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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide01.html
October 01, 2014 - 1. Treating Tobacco Use and Dependence: 2008 Update
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
U.S. Public Health Service Clinical Practice Guideline
August 2009
Image: This and all following slides have the abbreviation PHS (Public Health Service) next to a s…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide03.html
October 01, 2014 - 3. Index to Slides
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
History: slides 5-6
Development Process: slides 7-27
10 Key Recommendations: slides 28-33
What's New in 2008: slides 34-54
Conceptual Models: slides 55-59
For the Patient Willing to Quit: slides 60…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide13.html
October 01, 2014 - 13. Development Process
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Slides 13 to 15 are flow charts with the bullet points flowing from the top down. The first topic flows into the second, and so on.
Topics for the update were solicited from the panel and publi…
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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/slide21.html
October 01, 2014 - 21. Topics Meta-Analyzed for the 2008 Guideline Update
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Characteristics analyzed
Categories of those characteristics
Quitline
No quitline intervention.
Use of a proactive quitline.
Use of a proactiv…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide29.html
October 01, 2014 - 29. Ten Key Guideline Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Tobacco dependence is a chronic disease that often requires repeated intervention and multiple attempts to quit. However, effective treatments exist that can significantly increase …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide28.html
October 01, 2014 - 28. Ten Key Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
10 Key Recommendations
Previous Slide Contents Next Slide
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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/slide38.html
October 01, 2014 - 38. What's New in 2008?-New Recommendations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Formats of Psychosocial Treatments:
Recommendation: Tailored materials, both print and Web-based, appear to be effective in helping people quit. Therefore, clinicians may cho…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide45.html
October 01, 2014 - 45. What's New in 2008? 2000 Recommendations Changed for 2008
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Screening and Assessment:
2000 Guideline: Recommendation #1: All patients should be asked if they use tobacco and should have their tobacco-use status docum…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide46.html
October 01, 2014 - 46. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Types of Counseling and Behavioral Therapies:
2000 Guideline: Recommendation: Three types of counseling and behavioral Therapies result in highe…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide57.html
October 01, 2014 - 57. Model for Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The model is a flow chart beginning with general population: patient presents to a health care setting (clinic, hospital, work site, others): ask—screen all patients for t…
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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/slide64.html
October 01, 2014 - 64. 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
Action
Strategies for implementation
Help the patient with a quit plan. …
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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/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/slide73.html
October 01, 2014 - 73. For the Patient Unwilling To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
The "5 Rs"
Rewards
The clinician should ask the patient to identify potential benefits of stopping tobacco use. The clinician may suggest and highlight those tha…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide74.html
October 01, 2014 - 74. For the Patient Unwilling To Quit (Continued)
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/slide81.html
October 01, 2014 - 81. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (1996): Impact of having a tobacco use status identification system in place on abstinence rates among patients who smoke (n = 3 studies)
Screeni…