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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/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/slide86.html
October 01, 2014 - 86. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Effectiveness of and estimated abstinence rates for advice to quit by a physician (n = 7 studies)
Advice
Number of arms
Estimated odd…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide103.html
October 01, 2014 - 103. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Effectiveness of and estimated abstinence rates for quitline counseling compared to minimal interventions, self-help or no counseling (n = 9 studies)
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide138.html
October 01, 2014 - 138. Treatment Recommendations: Medications-Nicotine Lozenge
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/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/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/slide169.html
October 01, 2014 - 169. Systems
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/slide209.html
October 01, 2014 - 209. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice
Rationale
Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide06.html
October 01, 2014 - 6. Funded by
Treating Tobacco Use and Dependence: 2008 Update Overview
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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide15.html
October 01, 2014 - 15. Treatment Recommendations-Counseling
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Combining Counseling and Medication
Recommendation: The combination of counseling and medication is more effective for smoking cessation than either medication or couns…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide16.html
October 01, 2014 - 16. Strength of Evidence for Recommendations
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Classification
Criteria
Strength of Evidence = A
Multiple well-designed randomized clinical trials, directly relevant to the recommendation, yielded a …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide23.html
October 01, 2014 - 23. Medication Recommendation
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Certain combinations of first-line medications have been shown to be effective smoking cessation treatments. Therefore, clinicians should consider using these combin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide25.html
October 01, 2014 - 25. Specific Populations (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
HIV-positive smokers.
Hospitalized smokers.
Lesbian/gay/bisexual/ transgender smokers.
Smokers with low SES/limited formal education.
Smokers with medical comorbidit…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide24.html
October 01, 2014 - 24. Specific Populations
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Children and Adolescent Smokers
Light Smokers
Noncigarette Tobacco Users
Pregnant Smokers
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide37.html
October 01, 2014 - 37. Systems Interventions: Clinician Training and Chart Reminders
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of clinician training combined with charting on asking about smoking status ("Ask") (n = 3 studies).
Intervention
Number o…