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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide140.html
October 01, 2014 - 140. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of the nicotine lozenge: Results from the single randomized controlled trial.
Lozenge dose
N for active/N for placebo
Odds Ratio (95% C.I.)
Continuou…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide154.html
October 01, 2014 - 154. Treatment Recommendations: Medications-Nortriptyline
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a second-line medication for treating tobacco use
Precautions, warnings, contraindications and side effect…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide155.html
October 01, 2014 - 155. Treatment Recommendations: Medications-Nortriptyline (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
Nortriptyline HCl —Prescription only.
Prescribing instructions
Initiate— Therapy is initiated 10-28 days bef…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide156.html
October 01, 2014 - 156. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Combination Medications
Recommendation: Certain combinations of first-line medications have been shown to be effective smoking cessation treatments. Therefore, clinicians sho…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide169.html
October 01, 2014 - 169. Systems
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/slide191.html
October 01, 2014 - 191. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
HIV-positive
No long-…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide198.html
October 01, 2014 - 198. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Psychiatric disorders i…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide199.html
October 01, 2014 - 199. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
Racial/ethnic minoritie…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide07.html
October 01, 2014 - 7. Panel Members
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Michael C. Fiore, MD, MPH, Chair
Carlos Roberto Jaén, MD, PhD, FAAFP, Vice-Chair
Timothy Baker, PhD, Senior Scientist
William C. Bailey, MD, FACP, FCCP
Neal Benowitz, MD
Susan J. Curry, PhD …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide42.html
October 01, 2014 - 42. The "5 A's" Model for Treating Tobacco Use and Dependence-2000
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Ask about tobacco use. Identify and document tobacco use status for every patient at every visit.
Advise to quit. In a clear, strong and pe…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide41.html
October 01, 2014 - 41. For Smokers Not Willing To Make a Quit Attempt at This Time
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Motivational intervention techniques appear to be effective in increasing a patient's likelihood of making a future quit attempt. T…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide39.html
October 01, 2014 - 39. Systems Interventions: Clinician Training and Chart Reminders (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of training combined with charting on arranging for follow-up ("Arrange") (n = 2 studies)
Intervention
Number …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide40.html
October 01, 2014 - 40. Systems Interventions: Clinician Training and Chart Reminders (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Clinician Training and Reminder Systems:
Recommendation: All clinicians and clinicians-in-training should be trained in effective s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide10.html
October 01, 2014 - 10. Panel Members
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Michael C. Fiore, MD, MPH, Chair
Carlos Roberto Jaén, MD, PhD, FAAFP, Vice-Chair
Timothy Baker, PhD, Senior Scientist
William C. Bailey, MD, FACP, FCCP
Neal Benowitz, MD
Susan J. Curry, PhD
Sally F…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide09.html
October 01, 2014 - 9. Funded by:
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Agency for Healthcare Research and Quality
National Cancer Institute
National Heart, Lung & Blood Institute
National Institute on Drug Abuse
Centers for Disease Control and Prevention
The Robert …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide11.html
October 01, 2014 - 11. PHS Liaisons
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Ernestine (Tina) Murray, RN, MAS, AHRQ (Project Officer)
Sandra Cummings, AHRQ
Christine Williams, AHRQ
Glen Bennett, NHLBI
Stephen Heishman, NIDA
Corrine Husten, CDC
Glen Morgan, NCI
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide72.html
October 01, 2014 - 72. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The "5 Rs"
Relevance
Encourage the patient to indicate why quitting is personally relevant, being as specific as possible. Motivational information has the great…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide71.html
October 01, 2014 - 71. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Motivational Interviewing (Continued)
Roll with Resistance
Back off and use reflection when the patient expresses resistance: "Sounds like you are feeling pr…
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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…