Osunlana A, Asselin J, Cave A, Sharma AM, Campbell-Scherer DL. The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners. BMC Res Notes. 2015;8(1):1\u201312. http:\/\/www.biomedcentral.com\/1756-0500\/8\/810 . Accessed 21 Jan 2016.","journal-title":"BMC Res Notes"},{"issue":"2","key":"596_CR21","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1111\/cob.12133","volume":"6","author":"J Asselin","year":"2016","unstructured":"Asselin J, Osunlana AM, Ogunleye AA, Sharma AM, Campbell-Scherer D. Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As team study: challenges in interdisciplinary weight management. Clin Obes. 2016;6(2):124\u201332.","journal-title":"Clin Obes"},{"key":"596_CR22","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1111\/cob.12105","volume":"4","author":"AM Osunlana","year":"2015","unstructured":"Osunlana AM, Asselin J, Anderson R, Ogunleye AA, Cave A, Sharma AM, et al. 5As Team obesity intervention in primary care: development and evaluation of shared decision-making weight management tools. Clin Obes. 2015;4:219.","journal-title":"Clin Obes"},{"key":"596_CR23","unstructured":"Nielsen M, Olayiwola J, Grundy P, Grumbach K, for the Patient-centred Primary Care Collaborative. The patient centred-centred medical home\u2019s impact on cost and quality: an annual update of the evidence 2012\u20132013. Millbank Memorial Fund. 2014. http:\/\/www.milbank.org\/uploads\/documents\/reports\/Patient-Centered_Medical_Homes_Impact_on_Cost_and_Quality.pdf . Accessed on 25 Nov 2015."},{"issue":"1","key":"596_CR24","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1177\/160940690600500107","volume":"5","author":"J Fereday","year":"2008","unstructured":"Fereday J, Muir-Cochrane E. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods. 2008;5(1):80\u201392.","journal-title":"Int J Qual Methods"},{"issue":"3","key":"596_CR25","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1111\/nhs.12048","volume":"15","author":"M Vaismoradi","year":"2013","unstructured":"Vaismoradi M, Turunen H, Bondas T. Content analysis and thematic analysis: implications for conducting a qualitative descriptive study. Nurs Health Sci. 2013;15(3):398\u2013405.","journal-title":"Nurs Health Sci"},{"issue":"3","key":"596_CR26","first-page":"282","volume":"118","author":"B Johnson","year":"1997","unstructured":"Johnson B. Examining the validity structure of qualitative research. Education. 1997;118(3):282\u201392.","journal-title":"Education"},{"issue":"1","key":"596_CR27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1472-6963-10-1","volume":"10","author":"M Jay","year":"2010","unstructured":"Jay M, Gillespie C, Schlair S, Sherman S, Kalet A. Physicians\u2019 use of the 5As in counseling obese patients: is the quality of counseling associated with patients\u2019 motivation and intention to lose weight? BMC Health Serv Res. 2010;10(1):1\u201310.","journal-title":"BMC Health Serv Res"},{"key":"596_CR28","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1038\/ijo.2012.24","volume":"37","author":"S Rose","year":"2013","unstructured":"Rose S, Poynter P, Anderson J, Noar S, Conigliaro J. Physician weight loss advice and patient weight loss behavior change: a literature review and meta-analysis of survey data. Int J Obes. 2013;37:118\u201328.","journal-title":"Int J Obes"},{"issue":"2","key":"596_CR29","doi-asserted-by":"crossref","first-page":"63","DOI":"10.24095\/hpcdp.32.2.01","volume":"32","author":"SF Kirk","year":"2012","unstructured":"Kirk SF, Tytus R, Tsuyuki RT, Sharma AM, et al. Weight management experiences of overweight and obese Canadian adults: findings from a national survey. Chronic Inj Can. 2012;32(2):63\u20139.","journal-title":"Chronic Inj Can"},{"issue":"9986","key":"596_CR30","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1016\/S0140-6736(14)61748-7","volume":"385","author":"WH Dietz","year":"2015","unstructured":"Dietz WH, Baur LA, Hall K, Puhl RM, Taveras EM, Uauy R, et al. Management of obesity: improvement of health-care training and systems for prevention and care. Lancet Lond Engl. 2015;385(9986):2521\u201333.","journal-title":"Lancet Lond Engl"},{"issue":"5","key":"596_CR31","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1111\/j.1467-789X.2009.00689.x","volume":"11","author":"AM Sharma","year":"2010","unstructured":"Sharma AM, Padwal R. Obesity is a sign - over-eating is a symptom: an aetiological framework for the assessment and management of obesity. Obes Rev. 2010;11(5):362\u201370.","journal-title":"Obes Rev"},{"key":"596_CR32","doi-asserted-by":"publisher","unstructured":"Kelly MP, Barker M. Why is changing health-related behaviour so difficult? Public Health. 2016;136:109\u2013116. doi: 10.1016\/j.puhe.2016.03.030 .","DOI":"10.1016\/j.puhe.2016.03.030"},{"key":"596_CR33","volume-title":"ABC of behaviour change theories: an essential resource for researchers, policy makers and practitioners","author":"S Michie","year":"2014","unstructured":"Michie S, West R, Campbell R, Brown J, Gainforth H. ABC of behaviour change theories: an essential resource for researchers, policy makers and practitioners. London: Silberback; 2014."},{"key":"596_CR34","unstructured":"The Primary Care Alliance. Evolving primary care networks in Alberta. A companion document to the PCN evolution vision and framework of the primary care alliance. 2013. www.health.alberta.ca\/documents\/PHC-PCN-Evolution-Evolving-2013.pdf . Accessed on 23 Nov 2015."},{"issue":"5","key":"596_CR35","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1037\/a0028533","volume":"32","author":"T Mann","year":"2013","unstructured":"Mann T, de Ridder D, Fujita K. Self-regulation of health behavior: social psychological approaches to goal setting and goal striving. Health Psychol. 2013;32(5):487\u201398.","journal-title":"Health Psychol"},{"key":"596_CR36","unstructured":"The College of Family Physicians of Canada. A vision for Canada: family practice the patient\u2019s medical home. [Internet]. 2011 [cited 2015 Nov 23]. Available from: www.cfpc.ca\/uploadedFiles\/Resources\/Resource_items\/PMH_A_Vision_for_Canada.pdf"},{"issue":"1","key":"596_CR37","first-page":"27","volume":"59","author":"M Vallis","year":"2013","unstructured":"Vallis M, Piccinini\u2013Vallis H, Sharma AM, Freedhoff Y. Modified 5 As minimal intervention for obesity counseling in primary care. Can Fam Physician. 2013;59(1):27\u201331.","journal-title":"Can Fam Physician"},{"issue":"9","key":"596_CR38","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1503\/cmaj.111640","volume":"184","author":"G Plourde","year":"2012","unstructured":"Plourde G, Prud\u2019homme D. Managing obesity in adults in primary care. Can Med Assoc J. 2012;184(9):1039\u201344.","journal-title":"Can Med Assoc J"},{"issue":"14","key":"596_CR39","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1503\/cmaj.112-2062","volume":"184","author":"AM Sharma","year":"2012","unstructured":"Sharma AM. The 5A model for the management of obesity. CMAJ Can Med Assoc J. 2012;184(14):1603.","journal-title":"CMAJ Can Med Assoc J"},{"issue":"1","key":"596_CR40","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1002\/oby.20237","volume":"21","author":"MR Jay","year":"2013","unstructured":"Jay MR, Gillespie CC, Schlair SL, Savarimuthu SM, Sherman SE, Zabar SR, et al. The impact of primary care resident physician training on patient weight loss at 12\u00a0months. Obes Silver Spring Md. 2013;21(1):45\u201350.","journal-title":"Obes Silver Spring Md"},{"issue":"14","key":"596_CR41","doi-asserted-by":"crossref","first-page":"e1059","DOI":"10.1503\/cmaj.110387","volume":"183","author":"RS Padwal","year":"2011","unstructured":"Padwal RS, Pajewski NM, Allison DB, Sharma AM. Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity. CMAJ. 2011;183(14):e1059\u201366.","journal-title":"CMAJ"}],"updated-by":[{"DOI":"10.1186\/s12875-017-0631-3","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T00:00:00Z","timestamp":1493856000000}}],"container-title":["BMC Family Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12875-017-0596-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T03:52:44Z","timestamp":1749959564000},"score":1,"resource":{"primary":{"URL":"http:\/\/bmcfampract.biomedcentral.com\/articles\/10.1186\/s12875-017-0596-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,8]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["596"],"URL":"https:\/\/doi.org\/10.1186\/s12875-017-0596-2","relation":{},"ISSN":["1471-2296"],"issn-type":[{"value":"1471-2296","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,8]]},"article-number":"19"}}