Table 4

Selected Quotations From Patient-Physician 5As Discussions

Example 1Patient: I have to try to figure out a way to make myself do the exercise I need to do.
Example 2Physician: You like to exercise, or…?
Patient: Exercise, yes. I know I need to, and I just can’t [laughter] make myself do it.
Example 3Patient: See the big problem is I work the 3 to 11 pm shift. And I’ll typically wake up later and then I usually don’t eat before I go to work. I’ll have something at work, and then I’ll go home and eat, and I know that’s terrible, cause then I go to bed You know I, I do understand that (I need to improve exercise), but it’s hard, just hard to break out of routine.
Example 4Patient: I walk the dogs regularly...it’s not enough to get my heart rate up, because you know, they stop and sniff…. But what I’m trying to do is use an exercise bike. But I’m minimally successful with that...it’s not a knowledge deficit. I mean, I know what I need to do. It’s [laughter], it’s a performance deficit. It’s clear to me that I need more of that moderate exercise.
Example 5Physician: Okay, now are you exercising regularly?
Patient: Okay, no.
Physician: Oh, I guess it’s kind of hard with 4 kids.
Patient: If chasing 4 kids count, then yes. But I know that probably is not on the list.
Physician: You know, 30 minutes of dedicated exercise—it would be great if you could put them in a stroller and just go for a walk.
Example 6Physician: Are you exercising regularly?
Patient: Not like I should. No.
Physician: No? All right, I suppose <laughter> that’s true for most of us.
Patient: [Laughter]
Physician: Is that <laughter> is that something that you can start to get into?
Patient: [Sigh] I’m going to try to do better.
Physician: Okay. All I ask is that you try, you know, so and then, um, a quick question for you. It looks like you’re coming up due for a mammogram?