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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.pdf
    June 02, 2025 - Treating Tobacco Use and Dependence - Five Major Steps to Intervention (The “5A’s”) Five Major Steps … ASK Identify and document tobacco use status for every patient at every visit. … ADVISE In a clear, strong, and personalized manner, urge every tobacco user to quit. … ASSESS Is the tobacco user willing to make a quit attempt at this time? … Tobacco is the single greatest preventable cause of disease and premature death in America today.
  2. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide58.html
    October 01, 2014 - The 5 As: Treating Tobacco as a Chronic Disease Treating Tobacco Use and Dependence: 2008 Update … Ask: Do you currently use tobacco? If no, ask: Have you ever used tobacco? If no, arrange followup. … If the answer to the first question, Do you currently use tobacco? is "yes," advise to quit. … is "yes," assist: provide appropriate tobacco dependence treatment and arrange followup.
  3. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/helpsmokers.html
    October 01, 2014 - Help for Smokers and Other Tobacco Users Quit Smoking This booklet tells you about ways you … Don't use any tobacco! … Stay Quit If you "slip" and smoke or chew tobacco, don't give up. Try again soon. … Quitting is hard, but— You Can Quit Alternate Formats Help for Smokers and Other Tobacco
  4. www.ahrq.gov/evidencenow/heart-health/smoking/treatment.html
    August 01, 2018 - Treating Tobacco Use and Dependence: 2008 Update by HHS Panel Resource title: Treating Tobacco … Use and Dependence: 2008 Update Resource description: This update to a previous guideline by the Tobacco … and Dependence Guideline Panel contains strategies and recommendations for effective treatments for tobacco … Document author(s)/institution of origin: Tobacco Use and Dependence Guideline Panel, U.S. … Johnson Foundation (RWJF); and University of Wisconsin School of Medicine and Public Health's Center for Tobacco
  5. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/index.html
    October 01, 2014 - Treating Tobacco Use and Dependence: 2008 Update: Slide Presentation Text version of slide presentation … Treating Tobacco Use and Dependence: 2008 Update (Text Version of Slide Presentation) Treating Tobacco … Use and Dependence: 2008 Update 2008 PHS Clinical Practice Guideline Update: Treating Tobacco Use … Use Model for Treating Tobacco Use and Dependence The 5 As: Treating Tobacco as a Chronic Disease … Implement a tobacco-user identification system in every clinic Systems Strategy 2.
  6. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/index.html
    October 01, 2014 -       Tobacco Users Willing To Quit       Tobacco Users Unwilling To Quit       Tobacco Users Who … Address tobacco use at next clinical visit (treat tobacco use as a chronic disease). … Enjoyment of tobacco. … tobacco free? … Former tobacco users.
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/quickref/tobaqrg.pdf
    April 01, 2009 - May tobacco dependence Yes. … Address tobacco use at next clinical visit (treat tobacco use as a chronic disease). … ■ Enjoyment of tobacco. ■ Being around other tobacco users. … tobacco or any challenges to remaining tobacco free? Table 15. … , and (3) former tobacco users.
  8. www.ahrq.gov/evidencenow/projects/heart-health/evidence/smoking.html
    March 01, 2021 - Tobacco use is a leading cause of illness, disability, and death in the United States. … to stop using tobacco, and provide behavioral interventions. … use and received a cessation counseling intervention if they were identified as a tobacco user. … use and have those identified as tobacco users receive smoking cessation counseling. … Treating Tobacco Use and Dependence: 2008 Update This update to a previous guideline by the Tobacco
  9. www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
    December 01, 2012 - Strategies for implementation Provide tobacco dependence treatment to all tobacco users admitted … Offer tobacco dependence treatment to all hospitalized patients who use tobacco. … interventions that reliably boost tobacco cessation. … stop their own tobacco use permanently. … Return to Contents   Cost-Effectiveness of Tobacco Dependence Interventions Recommendation: The tobacco
  10. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide220.html
    October 01, 2014 - are either government-sponsored organizations or nonprofit foundations) (Continued) Treating TobaccoTobacco Cessation Leadership Network: www.tcln.org Tobacco-Free Nurses: www.tobaccofreenurses.org … Tobacco Technical Assistance Consortium: www.ttac.org University of Wisconsin Center for Tobacco … Intervention: www.ctri.wisc.edu World Health Organization: www.who.int World Health Organization-Tobacco … Atlas: www.who.int/tobacco/statistics/tobacco_atlas/en       Previous Slide        Contents        
  11. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide61.html
    October 01, 2014 - For the Patient Willing To Quit Treating Tobacco Use and Dependence: 2008 Update Text version … Ask— Systematically identify all tobacco users at every visit Action Strategies for implementation … tobacco for many years and for whom this information is clearly documented in the medical record. … Alternatives to expanding the vital signs are tobacco-use status stickers on all patient charts or to … indicate tobacco use status using electronic medical records or computer reminder systems.
  12. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide45.html
    October 01, 2014 - 2000 Recommendations Changed for 2008 Treating Tobacco Use and Dependence: 2008 Update Text … and should have their tobacco-use status documented on a regular basis. … computer prompts are essential for the consistent assessment, documentation, and intervention with tobacco … and should have their tobacco-use status documented on a regular basis. … Evidence has shown that clinic screening systems such as expanding the vital signs to include tobacco-use
  13. www.ahrq.gov/evidencenow/heart-health/smoking/uspstf-review.html
    December 01, 2020 - USPSTF Review of Reviews: Tobacco Smoking Cessation in Adults Resource title: Behavioral and … Pharmacotherapy Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Women: U.S … Statement Resource description: This clinical recommendation describes interventions to prevent tobacco
  14. www.ahrq.gov/evidencenow/heart-health/smoking/self-management.html
    August 01, 2018 - Tobacco Use Self-Management Tool for Patients Resource title: Tobacco Use Self-Management Tool … Resource description: This fact sheet for patients reviews reasons to manage and/or quit tobacco
  15. www.ahrq.gov/evidencenow/heart-health/smoking/use.html
    August 01, 2018 - Ready or Not: Helping Patients Address Tobacco Use Resource title: Ready or Not…Addressing … Tobacco Use Resource description: This script and slide deck from a 14-minute presentation cover … the risks of smoking and the benefits of quitting, and reviews 5 A's for treating tobacco use (Ask, Advise
  16. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide217.html
    October 01, 2014 - are either government-sponsored organizations or nonprofit foundations) (Continued) Treating Tobacco … American Lung Association: (maintains profiles of state tobacco control activities): www.lungusa.org … American Psychological Association: www.apa.org Association for the Treatment of Tobacco Use and … Dependence: www.attud.org Campaign for Tobacco Free Kids: www.tobaccofreekids.org Chest Foundation … www.chestfoundation.org/tobaccoPrevention/index.php Guide to Community Preventive Services: www.thecommunityguide.org/tobacco
  17. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide79.html
    October 01, 2014 - Treatment Recommendations: Counseling (Continued) Treating Tobacco Use and Dependence: 2008 Update … Screening and Assessment Screen for Tobacco Use Recommendation: All patients should be asked if … they use tobacco and should have their tobacco-use status documented on a regular basis. … Evidence has shown that clinic screening systems such as expanding the vital signs to include tobacco-use
  18. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide204.html
    October 01, 2014 - Specific Populations and Other Topics (Continued) Treating Tobacco Use and Dependence: 2008 Update … Noncigarette Tobacco Users: Recommendation: Smokeless tobacco users should be identified, strongly … Clinicians delivering dental health services should provide brief counseling interventions to all smokeless tobacco … of Evidence = A) Recommendation: Users of cigars, pipes, and other noncigarette forms of smoking tobacco
  19. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide53.html
    October 01, 2014 - 2000 Recommendations Changed for 2008 (Continued) Treating Tobacco Use and Dependence: 2008 Update … Tobacco Dependence Treatment as a Part of Assessing Health Care Quality: 2000 Guideline: Recommendation … : Provision of guideline-based interventions to treat tobacco use and addiction should be included in … = C). 2008 Guideline Update: Recommendation: Provision of guideline-based interventions to treat tobacco … e.g., use of cessation treatment, short- and long-term abstinence rates) that result from providing tobacco
  20. www.ahrq.gov/news/newsroom/press-releases/smoking-cessation-disparities.html
    December 01, 2023 - Press Release Date: December 8, 2023 Findings inform distributional cost-benefit analyses for tobacco … found that adults from some racial and ethnic populations benefit substantially more than others from tobacco … The research, published today in the journal Tobacco Control , supports President Joe Biden’s April … “AHRQ’s results indicate that racial and ethnic populations benefit substantially from tobacco control … policies, such as tobacco product regulations.”

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