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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide193.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Evidence of effectiveness of tobacco dependence interventions in specific populations
Population
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide200.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Evidence of effectiveness of tobacco dependence interventions in specific populations
Population
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide197.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Evidence of effectiveness of tobacco dependence interventions in specific populations
Population … psychiatric disorders may place smokers at increased risk for relapse, such smokers can be helped by tobacco … that individuals on atypical antipsychotics may be more responsive to bupropion SR for treatment of tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide195.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Evidence of effectiveness of tobacco dependence interventions in specific populations
Population … of Smokers
Review of Evidence
Medical comorbidities
Tobacco use treatments have been shown
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide194.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Evidence of effectiveness of tobacco dependence interventions in specific populations
Population
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide196.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Evidence of effectiveness of tobacco dependence interventions in specific populations
Population … materials, telephone counseling, and the nicotine patch have all been shown to be effective in treating tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide216.html
October 01, 2014 - sites listed are either government-sponsored organizations or nonprofit foundations)
Treating Tobacco … Addressing Tobacco in Healthcare (formerly Addressing Tobacco in Managed Care): www.atmc.wisc.edu
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide46.html
October 01, 2014 - 46. 10 Key Guideline Recommendations (Numbers 1 and 2)
Treating Tobacco Use and Dependence: 2008 … Tobacco dependence is a chronic disease that often requires repeated intervention and multiple attempts … It is essential that clinicians and health care delivery systems consistently identify and document tobacco … use status and treat every tobacco user seen in a health care setting.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide42.html
October 01, 2014 - The "5 A's" Model for Treating Tobacco Use and Dependence-2000
Treating Tobacco Use and Dependence … 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 manner urge every tobacco user to quit. … Is the tobacco user willing to make a quit attempt at this time?
Assist in quit attempt.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide219.html
October 01, 2014 - are either government-sponsored organizations or nonprofit foundations) (Continued)
Treating Tobacco … www.nida.nih.gov
Office on Smoking and Health at the Centers for Disease Control and Prevention: www.cdc.gov/tobacco … Leadership Center: http://smokingcessationleadership.ucsf.edu
Society for Research on Nicotine and Tobacco … : www.srnt.org
Surgeon General: www.surgeongeneral.gov/tobacco
Previous Slide Contents
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide44.html
October 01, 2014 - The "5 A's" Model for Treating Tobacco Use and Dependence-2008 (continued)
Treating Tobacco Use … Ask : Do you currently use tobacco? If "no," ask: Have you ever used tobacco? … If the answer to the first question, "Do you currently use tobacco?" is yes, Advise to quit. … is "yes," Assis t: provide appropriate tobacco dependence treatment and Arrange followup.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide175.html
October 01, 2014 - Include tobacco dependence treatments (both counseling and medication) identified as effective in this … paid or covered services for all subscribers or members of health insurance packages
Treating Tobacco … Cover effective tobacco dependence treatments (counseling and medication) as part of the basic benefits … Remove barriers to tobacco treatment benefits (e.g., co-pays, utilization restrictions). … Educate all subscribers and clinicians about the availability of covered tobacco dependence treatments
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide136.html
October 01, 2014 - Treatment Recommendations: Medications-Nicotine Inhaler (Continue)
Treating Tobacco Use and Dependence … Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued)
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide49.html
October 01, 2014 - 49. 10 Key Guideline Recommendations (Number 6)
Treating Tobacco Use and Dependence: 2008 Update … There are numerous effective medications for tobacco dependence and clinicians should encourage their … populations for which there is insufficient evidence of effectiveness (i.e., pregnant women, smokeless tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide128.html
October 01, 2014 - Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 … Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued) … May tobacco dependence medications be used long-term (e.g., up to 6 months)?
Yes.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide127.html
October 01, 2014 - Treatment Recommendations: Medications (Continued)
Treating Tobacco Use and Dependence: 2008 … Clinical guidelines for prescribing medication for treating tobacco use and dependence (continued) … When should second-line agents be used for treating tobacco dependence?
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide87.html
October 01, 2014 - Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update … Interventions
Recommendation: Minimal interventions lasting less than 3 minutes increase overall tobacco … Every tobacco user should be offered at least a minimal intervention whether or not he or she is referred
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide151.html
October 01, 2014 - Treatment Recommendations: Medications-Clonidine
Treating Tobacco Use and Dependence: 2008 Update … Patient selection
Appropriate as a second-line medication for treating tobacco use
Precautions … Clonidine has not been shown to be effective for tobacco cessation in pregnant smokers.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide34.html
October 01, 2014 - Intervention as a Covered Health Benefit
Treating Tobacco Use and Dependence: 2008 Update Overview … Estimated rates of quit attempts for individuals who received tobacco use interventions as a covered
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide35.html
October 01, 2014 - Intervention as a Covered Health Benefit (continued)
Treating Tobacco Use and DependencText description … Estimated abstinence rates for individuals who received tobacco use interventions as a covered benefit