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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide48.html
October 01, 2014 - 48. 10 Key Guideline Recommendations (Numbers 4 and 5)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Brief tobacco dependence treatment is effective. Clinicians should offer every patient who uses tobacco at least the brief treatments shown to be effective…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide53.html
October 01, 2014 - 53. Key Guideline Web Links
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Guideline materials: http://www.surgeongeneral.gov/tobacco/ .
List of over 55 endorsing organizations at: http://www.ctri.wisc.edu/Researchers/researchers_CPGupdate2008_endorse.h…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide10.html
October 01, 2014 - 10. Final Selected Topics
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Proactive quitlines.
Combining counseling and medication relative to either counseling or medication alone.
Varenicline.
Various medication combinations.
Long-term medication u…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide11.html
October 01, 2014 - 11. Peer Review/Public Comment
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Over 90 independent tobacco treatment experts served as peer reviewers.
Federal Register notice announced availability of guideline for public comment.
Previous Slide …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide31.html
October 01, 2014 - 31. Pregnant Smokers
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated pre-parturition abstinence rates for psychosocial interventions with pregnant smokers (n = 8 studies).
Pregnant smokers
Number of arms
Estimated odd…
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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/slide43.html
October 01, 2014 - 43. The "5 A's" Model for Treating Tobacco Use and Dependence-2008
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 p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide47.html
October 01, 2014 - 47. 10 Key Guideline Recommendations (Number 3)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
3. Tobacco dependence treatments are effective across a broad range of populations. Clinicians should encourage every patient willing to make a quit attempt to use …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide13.html
October 01, 2014 - 13. Combinations: Medication and Counseling
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus medication alone (n = 18 studies).
Treatment
Number of…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide33.html
October 01, 2014 - 33. Pregnant Smokers (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Intervention as a covered health care benefit.
Clinician training and chart reminders.
Tobacco dependence treatment as a part of assessing health care quality.
Cost-effect…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide38.html
October 01, 2014 - 38. 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 setting a quit date ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide51.html
October 01, 2014 - 51. 10 Key Guideline Recommendations (Numbers 9 and 10)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
9. If a tobacco user is currently unwilling to make a quit attempt, clinicians should use the motivational treatments shown in this Guideline to be effectiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide50.html
October 01, 2014 - 50. 10 Key Guideline Recommendations (Numbers 7 and 8)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
7. Counseling and medication are effective when used by themselves for treating tobacco dependence. However, the combination of counseling and medication is …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide06.html
October 01, 2014 - 6. History
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
1996—Initial Guideline published; literature from 1975-1995; approximately 3,000 articles.
2000—Revised Guideline published; literature from 1995-1999; approximately 6,000 articles.
2008—Updated Guideline…
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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
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide26.html
October 01, 2014 - 26. Inclusion Criteria for Articles in a Meta-Analysis
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Randomized control trial (RCT)
Published in a peer review journal
Published in English
With noted exceptions, randomized at level of subject
Data analysis d…
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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/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 …
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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/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…