Date of Award
Fall 12-15-2025
Document Type
Dissertation
Publication Status
Version of Record
Submission Date
December 2025
College Granting Degree
Christine E Lynn College of Nursing
Degree Name
Doctor of Nursing Practice (DNP)
Thesis/Dissertation Advisor [Chair]
Lynne Palma
Thesis/Dissertation Co-Chair
Cynthia Archibald
Abstract
Obesity has adverse effects on physical health, emotional well-being, and mental functioning. To effectively address this highly prevalent and multifaceted condition, the use of a structured, evidence-informed framework is essential to support providers in delivering consistent, person-centered care for individuals living with obesity. The Five As is a powerful yet not commonly implemented framework in many primary care practices. The Five As framework (Ask, Assess, Advise, Agree, Assist) offers a structured model to guide clinicians in delivering consistent, supportive, and transformative care for individuals with obesity.
The goal of the project was to implement a timely and cost-effective protocol/tool that could be utilized for busy providers in the primary care setting to increase patients’ adherence with the standard of care guidelines on obesity management. Implementation of the Five As was expected to enhance patient engagement, promote sustainable behavior change, and support gradual weight reduction and improved health behaviors. Broader anticipated outcomes included increased provider confidence, consistency in obesity management practices, and advancement of health equity in underserved communities by promoting culturally sensitive, patient-centered counseling that reduces bias, improves access to evidence-based interventions, and supports shared decision-making regardless of socioeconomic background. This project highlights the potential of the Five As framework to transform obesity care by improving quality and empowering patients in the long-term management of their health.
Recommended Citation
Charles, Alexandra, "INTEGRATING THE FIVE As FRAMEWORK TO ENHANCE PERSON-CENTERED CARE FOR ADULTS LIVING WITH OBESITY" (2025). Electronic Theses and Dissertations. 155.
https://digitalcommons.fau.edu/etd_general/155