Table 2. The 5As framework for preventive care .
Ask | Identify patients with risk factors |
Assess | Level of risk factor and its relevance to the individual in terms of health Readiness to change Health literacy |
Advise/Agree | Provide written information Brief advice and motivational interviewing Negotiate goals and targets (including a lifestyle prescription) |
Assist | Develop a risk factor management plan that may include lifestyle education tailored to the individual (e.g. based on severity of risk factors, comorbidities) and pharmacotherapies Support for self-monitoring |
Arrange | Referral to allied health services or community programs Phone information/counselling services Follow-up, prevention and management of relapse |
Reproduced with permission from The Royal Australian College of General Practitioners from Smoking, nutrition, alcohol, physical activity (SNAP): a population health guide to behavioural risk factors in general practice, 2nd ed. Melbourne: The Royal Australian College of General Practitioners; 2015. p. 6–7. Available at www.racgp.org.au/your-practice/guidelines/snap19