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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide158.html
October 01, 2014 - 158. Treatment Recommendations: Medications-Relative Effectiveness (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Meta-analysis (2008): Effectiveness and abstinence rates of medications relative to the nicotine patch (n = 86 studies).
Medication
…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide174.html
October 01, 2014 - 174. Systems Strategy 4. Promote hospital policies that support and provide inpatient tobacco dependence services
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Provide tobacco dependence treatment to all tobacco user…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide175.html
October 01, 2014 - 175. Systems Strategy 5. Include tobacco dependence treatments (both counseling and medication) identified as effective in this Guideline, as paid or covered services for all subscribers or members of health insurance packages
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide173.html
October 01, 2014 - 173. Systems Strategy 3. Dedicate staff to provide tobacco dependence treatment and assess the delivery of this treatment in staff performance evaluations
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Action
Strategies for implementation
Clinical sites …
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide188.html
October 01, 2014 - 188. 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 abstinence rates for individuals who received tobacco use interventions as a …
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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-overview/slide04.html
October 01, 2014 - 4. 2008 PHS Clinical Practice Guideline: Treating Tobacco Use and Dependence Update
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
History:
1996—Initial Guideline published; literature from 1975-1995; approximately 3,000 articles.
2000—Revised Guideline…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide03.html
October 01, 2014 - 3. 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use and Dependence (continued)
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Brief history and developmental process.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide19.html
October 01, 2014 - 19. Medication
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Seven first-line medications shown to be effective and recommended for use by the Guideline Panel:
Bupropion SR
Nicotine Gum
Nicotine Inhaler
Nicotine Lozenge
Nicotine Nasal Spray
Nic…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide20.html
October 01, 2014 - 20. Varenicline
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Effectiveness and abstinence rates for various medications and medication combinations compared to placebo at 6-months post-quit (n = 86 studies).
Medication
Number of arms
Estimated o…
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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/slide53.html
October 01, 2014 - 53. Key Guideline Web Links
Treating Tobacco Use and Dependence: 2008 Update Overview
Text version of slide presentation.
Guideline materials: http://www.surgeongeneral.gov/tobacco/ .
List of over 55 endorsing organizations at: http://www.ctri.wisc.edu/Researchers/researchers_CPGupdate2008_endorse.h…
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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/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/slide40.html
October 01, 2014 - 40. What's New in 2008?-New Recommendations (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…
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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/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/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/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/slide91.html
October 01, 2014 - 91. 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 total amount of contact time (n = 35 studies)
T…