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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…
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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/slide61.html
October 01, 2014 - 61. For the Patient Willing To Quit
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Strategy A1. Ask— Systematically identify all tobacco users at every visit
Action
Strategies for implementation
Implement an office wide system that ensures that, for E…
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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/slide65.html
October 01, 2014 - 65. 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)
Recommend the use of approved medication,
except where contra…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide84.html
October 01, 2014 - 84. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Variables associated with higher or lower abstinence rates
Variables associated with higher abstinence rates
Variable
Examples
High motivation
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide82.html
October 01, 2014 - 82. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Once a tobacco user is identified and advised to quit, the clinician should assess the patient's willingness to quit at this …
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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/slide83.html
October 01, 2014 - 83. Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Specialized Assessment
Recommendation: Tobacco dependence treatment is effective and should be delivered even if specialized assessments are not used or available. …