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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide20.html
October 01, 2014 - 20. Final Selected Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of cessation interventions for adolescent smokers.
Effectiveness of cessation interventions for pregnant smokers.
Effectiveness of cessation interventions for indi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide56.html
October 01, 2014 - 56. Algorithm for Treating Tobacco Use
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
At the top of the flowchart is the question, Does patient now use tobacco? (See chapter 2). If the answer is "yes," ask, Is patient now willing to quit? If the answer is "yes," provi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide63.html
October 01, 2014 - 63. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A3. Assess —Determine willingness to make a quit attempt
Action
Strategies for implementation
Assess every tobacco user's willingness to make a qui…
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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/slide78.html
October 01, 2014 - 78. Treatment Recommendations: Counseling
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/slide83.html
October 01, 2014 - 83. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Tobacco dependence treatment is effective and should be delivered even if specialized assessments are not used or available. …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide87.html
October 01, 2014 - 87. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: Minimal interventions lasting less than 3 minutes increase overall tobacco abstinence rates. Every tobacco user …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide92.html
October 01, 2014 - 92. Treatment Recommendations: Counseling (Continued)
Text version of slide presentation.
Intensity of Clinical Interventions
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for number of person-to-person treatment sessions (n = 46 studies)
Number of sessions
Number of arms…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide103.html
October 01, 2014 - 103. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Effectiveness of and estimated abstinence rates for quitline counseling compared to minimal interventions, self-help or no counseling (n = 9 studies)
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide02.html
October 01, 2014 - 2. 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use a
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The following 222 slides are based on the 2008 PHS Clinical Practice Guideline: Treating Tobacco Use and Dependence Update.
They include:
Meta-a…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide03.html
October 01, 2014 - 3. Index to Slides
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
History: slides 5-6
Development Process: slides 7-27
10 Key Recommendations: slides 28-33
What's New in 2008: slides 34-54
Conceptual Models: slides 55-59
For the Patient Willing to Quit: slides 60…
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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/slide21.html
October 01, 2014 - 21. Topics Meta-Analyzed for the 2008 Guideline Update
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Characteristics analyzed
Categories of those characteristics
Quitline
No quitline intervention.
Use of a proactive quitline.
Use of a proactiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide36.html
October 01, 2014 - 36. What's New in 2008? (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The updated Guideline offers the clinician a greater number of effective medications than were identified in the previous Guideline. Seven different effective first-line smoking cessati…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide41.html
October 01, 2014 - 41. What's New in 2008?-New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Lozenge:
Recommendation: The nicotine lozenge is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidenc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide42.html
October 01, 2014 - 42. What's New in 2008?-New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Varenicline:
Recommendation: Varenicline is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide46.html
October 01, 2014 - 46. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Types of Counseling and Behavioral Therapies:
2000 Guideline: Recommendation: Three types of counseling and behavioral Therapies result in highe…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide53.html
October 01, 2014 - 53. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco Dependence Treatment as a Part of Assessing Health Care Quality:
2000 Guideline: Recommendation: Provision of guideline-based interventi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide61.html
October 01, 2014 - 61. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A1. Ask— Systematically identify all tobacco users at every visit
Action
Strategies for implementation
Implement an office wide system that ensures that, for E…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide62.html
October 01, 2014 - 62. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
In a clear, strong , and personalized manner, urge every tobacco user to quit.
Advice should be:
Clear —"It is …