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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/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/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/slide04.html
October 01, 2014 - 4. Index to Slides (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For the Patient who has Recently Quit: slides 74-77
Counseling: slides 78-116
Medication: slides 117-162
Intensive Treatment: slides 163-168
Systems: slides 169-188
Specific Populations…
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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/slide17.html
October 01, 2014 - 17. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence tables created by literature reviewers.
Initial meta-analyses conducted.
Panel reviewed relevant literature and meta-analytic results.
Panel formed tentative conclusion…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide25.html
October 01, 2014 - 25. 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
Type of counseling and behavioral therapies
No counseling.
No perso…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide44.html
October 01, 2014 - 44. What's New in 2008?-New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Light Smokers:
Recommendation: Light smokers should be identified, strongly urged to quit, and provided counseling cessation interventions. (Strength of Evidence …
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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…