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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide201.html
October 01, 2014 - 201. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents
Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the impor…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide202.html
October 01, 2014 - 202. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for counseling interventions with adolescent smokers (n = 7 studies)
Adolescent smokers …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide207.html
October 01, 2014 - 207. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Examples of effective psychosocial interventions with pregnant patients:
Physician advice regarding smoking-related risks (2-3 minutes); videot…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide219.html
October 01, 2014 - 219. Helpful Web Sites (All Web sites listed are either government-sponsored organizations or nonprofit foundations) (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
National Institute on Drug Abuse: www.nida.nih.gov
Office on Smoking and Health at the Ce…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide14.html
October 01, 2014 - 14. Combinations: Medication and Counseling (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus counseling alone (n = 9 studies).
Treatment …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide18.html
October 01, 2014 - 18. Pro-Active Quitlines (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for quitline counseling and medication compared to medication alone (n = 6 studies).
Intervention
Number of arms
Es…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide29.html
October 01, 2014 - 29. Adolescent Smokers
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for counseling interventions with adolescent smokers (n = 7 studies).
Adolescent smokers
Number of arms
Estimated odds ratio (95%…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide119.html
October 01, 2014 - 119. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose
Medication
Coding
Meaning
Nicotine Patch
Usual duration
6-14 weeks
Long duration
> 14…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide127.html
October 01, 2014 - 127. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
When should second-line agents be used for treating tobacc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide139.html
October 01, 2014 - 139. Treatment Recommendations: Medications-Nicotine Lozenge (continue
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC only
Prescribing instructions
Lozenge use -The lozenge should be allowed to dissolve in the mouth rather than chewi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide145.html
October 01, 2014 - 145. Treatment Recommendations: Medications-Nicotine Patch
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a first-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (see FDA…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide146.html
October 01, 2014 - 146. Treatment Recommendations: Medications-Nicotine Patch (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC or prescription
Type
Duration
Dosage
Step-Down Dosage
4 weeks
21 mg/24 hours
Step-Down Dosage
the…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide152.html
October 01, 2014 - 152. Treatment Recommendations: Medications-Clonidine (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
Oral —Prescription only.
Transdermal —Prescription only.
Prescribing instructions
Initiate— Initiate clonidine…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide159.html
October 01, 2014 - 159. Treatment Recommendations: Medications-Relative Effectiveness (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates of medications relative to the nicotine patch (n = 86 studies).
Medication
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide166.html
October 01, 2014 - 166. Components of Intensive Treatment
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Assessment
Assessments should determine whether tobacco users are willing to make a quit attempt using an intensive treatment program. Other assessments can provide informati…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide171.html
October 01, 2014 - 171. Systems Strategy 1. Implement a tobacco-user identification system in every clinic
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Implement an office-wide system that ensures that for EVERY patient at EVERY clini…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide180.html
October 01, 2014 - 180. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of training combined with charting on setting a quit date ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide190.html
October 01, 2014 - 190. Specific Populations and Other Topics
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: The interventions found to be effective in this Guideline have been shown to be effective in a variety of populations. In addition, many of the studies supportin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide204.html
October 01, 2014 - 204. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Noncigarette Tobacco Users:
Recommendation: Smokeless tobacco users should be identified, strongly urged to quit, and provided counseling cessation interventions. …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide210.html
October 01, 2014 - 210. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated pre-parturition abstinence rates for self-help interventions with pregnant smokers (n = 2 stud…