Assessing delivery of the five 'As' for patient-centered counseling.


:The '5As' model of behavior change provides a sequence of evidence-based clinician and office practice behaviors (Assess, Advise, Agree, Assist, Arrange) that can be applied in primary care settings to address a broad range of behaviors and health conditions. Although the 5As approach is becoming more widely adopted as a strategy for health behavior change counseling, practical and standardized assessments of 5As delivery are not widely available. This article provides clinicians and researchers with alternatives for assessment of 5As implementation for both quality improvement, and for research and evaluation purposes, and presents several practical tools they may wish to use. Sample instruments for tracking delivery of the 5As and related tools that are in the public domain are provided to facilitate integration of self-management support into clinical care. We discuss the strengths and limitations of the various assessment approaches. Promising and practical measures to assess the 5As exist for both quality improvement and research purposes. Additional validation is needed on almost all current procedures, and both clinicians and researchers are encouraged to use these instruments and share the resulting data.


Health Promot Int


Glasgow RE,Emont S,Miller DC




Has Abstract


2006-09-01 00:00:00














  • How can health promotion interventions be adapted for minority ethnic communities? Five principles for guiding the development of behavioural interventions.

    abstract::The term 'culturally sensitive' is often used to describe interventions adapted for minority ethnic communities. However, understanding of strategies for adapting behavioural interventions for such communities is limited. The questions addressed in this paper are: What are the main strategies for adapting intervention...

    journal_title:Health promotion international

    pub_type: 杂志文章,评审


    authors: Netto G,Bhopal R,Lederle N,Khatoon J,Jackson A

    更新日期:2010-06-01 00:00:00

  • Adapting health promotion interventions for ethnic minority groups: a qualitative study.

    abstract::Adaptation of health interventions has garnered international support across academic disciplines and among various health organizations. Through semi-structured interviews, we sought to explore and understand the perspectives of 26 health researchers and promoters located in the USA, UK, Australia, New Zealand and No...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Liu JJ,Davidson E,Bhopal R,White M,Johnson M,Netto G,Sheikh A

    更新日期:2016-06-01 00:00:00

  • Lifestage differences in young UK women's reasons for research participation.

    abstract::Lifecourse epidemiology suggests that preconception is a valuable opportunity for health promotion with young women. Yet young women are less likely than older women to be research participants, limiting evidence about their needs and risks. Marketing data indicate that young adults are not engaged with one advertisin...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Howcutt SJ,Barbosa-Bouças S,Brett J,Barnett AL,Smith LA

    更新日期:2020-05-09 00:00:00

  • Modeling the factors associating with health-related habits among Japanese students.

    abstract::The aim of the present study was to clarify the structural relationship between health-related habits and psychosocial factors during adolescence/early adulthood. An anonymous, self-administered questionnaire was provided to 1141 third- and fourth-year students at eight academic departments from six universities in re...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Mato M,Tsukasaki K

    更新日期:2019-04-01 00:00:00

  • Multisectoral approach and WHO 'Bestbuys' in Nigeria's nutrition and physical activity policies.

    abstract::Unhealthy diet and physical inactivity are modifiable risk factors for non-communicable diseases. Policies formulated in line with international guidelines are required for the implementation of population-level interventions to reduce the risks. This study describes the utilization of multisectoral approach (MSA) for...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Oluwasanu M,Oladunni O,Oladepo O

    更新日期:2020-12-01 00:00:00

  • Power, control, communities and health inequalities III: participatory spaces-an English case.

    abstract::This article-third in a series of three-uses theoretical frameworks described in Part 1, and empirical markers reported in Part 2, to present evidence on how power dynamics shifted during the early years of a major English community empowerment initiative. We demonstrate how the capabilities disadvantaged communities ...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Powell K,Barnes A,Anderson de Cuevas R,Bambra C,Halliday E,Lewis S,McGill R,Orton L,Ponsford R,Salway S,Townsend A,Whitehead M,Popay J

    更新日期:2020-12-31 00:00:00

  • Ethics, effectiveness and population health information interventions: a Canadian analysis.

    abstract::Population health information interventions (PHIIs) use information in efforts to promote health. PHIIs may push information to a target audience (communication), pull information from the public (surveillance), or combine both in a bidirectional intervention. Although PHIIs have often been framed as non-invasive and ...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Greyson D,Knight R,Shoveller JA

    更新日期:2019-06-01 00:00:00

  • Effectiveness of a capacity-building program for community leaders in a healthy living environment: a randomized community-based intervention in rural Vietnam.

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    journal_title:Health promotion international

    pub_type: 杂志文章,随机对照试验


    authors: Hien le TT,Takano T,Seino K,Ohnishi M,Nakamura K

    更新日期:2008-12-01 00:00:00

  • Different worlds, different tasks for health promotion: comparisons of health risk profiles in Chinese and Finnish rural people.

    abstract::The aim of this study was to compare cardiovascular risk factors of working-aged people in Chinese and Finnish rural villages. The surveys were carried out in 1989 in Tianjin, China, and in Kuopio, Finland. Altogether, 897 Chinese inhabitants and 795 Finnish subjects participated in the surveys. Health behaviours were...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Hu G,Pekkarinen H,Halonen P,Hänninen O,Tian H,Guo Z,Kumpusalo E

    更新日期:2001-12-01 00:00:00

  • Approaches to dog health education programs in Australian rural and remote Indigenous communities: four case studies.

    abstract::Dog health in rural and remote Australian Indigenous communities is below urban averages in numerous respects. Many Indigenous communities have called for knowledge sharing in this area. However, dog health education programs are in their infancy, and lack data on effective practices. Without this core knowledge, heal...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Constable SE,Dixon RM,Dixon RJ,Toribio JA

    更新日期:2013-09-01 00:00:00

  • Evaluation of a pilot school programme aimed at the prevention of obesity in children.

    abstract::This paper describes the development, implementation and evaluation of a school- and family-based intervention to prevent obesity in children aged 5-7 years. In addition, the efficacy of three different intervention programmes was compared. Children aged 5-7 years (n=213) were recruited from three primary schools in O...

    journal_title:Health promotion international

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Warren JM,Henry CJ,Lightowler HJ,Bradshaw SM,Perwaiz S

    更新日期:2003-12-01 00:00:00

  • Social media and e-learning use among European exercise science students.

    abstract::With the rise of digital technologies, electronic learning and communication tools are becoming a firm part of academia to promote knowledge of health sciences. This study sought to analyse the attitude of students regarding social media and digital learning for study purposes in sport and exercise science. A survey w...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Rigamonti L,Dolci A,Galetta F,Stefanelli C,Hughes M,Bartsch M,Seidelmeier I,Bonaventura K,Back DA

    更新日期:2020-06-01 00:00:00

  • Social network resources and self-rated health in a deprived Danish neighborhood.

    abstract::Research has demonstrated that living in a deprived neighborhood contributes to the occurrence and development of poor health. Furthermore evidence shows that social networks are fundamental resources in preventing poor mental health. Neighborhood relationships and networks are vital for sustaining and improving quali...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Tanggaard Andersen P,Holst Algren M,Fromsejer Heiberg R,Joshi R,Kronborg Bak C

    更新日期:2018-12-01 00:00:00

  • Evaluating the effectiveness of health promotion policy: changes in the law on drinking and driving in California.

    abstract::The purpose of the study was to determine the utility of general population health surveillance data for evaluating broad policy changes that relate to health promotion. Data were drawn from the United States (US) Behavioral Risk Factor Surveillance System (BRFSS) for one US state, California. Because these data are c...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Campostrini S,Holtzman D,McQueen DV,Boaretto E

    更新日期:2006-06-01 00:00:00

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    abstract::While there is a recognized link between high levels of exposure to advertising of unhealthy foods and overweight and obesity among children, there is little research on the extent to which these exposures include persuasive marketing techniques. This study aimed to measure children's exposure to the use of persuasive...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Kelly B,Hattersley L,King L,Flood V

    更新日期:2008-12-01 00:00:00

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    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Snowdon W,Schultz J,Swinburn B

    更新日期:2008-12-01 00:00:00

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    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Ramanathan S,Allison KR,Faulkner G,Dwyer JJ

    更新日期:2008-09-01 00:00:00

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    abstract::Schools are seen as important contributors to obesity prevention, yet face barriers in fulfilling this function. This qualitative study investigates headteacher views on the primary school role in preventing obesity. Semi-structured interviews were held with 22 headteachers from ethnically and socio-economically diver...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Clarke JL,Pallan MJ,Lancashire ER,Adab P

    更新日期:2017-06-01 00:00:00

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    abstract::Despite the Canadian record of concern with the social determinants of health (SDOH), actual public health activities consistent with such an approach are sporadic at best. Canadian research and advocacy activities in the service of strengthening the SDOH are so divorced from everyday public policy activity, media dis...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Raphael D

    更新日期:2009-06-01 00:00:00

  • A translational research intervention to reduce screen behaviours and promote physical activity among children: Switch-2-Activity.

    abstract::Translational or implementation research that assesses the effectiveness of strategies to promote health behaviours among children that have been previously tested under 'ideal' conditions is rarely reported. Switch-2-Activity aimed to examine the effectiveness of an abbreviated programme delivered by teachers targeti...

    journal_title:Health promotion international

    pub_type: 杂志文章,随机对照试验


    authors: Salmon J,Jorna M,Hume C,Arundell L,Chahine N,Tienstra M,Crawford D

    更新日期:2011-09-01 00:00:00

  • Health in All Policies in South Australia: what has supported early implementation?

    abstract::Health in All Policies (HiAP) is a policy development approach that facilitates intersectoral responses to addressing the social determinants of health and health equity whilst, at the same time, contributing to policy priorities across the various sectors of government. Given that different models of HiAP have been i...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Delany T,Lawless A,Baum F,Popay J,Jones L,McDermott D,Harris E,Broderick D,Marmot M

    更新日期:2016-12-01 00:00:00

  • Evaluation of Health in All Policies: concept, theory and application.

    abstract::This article describes some of the crucial theoretical, methodological and practical issues that need to be considered when evaluating Health in All Policies (HiAP) initiatives. The approaches that have been applied to evaluate HiAP in South Australia are drawn upon as case studies, and early findings from this evalua...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Baum F,Lawless A,Delany T,Macdougall C,Williams C,Broderick D,Wildgoose D,Harris E,Mcdermott D,Kickbusch I,Popay J,Marmot M

    更新日期:2014-06-01 00:00:00

  • Making schools healthy among Burmese migrants in Thailand.

    abstract::In Thailand, a health-promoting school (HPS) program is in place nationwide. However, this policy has not covered Burmese migrant schools. Therefore, to ensure the feasibility of the implementation of a HPS program, we conducted evaluations and an intervention on school health in migrant schools in Thailand. We includ...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Akiyama T,Win T,Maung C,Ray P,Kaji A,Tanabe A,Jimba M,Kobayashi J

    更新日期:2013-06-01 00:00:00

  • Social movement involvement and healthy diet and activity behaviors among US adults.

    abstract::Unhealthy lifestyle behaviors, namely poor diet and inadequate physical activity, significantly contribute to poor health and obesity risk, which in turn impact chronic illness outcomes. A possible approach to improving these health behaviors and subsequent outcomes is to capitalize on the theorized link between socia...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Emley EA,Musher-Eizenman DR

    更新日期:2019-06-01 00:00:00

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    abstract::Education and literacy are important aspects of health promotion. The potential for health literacy to promote healthier choices has been widely examined, with studies variously incorporating food literacy, nutrition literacy and/or media literacy as components of health literacy, rather than treating each as unique c...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Truman E,Bischoff M,Elliott C

    更新日期:2020-04-01 00:00:00

  • A comparison of smoking behaviors among medical and other college students in China.

    abstract::A survey of students' smoking in China (n = 1896), comparing medical students with college students in non-medical majors, was carried out to determine whether a medical education has a preventive effect on smoking uptake. The survey, sampling students from 12 universities in three cities, found no significant differe...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Zhu T,Feng B,Wong S,Choi W,Zhu SH

    更新日期:2004-06-01 00:00:00

  • The status of health-promoting schools in Hong Kong and implications for further development.

    abstract::An evaluation framework, called the Hong Kong Healthy Schools Award, has been developed to enable comprehensive collection and analysis of data reflecting the status of health-promoting schools (HPS) in Hong Kong. The key findings revealed a high prevalence of emotional problems, unhealthy eating habits, physical inac...

    journal_title:Health promotion international

    pub_type: 杂志文章,多中心研究


    authors: Lee A,St Leger L,Cheng FF,Hong Kong Healthy Schools Team.

    更新日期:2007-12-01 00:00:00

  • Resisting austerity measures to social policies: multiple explanatory case studies.

    abstract::Since Margaret Thatcher reached power in the United Kingdom, European governments have increasingly turned to neoliberal forms of policy-making, focusing, especially after the 2008 Great Recession on 'austerity policies' rather than investing in social protection policies. We applied a multiple explanatory case studie...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: O'Campo P,Freiler A,Muntaner C,Gelormino E,Huegaerts K,Puig-Barrachina V,Mitchell C

    更新日期:2019-12-01 00:00:00

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    abstract::Adolescents in Panama face multiple barriers that affect their health, such as high rates of teenage pregnancy, increased human immunodeficiency virus (HIV) infections and sexual violence. Equal relationships between women and men are likely to reduce such risks. Here, we suggest that the school-based enhancement of S...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Araúz Ledezma AB,Massar K,Kok G

    更新日期:2020-10-14 00:00:00

  • Development and validation of the WHO self-assessment tool for health promotion in hospitals: results of a study in 38 hospitals in eight countries.

    abstract::Despite a strong tradition in the literature on the patient information, education and involvement, there are few practical tools available to support hospitals in implementing such strategies. Based on the WHO Health Promoting Hospitals and Health Services (HPH) Strategy, we developed a self-assessment tool for healt...

    journal_title:Health promotion international

    pub_type: 杂志文章


    authors: Groene O,Alonso J,Klazinga N

    更新日期:2010-06-01 00:00:00