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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-facilitator-guide.pdf
November 01, 2019 - Prescribers may feel that their patients are different
and thus refuse to follow standard guidelines … You can develop
specific guidelines for circumstances that occur
commonly enough to warrant guidelines … Sometimes, they
will respond to engagement in being included in making
guidelines and algorithms. … Existing treatment guidelines were modified to be
more specific and succinct. … Slide 23
Improving Local Guidelines
SAY:
Existing treatment guidelines were found to provide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide60.html
October 01, 2014 - 60. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For the Patient Willing To Quit
Previous Slide Contents Next Slide
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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/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/slide57.html
October 01, 2014 - 57. Model for Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The model is a flow chart beginning with general population: patient presents to a health care setting (clinic, hospital, work site, others): ask—screen all patients for t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide56.html
October 01, 2014 - 56. Algorithm for Treating Tobacco Use
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
At the top of the flowchart is the question, Does patient now use tobacco? (See chapter 2). If the answer is "yes," ask, Is patient now willing to quit? If the answer is "yes," provi…
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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/slide61.html
October 01, 2014 - 61. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A1. Ask— Systematically identify all tobacco users at every visit
Action
Strategies for implementation
Implement an office wide system that ensures that, for E…
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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/slide03.html
October 01, 2014 - 3. Index to Slides
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
History: slides 5-6
Development Process: slides 7-27
10 Key Recommendations: slides 28-33
What's New in 2008: slides 34-54
Conceptual Models: slides 55-59
For the Patient Willing to Quit: slides 60…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide05.html
October 01, 2014 - 5. History
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/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/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/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/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/slide10.html
October 01, 2014 - 10. Panel Members
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Michael C. Fiore, MD, MPH, Chair
Carlos Roberto Jaén, MD, PhD, FAAFP, Vice-Chair
Timothy Baker, PhD, Senior Scientist
William C. Bailey, MD, FACP, FCCP
Neal Benowitz, MD
Susan J. Curry, PhD
Sally F…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide11.html
October 01, 2014 - 11. PHS Liaisons
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Ernestine (Tina) Murray, RN, MAS, AHRQ (Project Officer)
Sandra Cummings, AHRQ
Christine Williams, AHRQ
Glen Bennett, NHLBI
Stephen Heishman, NIDA
Corrine Husten, CDC
Glen Morgan, NCI
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide13.html
October 01, 2014 - 13. Development Process
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Slides 13 to 15 are flow charts with the bullet points flowing from the top down. The first topic flows into the second, and so on.
Topics for the update were solicited from the panel and publi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide14.html
October 01, 2014 - 14. Development Process (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
A flow chart where the first topic flows into the second, and so on.
Evidence tables created by literature reviewers.
Initial meta-analyses conducted.
Panel reviewed relevant li…