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Sherry Pagoto, PhD; Judith Ockene, PhD

Arch Intern Med. 2009;169(3):217-218.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Obesity and smoking are the 2 leading preventable causes of death in the United States.¹ Evidence-based treatments for smoking cessation and weight loss have been established, yet only a minority of patients receive these treatments.² Physicians have an important role via patient counseling that involves assessing, advising, agreeing on set goals, assisting the patient in getting needed support, and arranging follow-up. These steps are referred to as the 5 A’s and are effective in helping patients make lifestyle changes.^3-4 Despite the best efforts to counsel, patient motivation can be an undeniable barrier. Identifying windows of opportunity for patient receptiveness to lifestyle changes could help guide physicians as to when counseling will have the greatest effect.

The study by Keenan⁵ in this issue of the Archives found that patients who received new health diagnoses were more likely to quit smoking and lose weight than . . . [Full Text of this Article]

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