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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide70.html
October 01, 2014 - 70. For the Patient Unwilling To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Motivational Interviewing
Express empathy
Use open ended questions to explore :
The importance of addressing smoking or other tobacco use (e.g., "How important do you …
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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/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/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/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/slide75.html
October 01, 2014 - 75. For the Patient Who Has Recently Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intervening with the patient who has recently quit
The former tobacco user should receive congratulations on any success and strong encouragement to remain abstinent. When encou…
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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/slide77.html
October 01, 2014 - 77. For the Patient Who Has Recently Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Addressing problems encountered by former smokers (Continued)
Weight gain
Recommend starting or increasing physical activity.
Reassure the patient that…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide76.html
October 01, 2014 - 76. For the Patient Who Has Recently Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Addressing problems encountered by former smokers
A patient who previously smoked might identify a problem that negatively affects health or quality of life. Specifi…
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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/slide79.html
October 01, 2014 - 79. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Screening and Assessment
Screen for Tobacco Use
Recommendation: All patients should be asked if they use tobacco and should have their tobacco-use status document…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide80.html
October 01, 2014 - 80. 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 rates of clinician intervention with their patients who smoke (n = 9 stud…
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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…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide90.html
October 01, 2014 - 90. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Meta-analysis (2000): Effectiveness of and estimated abstinence rates for various intensity levels of session length (n =' 43 stu…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide89.html
October 01, 2014 - 89. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Intensity of Clinical Interventions
Recommendation: Person-to-person treatment delivered for four or more sessions appears especially effective in increasing abstin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide93.html
October 01, 2014 - 93. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatment delivered by a variety of clinician types increases abstinence rates. Therefore, all clinicians should provide smoking c…
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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/slide95.html
October 01, 2014 - 95. 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 interventions delivered by different types of clinicians (n =29 studies)
Type of clin…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide94.html
October 01, 2014 - 94. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Type of Clinician
Recommendation: Treatments delivered by multiple types of clinicians are more effective than interventions delivered by a single type of clinician…