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www.ahrq.gov/evidencenow/heart-health/smoking/uspstf-rec.html
August 01, 2018 - USPSTF Recommendation: Tobacco Smoking Cessation in Adults
Resource title: Behavioral Counseling … and Pharmacotherapy Interventions for Tobacco Cessation in Adults: A Review of Reviews for the U.S.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/presentations/2008update-full/slides.ppt
August 01, 2009 - The 5 As: Treating Tobacco as a Chronic Disease
*
PHS
*
The "5 A's" Model for Treating Tobacco … Address tobacco use at next clinical visit (treat tobacco use as a chronic disease). … Enjoyment of tobacco.
Being around other tobacco users. … Offer tobacco dependence treatment to all hospitalized patients who use tobacco. … Did patient once
use tobacco?
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide199.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 … American Indians and Alaska Natives: Screening for tobacco use, clinician advice, clinic staff reinforcement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/clinhlpsmkqt/clinhlpsmksqt.pdf
May 01, 2008 - tobacco. … AskAsk
Advise
Advise all
tobacco
users to quit. … Ask every tobacco user if he/she is willing to quit at
this time. … Assist
tobacco
users with a
quit plan. … AssistAssist
(more)
Assist
tobacco
users with a
quit plan.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide184.html
October 01, 2014 - Systems-Tobacco Dependence Treatment as a Part of Assessing Healthcare Quality
Treating Tobacco … Recommendation:
Provision of guideline-based interventions to treat tobacco use and dependence should … (e.g., use of cessation treatment, short-and long-term abstinence rates) that result from providing tobacco
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/smoking-resources-help-quit.pptx
June 02, 2025 - 1
Table of Contents
The Opportunity
The Problem
The Solution
Advantages of a Protocol
The Package
Tobacco … Treatment Protocol
Tobacco Treatment Action Guide
Implementation Guidance
Additional Resources on MH … can help clinicians intervene more effectively & consistently by:
Prompting clinicians to identify tobacco … & nicotine dependence
SNOMED codes for smoking/tobacco use
http://millionhearts.hhs.gov/tools
protocols … /protocols.html
8
Tobacco Treatment Action Guide
Actions to improve delivery system design
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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/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-smoking-cessation.pdf
June 02, 2025 - We will be looking at all adults 18 and older for the tobacco measurement
review. … Was there an assessment of tobacco use recorded in a standard field in the EHR within the
24 months … Was the assessment that the patient is not a current tobacco user? … Was the assessment that the patient is a current tobacco user AND received a tobacco
cessation intervention … Was the assessment that the patient is a current tobacco user AND a qualifying tobacco
cessation medication
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-overview/slide51.html
October 01, 2014 - 51. 10 Key Guideline Recommendations (Numbers 9 and 10)
Treating Tobacco Use and Dependence: … If a tobacco user is currently unwilling to make a quit attempt, clinicians should use the motivational … Tobacco dependence treatments are both clinically effective and highly cost-effective relative to interventions
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide172.html
October 01, 2014 - Provide education, resources, and feedback to promote provider intervention
Treating Tobacco … dependence, clinicians and patients have resources, and clinicians are given feedback about their tobacco … Provide resources such as ensuring ready access to tobacco quitlines (e.g., 1-800-QuitNow) and other … community resources, self-help materials, and information about effective tobacco use medications (e.g … Report the provision of tobacco dependence interventions on report cards or evaluative standards for
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide75.html
October 01, 2014 - For the Patient Who Has Recently Quit
Treating Tobacco Use and Dependence: 2008 Update
Text … Intervening with the patient who has recently quit
The former tobacco user should receive congratulations … encountered or anticipated threats to maintaining abstinence (e.g., depression, weight gain, alcohol, other tobacco
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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/references/meta/meta04.html
December 01, 2012 - This Clinical Practice Guideline used the references below in meta-analyses of research on treating tobacco … Controlled trial of transdermal nicotine patch in tobacco withdrawal. Lancet 1989;1:7-10. … Evidence of effectiveness of tobacco dependence interventions in specific populations. … Evidence of effectiveness of tobacco dependence interventions in specific populations. … The HYP program-targeted motivational interviewing for adolescent violations of school tobacco policy
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide126.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) … Also, there is evidence that combination NRT therapy may be particularly effective in suppressing tobacco
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide214.html
October 01, 2014 - Specific Populations and Other Topics (Continued)
Treating Tobacco Use and Dependence: 2008 Update … hospitalized patient, the following steps should be taken:
Ask each patient on admission if he or she uses tobacco … and document tobacco use status. … For current tobacco users, list tobacco use status on the admission problem list and as a discharge diagnosis … Use counseling and medications to help all tobacco users maintain abstinence and to treat withdrawal
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide154.html
October 01, 2014 - Treatment Recommendations: Medications-Nortriptyline
Treating Tobacco Use and Dependence: 2008 … Patient selection
Appropriate as a second-line medication for treating tobacco use
Precautions … Nortriptyline has not been shown to be effective for tobacco cessation in pregnant smokers.
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/references/quickref/qrgfig1.html
December 01, 2012 - Screen For Tobacco Use Status
A Quick Reference Guide for Clinicians
Note: Relapse prevention … interventions are not necessary in the case of the adult who has not used tobacco for many years.
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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/slide84.html
October 01, 2014 - Treatment Recommendations: Counseling (Continued)
Treating Tobacco Use and Dependence: 2008 Update … High motivation
Ready to change
Moderate to high self-efficacy
Supportive social network
Tobacco … Tobacco user is ready to quit within a 1-month period. … Tobacco user is confident in his or her ability to quit. … Tobacco user has currently elevated depressive symptoms, active alcohol abuse, or schizophrenia.
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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.