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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/slide85.html
October 01, 2014 - 85. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Treatment Recommendations: Counseling (Continued)
Advice To Quit Smoking
Recommendation: All physicians should strongly advise every patient who smokes to quit …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide96.html
October 01, 2014 - 96. 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 interventions delivered by various numbers of clinician types (n = 37 studies)
Number…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide95.html
October 01, 2014 - 95. 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 interventions delivered by different types of clinicians (n =29 studies)
Type of clin…
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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/slide107.html
October 01, 2014 - 107. 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 counseling and behavioral therapies (n = 64 studies)
Type of counse…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide114.html
October 01, 2014 - 114. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the number of sessions of counseling in combination with medication versus medication alone …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide115.html
October 01, 2014 - 115. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated abstinence rates for the combination of counseling and medication versus counseling alone (n = 9 studies)
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide130.html
October 01, 2014 - 130. Treatment Recommendations: Medications-Bupropion
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 pack…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide136.html
October 01, 2014 - 136. Treatment Recommendations: Medications-Nicotine Inhaler (Continue)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
Availability
Prescription only
Pre…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide137.html
October 01, 2014 - 137. Treatment Recommendations: Medications
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 Evidence = B).
P…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide149.html
October 01, 2014 - 149. Treatment Recommendations: Medications-Varenicline (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
Start varenicline one week before the quit date at 0.5 mg once daily for 3 days followed by 0.5 mg twice daily for 4 days followed by 1 mg…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide150.html
October 01, 2014 - 150. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Second line medication-Clonidine
Recommendation: VClonidine is an effective smoking cessation treatment. It may be used under a physician's supervision as a second-line agent…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide172.html
October 01, 2014 - 172. Systems Strategy 2. Provide education, resources, and feedback to promote provider intervention
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Health care systems should ensure that clinicians have sufficient t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide171.html
October 01, 2014 - 171. Systems Strategy 1. Implement a tobacco-user identification system in every clinic
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Implement an office-wide system that ensures that for EVERY patient at EVERY clini…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide173.html
October 01, 2014 - 173. Systems Strategy 3. Dedicate staff to provide tobacco dependence treatment and assess the delivery of this treatment in staff performance evaluations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Clinical sites …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide170.html
October 01, 2014 - 170. System Strategies
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Implementing a tobacco-user identification system in every clinic ( Systems Strategy 1 ).
Providing adequate training, resources, and feedback to ensure that providers consistently deliver effec…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide187.html
October 01, 2014 - 187. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated rates of quit attempts for individuals who received tobacco use interventions…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide186.html
October 01, 2014 - 186. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated rates of intervention for individuals who received tobacco use interventions as a covered…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide188.html
October 01, 2014 - 188. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated abstinence rates for individuals who received tobacco use interventions as a …