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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide55.html
October 01, 2014 - 55. Conceptual Models
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide79.html
October 01, 2014 - 79. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Screening and Assessment
Screen for Tobacco Use
Recommendation: All patients should be asked if they use tobacco and should have their tobacco-use status document…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide93.html
October 01, 2014 - 93. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatment delivered by a variety of clinician types increases abstinence rates. Therefore, all clinicians should provide smoking c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide108.html
October 01, 2014 - 108. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Common elements of practical counseling (problem-solving/skills training)
Practical counseling (problem solving/ skills training) treatment component
Exampl…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide01.html
October 01, 2014 - 1. Treating Tobacco Use and Dependence: 2008 Update
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
U.S. Public Health Service Clinical Practice Guideline
August 2009
Image: This and all following slides have the abbreviation PHS (Public Health Service) next to a s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide08.html
October 01, 2014 - 8. Development Process
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Began 7-1-06
Scope remains the clinical treatment of tobacco use and dependence.
Update rather than a full revision.
Very similar development process to 1996 and 2000.
Previous Slide…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide22.html
October 01, 2014 - 22. Topics Meta-Analyzed for the 2008 Guideline Update (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Topics Meta-Analyzed for the 2008 Guideline Update (Continued)
Characteristics analyzed
Categories of those characteristics
Providing toba…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide28.html
October 01, 2014 - 28. Ten Key Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
10 Key Recommendations
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide35.html
October 01, 2014 - 35. What's New in 2008? (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The updated Guideline has produced even stronger evidence that counseling is an effective tobacco use treatment strategy. Of particular note are findings that counseling adds significan…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide50.html
October 01, 2014 - 50. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents (Continued):
2000 Guideline: Recommendation #2: Clinicians in a pediatric setting should offer Smoking cessation advice…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide49.html
October 01, 2014 - 49. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Children and Adolescents:
2000 Guideline: Recommendation: Counseling and behavioral interventions shown to be effective with adults should be co…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide57.html
October 01, 2014 - 57. Model for Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The model is a flow chart beginning with general population: patient presents to a health care setting (clinic, hospital, work site, others): ask—screen all patients for t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
October 01, 2014 - 68. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A5. Arrange —Ensure follow-up contact
Action
Strategies for implementation
Arrange for follow-up contacts, either in person or via telephone
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide74.html
October 01, 2014 - 74. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide82.html
October 01, 2014 - 82. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Once a tobacco user is identified and advised to quit, the clinician should assess the patient's willingness to quit at this …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide81.html
October 01, 2014 - 81. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Impact of having a tobacco use status identification system in place on abstinence rates among patients who smoke (n = 3 studies)
Screeni…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide85.html
October 01, 2014 - 85. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Treatment Recommendations: Counseling (Continued)
Advice To Quit Smoking
Recommendation: All physicians should strongly advise every patient who smokes to quit …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide86.html
October 01, 2014 - 86. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Effectiveness of and estimated abstinence rates for advice to quit by a physician (n = 7 studies)
Advice
Number of arms
Estimated odd…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide91.html
October 01, 2014 - 91. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for total amount of contact time (n = 35 studies)
T…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide104.html
October 01, 2014 - 104. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Intervention
Number of arms
Estimated odds ratio
(95% C.I.)
Estimated abstinence rate
(95% C.I.)
Medication alone
6
1.0
23…