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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide53.html
October 01, 2014 - 53. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco Dependence Treatment as a Part of Assessing Health Care Quality:
2000 Guideline: Recommendation: Provision of guideline-based interventi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide68.html
October 01, 2014 - 68. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A5. Arrange —Ensure follow-up contact
Action
Strategies for implementation
Arrange for follow-up contacts, either in person or via telephone
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide67.html
October 01, 2014 - 67. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued)
Provide intra-treatment social support.
Provide a supportive clin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide88.html
October 01, 2014 - 88. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: There is a strong dose-response relation between the session length of person-to-person contact and successful t…
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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/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/slide120.html
October 01, 2014 - 120. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose (Continued)
Nicotine Inhaler and
Nasal Spray
Usual duration
Up to 6 months
Long duration
> …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide119.html
October 01, 2014 - 119. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Coding rules for medication duration and dose
Medication
Coding
Meaning
Nicotine Patch
Usual duration
6-14 weeks
Long duration
> 14…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide136.html
October 01, 2014 - 136. Treatment Recommendations: Medications-Nicotine Inhaler (Continue)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
Availability
Prescription only
Pre…
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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/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/slide149.html
October 01, 2014 - 149. Treatment Recommendations: Medications-Varenicline (continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
Start varenicline one week before the quit date at 0.5 mg once daily for 3 days followed by 0.5 mg twice daily for 4 days followed by 1 mg…
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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/slide165.html
October 01, 2014 - 165. Treatment Recommendations: Intensive Treatment (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Particular types of counseling strategies are especially effective. Practical counseling (problem-solving/skills-training approaches) and the provision of …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide177.html
October 01, 2014 - 177. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and estimated abstinence rates for clinician training (n = 2 studies)
Intervention
Number of arms
Od…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide200.html
October 01, 2014 - 200. 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
Women
There is evid…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide213.html
October 01, 2014 - 213. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical issues for treating specific populations
Issue
Approach
Language
Ensure that interventions are provided in a language the patient underst…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide214.html
October 01, 2014 - 214. Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Suggested interventions for hospitalized patients
For every hospitalized patient, the following steps should be taken:
Ask each patient on admission if he or sh…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide215.html
October 01, 2014 - 215. Helpful Web Sites
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Helpful Web Sites
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide11.html
October 01, 2014 - 11. Peer Review/Public Comment
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Over 90 independent tobacco treatment experts served as peer reviewers.
Federal Register notice announced availability of guideline for public comment.
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