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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide09.html
October 01, 2014 - 9. Funded by:
Treating Tobacco Use and Dependence: 2008 Update
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 Robert …
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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/slide36.html
October 01, 2014 - 36. What's New in 2008? (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The updated Guideline offers the clinician a greater number of effective medications than were identified in the previous Guideline. Seven different effective first-line smoking cessati…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide52.html
October 01, 2014 - 52. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Cost-Effectiveness of Tobacco Dependence Interventions:
2000 Guideline: Recommendation: Sufficient resources should be allocated for clinician r…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide72.html
October 01, 2014 - 72. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The "5 Rs"
Relevance
Encourage the patient to indicate why quitting is personally relevant, being as specific as possible. Motivational information has the great…
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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/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/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/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/slide132.html
October 01, 2014 - 132. Treatment Recommendations: Medications-Nicotine Gum
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 FDA p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide131.html
October 01, 2014 - 131. Treatment Recommendations: Medications
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Gum
Recommendation : Nicotine gum is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evidence = A).
Recommendation:…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide142.html
October 01, 2014 - 142. Treatment Recommendations: Medications-Nicotine Nasal Spray
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 (s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide143.html
October 01, 2014 - 143. Treatment Recommendations: Medications-Nicotine Nasal Spray (cont
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Dosage
A dose of nicotine nasal spray consists of one 0.5 mg dose delivered to each nostril (1 mg total). Initial dosing should be 1-2 doses p…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide141.html
October 01, 2014 - 141. Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Nicotine Nasal Spray:
Recommendation: Nicotine nasal spray is an effective smoking cessation treatment that patients should be encouraged to use. (Strength of Evi…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide176.html
October 01, 2014 - 176. Systems-Clinician Training and Reminder Systems
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation: All clinicians and clinicians-in-training should be trained in effective strategies to assist tobacco users willing to make a quit attempt and to motiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide185.html
October 01, 2014 - 185. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Recommendation:
Providing tobacco dependence treatments (both medication and counseling) as a paid or covered benefit by health insura…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide187.html
October 01, 2014 - 187. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated rates of quit attempts for individuals who received tobacco use interventions…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide186.html
October 01, 2014 - 186. Systems-Providing Treatment for Tobacco Use and Dependence as a Covered Benefit Recommendation
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Estimated rates of intervention for individuals who received tobacco use interventions as a covered…