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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide37.html
October 01, 2014 - 37. Systems Interventions: Clinician Training and Chart Reminders
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of clinician training combined with charting on asking about smoking status ("Ask") (n = 3 studies).
Intervention
Number o…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide44.html
October 01, 2014 - 44. The "5 A's" Model for Treating Tobacco Use and Dependence-2008 (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
A flowchart of the treatment process.
Ask : Do you currently use tobacco? If "no," ask: Have you ever used tobacco? If "no," arra…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide45.html
October 01, 2014 - 45. 10 Key Guideline Recommendations
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Image: a large 10.
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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/slide16.html
October 01, 2014 - 16. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Topics for the update were solicited from the panel and public (about 100 topics suggested).
Literature searches conducted on about half of the topics.
Abstracts obtained.
A…
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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/slide37.html
October 01, 2014 - 37. What's New in 2008? (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The updated Guideline contains new evidence that health care policies significantly affect the likelihood that smokers will receive effective tobacco dependence treatment and successful…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide48.html
October 01, 2014 - 48. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Combination Medications:
2000 Guideline: Recommendation: Combining the nicotine patch with a self-administered form of nicotine replacement ther…
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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/slide47.html
October 01, 2014 - 47. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medications:
2000 Guideline: Recommendation: All patients attempting to quit should be encouraged to use effective medications for smoking cessa…
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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.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide66.html
October 01, 2014 - 66. 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 practical counseling (problem-solving/skills training).
…
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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/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/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/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/slide90.html
October 01, 2014 - 90. 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 various intensity levels of session length (n =' 43 stu…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide99.html
October 01, 2014 - 99. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Formats of Psychosocial Treatments
Recommendation: Tailored materials, both print and Web-based, appear to be effective in helping people quit. Therefore, clinician…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide109.html
October 01, 2014 - 109. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Common elements of intra-treatment supportive interventions
Supportive treatment component
Examples
Encourage the patient in the quit attempt.
N…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide125.html
October 01, 2014 - 125. 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)
Are there contraindications, warnings, precautions, other …