Background: Obesity carries a high burden of morbidity and mortality. Obesity guidelines recommend behavioral therapy utilization as a component of weight loss management lifestyle interventions. However, the specific implementation of behavioral therapy for weight loss is lagging in the primary care setting. Purpose: To identify if behavioral counseling as a component of lifestyle interventions within primary care obesity management has the potential for inducing a weight loss of 3 kg (6.6 lbs) within 6 months as outlined for reimbursement by Medicare's Intensive Behavioral Therapy (IBT) policy. Methods: A literature review from 2011 to the present was conducted and limited to scholarly and peer-reviewed articles which targeted aspects of behavioral therapy for obesity weight loss management; along with ethical, cultural and policy data related to obesity within the context of primary care. Results: One current guideline cited a high level of strong evidence to recommend behavioral therapy as a component of comprehensive lifestyle interventions for weight loss. Few trials have successfully assisted patients with obesity to lose >/= 3 kg of weight within six months. Successful trials achieved the latter through integration of 5As-based-IBT with specific patient goals comparable to those used in the Diabetes Prevention Program (DPP). Conclusion: There is a promise for further successful use of 5As-based-IBT if integrated with specific DPP-comparable lifestyle intervention goals to potentiate weight loss in the obese primary care population. Further similar trials are needed within primary care to validate these findings.
Barefoot, Sharon, "Lifestyle Intervention for Adult Obesity: The potential for 5As tools to optimize Intensive Behavioral Therapy (IBT) outcomes through primary care" (2020). 2020 Graduate Presentations. 9.