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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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide91.html
October 01, 2014 - 91. 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 total amount of contact time (n = 35 studies)
T…
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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/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/slide101.html
October 01, 2014 - 101. 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 formats (n = 54 studies)
Number of formats a
Number of arms
Estimated …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide105.html
October 01, 2014 - 105. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Follow-up Assessment and Procedures
Recommendation: All patients who receive a tobacco dependence intervention should be assessed for abstinence at the completion …
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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/slide116.html
October 01, 2014 - 116. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For Smokers Not Willing To Make A Quit Attempt At This Time
Recommendation: Motivational intervention techniques appear to be effective in increasing a patient's l…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide117.html
October 01, 2014 - 117. Treatment Recommendations: Medication
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Treatment Recommendations: Medication
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide126.html
October 01, 2014 - 126. 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)
What medications should a clinician use with a patient who…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide127.html
October 01, 2014 - 127. 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)
When should second-line agents be used for treating tobacc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide135.html
October 01, 2014 - 135. Treatment Recommendations: Medications-Nicotine Inhaler
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a first-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (see F…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide134.html
October 01, 2014 - 134. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Inhaler:
Recommendation: The nicotine inhaler 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/slide145.html
October 01, 2014 - 145. Treatment Recommendations: Medications-Nicotine Patch
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Patient selection
Appropriate as a first-line medication for treating tobacco use
Precautions, warnings, contraindications and side effects (see FDA…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide155.html
October 01, 2014 - 155. Treatment Recommendations: Medications-Nortriptyline (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
Nortriptyline HCl —Prescription only.
Prescribing instructions
Initiate— Therapy is initiated 10-28 days bef…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide157.html
October 01, 2014 - 157. Treatment Recommendations: Medications-Relative Effectiveness
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication Number of arms Estimated odds ratio (95% C. I.)
Medication
Number of arms
Estimated odds ratio (95% C. I.)
Nicotine Patch (re…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide156.html
October 01, 2014 - 156. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Combination Medications
Recommendation: Certain combinations of first-line medications have been shown to be effective smoking cessation treatments. Therefore, clinicians sho…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide164.html
October 01, 2014 - 164. Treatment Recommendations: Intensive Treatment (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensive counseling is especially effective. There is a strong dose-response relation between counseling intensity and quitting success. In general, the m…