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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide27.html
October 01, 2014 - 27. Summary of Strength of Evidence for Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strength of evidence classification
Criteria
Strength of Evidence = A
Multiple well-designed randomized clinical trials, directly relevant to the rec…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide31.html
October 01, 2014 - 31. Ten Key Guideline Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
There are numerous effective medications for tobacco dependence and clinicians should encourage their use by all patients attempting to quit smoking, except when medical…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide47.html
October 01, 2014 - 47. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Medications:
2000 Guideline: Recommendation: All patients attempting to quit should be encouraged to use effective medications for smoking cessa…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide54.html
October 01, 2014 - 54. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Providing Smoking Cessation Treatments as a Covered Benefit:
2000 Guideline: Recommendation: Smoking cessation treatments (both Medication and c…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide69.html
October 01, 2014 - 69. For the Patient Unwilling To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For the Patient Unwilling To Quit
Previous Slide Contents Next Slide
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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/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/slide12.html
October 01, 2014 - 12. Guideline Update Development Phases
Treating Tobacco Use and Dependence: 2008 Update
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.
Panel …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide20.html
October 01, 2014 - 20. Final Selected Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Effectiveness of cessation interventions for adolescent smokers.
Effectiveness of cessation interventions for pregnant smokers.
Effectiveness of cessation interventions for indi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide24.html
October 01, 2014 - 24. Topics Meta-Analyzed for the 1996 and 2000 Guidelines and Included
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Characteristics analyzed
Categories of those characteristics
Type of clinician
No clinician.
Self-help materials only.
Non-phy…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide39.html
October 01, 2014 - 39. What's New in 2008?-New Recommendations (Continued)
Treating Tobacco Use and Dependence: 2008 Update
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 o…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide48.html
October 01, 2014 - 48. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Combination Medications:
2000 Guideline: Recommendation: Combining the nicotine patch with a self-administered form of nicotine replacement ther…
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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/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/slide71.html
October 01, 2014 - 71. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Motivational Interviewing (Continued)
Roll with Resistance
Back off and use reflection when the patient expresses resistance: "Sounds like you are feeling pr…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide78.html
October 01, 2014 - 78. Treatment Recommendations: Counseling
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/slide83.html
October 01, 2014 - 83. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Tobacco dependence treatment is effective and should be delivered even if specialized assessments are not used or available. …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide87.html
October 01, 2014 - 87. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: Minimal interventions lasting less than 3 minutes increase overall tobacco abstinence rates. Every tobacco user …
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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/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)
…