This change package from the Pilot Collaborative on Self-Management Support was adapted from the smoking cessation intervention literature. It uses the 5 A’s – Assess, Advise, Agree, Assist, Arrange – to assist clinicians and others in guiding patients and families that are coping with chronic conditions to develop goals and action plans for behavior change.  The model contains suggestions for change in one-on-one encounters, at the clinical practice team level, and at the level of community policy.

For additional information, please also refer to:

5 A's Bibliography

Assessment Bibliography