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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide180.html
October 01, 2014 - 180. Systems-Clinician Training and Reminder Systems (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of training combined with charting on setting a quit date ("Assist") (n = 2 studies)
Intervention
Number of ar…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide196.html
October 01, 2014 - 196. 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
Older smokers
Researc…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide209.html
October 01, 2014 - 209. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Clinical practice
Rationale
Motivate quit attempts by providing educational messages about the impact of smoking on both maternal and…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide210.html
October 01, 2014 - 210. Specific Populations and Other Topics - Pregnant Smokers (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness of and estimated pre-parturition abstinence rates for self-help interventions with pregnant smokers (n = 2 stud…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide30.html
October 01, 2014 - 30. Adolescent Smokers (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Children and Adolescents:
Recommendation: Clinicians should ask pediatric and adolescent patients about tobacco use and provide a strong message regarding the importance of t…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide29.html
October 01, 2014 - 29. Adolescent Smokers
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness of and estimated abstinence rates for counseling interventions with adolescent smokers (n = 7 studies).
Adolescent smokers
Number of arms
Estimated odds ratio (95%…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide59.html
October 01, 2014 - 59. The "5 A's" Model for Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Ask about tobacco use. Identify and document tobacco use status for every patient at every visit.
Advise to quit. In a clear, strong and personalized manne…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide60.html
October 01, 2014 - 60. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
For the Patient Willing To Quit
Previous Slide Contents Next Slide
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide62.html
October 01, 2014 - 62. For the Patient Willing To Quit (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
In a clear, strong , and personalized manner, urge every tobacco user to quit.
Advice should be:
Clear —"It is …
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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/slide66.html
October 01, 2014 - 66. 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 practical counseling (problem-solving/skills training).
…
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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/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