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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide08.html
October 01, 2014 - 8. PHS Liaisons
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Ernestine (Tina) Murray, AHRQ (Project Officer)
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-overview/slide20.html
October 01, 2014 - 20. Varenicline
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studies).
Medication
Number of arms
Estimated o…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide21.html
October 01, 2014 - 21. Nicotine Lozenge
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of the nicotine lozenge: Results from the single randomized controlled trial.
Lozenge Dose
N for active/
N for placebo
Estimated odds ratio (95% C.I.)
Continuo…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide36.html
October 01, 2014 - 36. Intervention as a Covered Health Benefit (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Recommendation: Providing tobacco dependence treatments (both medication and counseling) as a paid or covered benefit by health insurance plans has been s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide34.html
October 01, 2014 - 34. Intervention as a Covered Health Benefit
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Estimated rates of quit attempts for individuals who received tobacco use interventions as a covered health insurance benefit (n = 3 studies).
Treatment
Numb…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide35.html
October 01, 2014 - 35. Intervention as a Covered Health Benefit (continued)
Treating Tobacco Use and DependencText description is below imagee: 2008 Update Overview
Text version of slide presentation.
Estimated abstinence rates for individuals who received tobacco use interventions as a covered benefit (n = 3 studies).
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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/slide102.html
October 01, 2014 - 102. 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 types of self-help (n = 21 studies)
Factor
Number of arms
Estimated od…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide118.html
October 01, 2014 - 118. Treatment Recommendations: Medication
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: Clinicians should encourage all patients attempting to quit to use effective medications for tobacco dependence treatment except where contraindicated or for spe…
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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
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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/slide133.html
October 01, 2014 - 133. Treatment Recommendations: Medications-Nicotine Gum (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Prescribing instructions
Chewing technique -Gum should be chewed slowly until a “peppery” or “flavored” taste emerges, then “parked” between c…
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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/slide179.html
October 01, 2014 - 179. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of clinician training combined with charting on asking about smoking status ("Ask") (n = 3 studies)
Intervention…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide181.html
October 01, 2014 - 181. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of training combined with charting on providing materials ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide180.html
October 01, 2014 - 180. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): 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-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…