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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide104.html
October 01, 2014 - 104. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Quitlines
Intervention
Number of arms
Estimated odds ratio
(95% C.I.)
Estimated abstinence rate
(95% C.I.)
Medication alone
6
1.0
23…
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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/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/slide109.html
October 01, 2014 - 109. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Common elements of intra-treatment supportive interventions
Supportive treatment component
Examples
Encourage the patient in the quit attempt.
N…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide110.html
October 01, 2014 - 110. 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 acupuncture (n = 5 studies)
Treatment
Number of arms
Estimated odds ratio (95% C…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide128.html
October 01, 2014 - 128. 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)
Should nicotine replacement therapies be avoided in patien…
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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/slide129.html
October 01, 2014 - 129. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Bupropion SR (Sustained Release)
Recommendation: Bupropion SR is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide146.html
October 01, 2014 - 146. Treatment Recommendations: Medications-Nicotine Patch (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Availability
OTC or prescription
Type
Duration
Dosage
Step-Down Dosage
4 weeks
21 mg/24 hours
Step-Down Dosage
the…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide147.html
October 01, 2014 - 147. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Varenicline
Recommendation: Varenicline is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A)
Previous Slide …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide168.html
October 01, 2014 - 168. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medication
Every smoker should be offered medications endorsed in this Guideline, except where contraindicated or for specific populations for which there is insu…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide166.html
October 01, 2014 - 166. Components of Intensive Treatment
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Assessment
Assessments should determine whether tobacco users are willing to make a quit attempt using an intensive treatment program. Other assessments can provide informati…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide167.html
October 01, 2014 - 167. Components of Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Program format
Either individual or group counseling may be used. Telephone counseling also is effective and can supplement treatments provided in the clinical se…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide191.html
October 01, 2014 - 191. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Evidence of effectiveness of tobacco dependence interventions in specific populations
Population of Smokers
Review of Evidence
HIV-positive
No long-…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide09.html
October 01, 2014 - 9. Guideline Update Development Phases
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Identify update topics
Meta-analysis of topics
Panel/liaisons workgroups
Establish recommendations and other content
Draft text
Peer review/public comment
Rele…
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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/slide43.html
October 01, 2014 - 43. The "5 A's" Model for Treating Tobacco Use and Dependence-2008
Treating Tobacco Use and Dependence: 2008 Update Overview
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 p…
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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…