"..."The Five A's is a counselling model
used to train health professionals in behaviour change counselling.
It is an approach that offers a successful communication style that
acknowledges the expertise people have in living with their
The 5A's model was first used to promote and support smoking cessation in a US intervention.
Since its conception, the 5A's approach has been recognised internationally as an effective approach for behaviour change, particularly in primary health care settings.
The 5A's involves a 5 step process that includes:
A key benefit of the
5A's approach is that is allows short
consultations, such as those in the general practice setting, to be
structured around detection, assessment and management of patient
risk factors. The 5A's approach engages the patient by encouraging
them to discuss their experience and issues, thus focusing the
clinical encounter around the patient and their concerns. In
addition to this, the 5A's is applicable to most health disciplines
and settings, and complimentary when used with other CDSM approaches
covered in this section, including the Stanford and Flinders Programs,
and health coaching.
The patient should be the focus when making decisions, especially when selecting the right approaches for supporting their CDSM. This means considering their condition, lifestyle and psychosocial factors, individual capabilities and barriers. Another important step is identifying and acknowledging the patient's readiness to change, or the current stage of change they are at in order to provide a suitable treatment plan. Follow the Suggested reading links below to find some useful resources for these SMS strategies.