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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide102.html
October 01, 2014 - 102. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for number of types of self-help (n = 21 studies)
Factor
Number of arms
Estimated od…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide106.html
October 01, 2014 - 106. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Treatment Elements
Recommendation: Two types of counseling and behavioral therapies result in higher abstinence rates: (1) providing smokers with practical counsel…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide07.html
October 01, 2014 - 7. Development Process
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Development Process
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide13.html
October 01, 2014 - 13. Development Process
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Slides 13 to 15 are flow charts with the bullet points flowing from the top down. The first topic flows into the second, and so on.
Topics for the update were solicited from the panel and publi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide18.html
October 01, 2014 - 18. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Panel reviewed updated evidence and made recommendations based on evidence.
Manuscript drafted and reviewed by panel.
Additional manuscript drafts reviewed by panel.
Manuscript …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide33.html
October 01, 2014 - 33. Ten Key Guideline Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco dependence treatments are both clinically effective and highly cost-effective relative to interventions for other clinical disorders. Providing coverage for thes…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide34.html
October 01, 2014 - 34. What's New in 2008?
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
What's New in 2008?
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide51.html
October 01, 2014 - 51. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Noncigarette Tobacco Users:
2000 Guideline: Recommendation: Smokeless/spit tobacco users should be identified, strongly urged to quit, and treat…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide59.html
October 01, 2014 - 59. The "5 A's" Model for Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence: 2008 Update
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 personalized manne…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide65.html
October 01, 2014 - 65. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Recommend the use of approved medication,
except where contra…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide75.html
October 01, 2014 - 75. For the Patient Who Has Recently Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intervening with the patient who has recently quit
The former tobacco user should receive congratulations on any success and strong encouragement to remain abstinent. When encou…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide84.html
October 01, 2014 - 84. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Variables associated with higher or lower abstinence rates
Variables associated with higher abstinence rates
Variable
Examples
High motivation
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide100.html
October 01, 2014 - 100. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for various types of format (n = 58 studies)
Format number
Number of arms
Estimated …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide23.html
October 01, 2014 - 23. Topics Meta-Analyzed for the 1996 and 2000 Guidelines and Included
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Characteristics analyzed
Categories of those characteristics
Screen for tobacco use
No screening system in place.
Screening syst…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide58.html
October 01, 2014 - 58. The 5 As: Treating Tobacco as a Chronic Disease
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
A chart of the treatment process. Ask: Do you currently use tobacco? If no, ask: Have you ever used tobacco? If no, arrange followup. If yes, assess: Have you recent…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide67.html
October 01, 2014 - 67. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Provide intra-treatment social support.
Provide a supportive clin…
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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/slide76.html
October 01, 2014 - 76. For the Patient Who Has Recently Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Addressing problems encountered by former smokers
A patient who previously smoked might identify a problem that negatively affects health or quality of life. Specifi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide80.html
October 01, 2014 - 80. 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 rates of clinician intervention with their patients who smoke (n = 9 stud…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide88.html
October 01, 2014 - 88. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: There is a strong dose-response relation between the session length of person-to-person contact and successful t…