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Health Professionals

**NEW** 2008 Clinical Practice Guideline Update:
Treating Tobacco Use and Dependence. Download the 2008 update to this important new guideline for tobacco cessation. You can also visit http://www.surgeongeneral.gov/tobacco for the updated Clinicians Guide and stop smoking materials.

"Ask and Act”
This program of the American Academy of Family Physicians (AAFP) encourages family physicians to ASK their patients about tobacco use, then ACT to help them quit. Resources include:
quitline cards
patient education materials
practice materials
CME
information on reimbursement for tobacco cessation counseling

Involving More Healthcare Providers in Tobacco Cessation: What Works (November 2005)
Summary of the TCLN roundtable discussion on this topic

Treating Tobacco Use and Dependence: Clinician's Packet: A How-To Guide For Implementing the Public Health Service Clinical Practice Guideline (March 2003)
Published by the U.S. Public Health Service.

Reimbursement for Smoking Cessation Therapy: A Healthcare Practitioner’s Guide (2002)
PACT (Professional Assisted Cessation Therapy) developed this guide to provide information to healthcare providers and their administrative staffs on how to obtain reimbursement for smoking cessation counseling.

Tobacco Cessation Toolkit (2003)
Developed by the American College of Chest Physicians (ACCP).

Here’s How You Can Help Your Pregnant Patient Quit Smoking
Available through the National Partnership to Help Pregnant Smokers Quit.

Smoking Cessation During Pregnancy: A Clinician's Guide to Helping Pregnant Women Quit Smoking (February 2003)
This free CME-accredited guide from the American College of Obstetricians and Gynecologists (ACOG) outlines how to integrate the "5 A's" into a clinical setting serving pregnant women. Scroll down to smoking cessation.

Helping Smokers Quit: A Guide for Nurses (March 2005)
U.S. Department of Health and Human Services’ pocket guide for nurses.

Practical Strategies to Help your Patient Quit - Training Manual (October 2002)
Training materials based upon the PHS Guideline from the Center for Tobacco Research and Intervention, University of Wisconsin Medical School.

Health Care Providers’ Tool Kit for Delivering Smoking Cessation Services (2003) / California
This California Tobacco Control Alliance manual is for physicians, medical office personnel and medical group staff. It seeks to help establish office-based systems to track smoking status, conduct cessation interventions with patients and refer patients to additional resources for more intensive assistance in their quit attempts.

Guideline for Tobacco Cessation and Secondhand Smoke Exposure (February 2007)
The Colorado Clinical Guidelines Collaborative (CCGC) has developed a guideline that includes information to help their patients quit.

A Quick Primer…To Counseling Tobacco Cessation / Colorado
This video, available online through the Colorado Clinical Guidelines Collaborative, is a training tool for physicians and other health care providers on counseling patients who use tobacco.

Tobacco Free! Curriculum (2004-2006)
Tobacco control curriculum developed at the Southern Illinois University Carbondale for dental hygiene educators.

Tobacco Treatment Quick Clinician Guide (2002) / Maine
All health professionals play an essential role in helping patients stop tobacco. Most smokers want to quit, and half of smokers make a serious attempt each year. Without effective treatments-counseling and medications- long term-success with quitting is difficult. Produced by the Center for Tobacco Independence, Maine.

Clinical Toolkit for Treating Tobacco Dependence / Texas
Toolkit developed by the Texas Department of State Health Services; includes provider guides, pharmacotherapy guide, posters, patient materials, etc.

Alliance for the Prevention and Treatment of Nicotine Addiction / Virginia
Training, consultation and resources are available to healthcare providers to assist them in implementing evidence-based treatment of tobacco use and dependence, ranging from brief interventions to intensive counseling.

Websites:

Ask-Advise-Refer National Smoking Cessation Initiative
American Dental Hygienists Association (ADHA) website provides toolkit with downloadable materials for dental hygienists.

Center for Tobacco Research and Intervention
This website offers training materials, including clinician packets, presentation slides and healthcare provider training manuals (with video).

National Partnership to Help Pregnant Smokers Quit
A coalition of diverse organizations working together to ensure that pregnant women are screened for tobacco use and receive treatment as part of their prenatal care

Smoking Cessation Leadership Center
Website offers tools for healthcare providers including a referral card to the national quitline number, presentations and posters.

Treatobacco.net
Treatobacco.net provides evidence-based data and practical support for the treatment of tobacco dependence for physicians, nurses, pharmacists, dentists, psychologists, researchers, and policy makers. Treatobacco.net is produced and maintained by the Society for Research on Nicotine and Tobacco, in association with the World Bank, Centers for Disease Control and Prevention, the World Health Organization, the Cochrane Group, and an international panel of experts.

Publications:

Revell, CC. Schroeder, SA. Simplicity matters: Using system-level changes to encourage clinician intervention in helping tobacco users quit. Nicotine & Tobacco Research 2005; Vol 7, Suppl 1:S67-69.

Bentz CJ., et. al. The feasibility of connecting physician offices to a state-level quitline. Am J Prev Med 2006; 30(1);31-37.

Fisher E, Musick J, et. al. Improving clinic and neighborhood-based smoking cessation services within federally qualified health centers. Nicotine & Tobacco Research 2005; Vol 7, Suppl 1:S45-56.

Schroeder, SA. What to do with a patient who smokes. JAMA 2005; Vol 294, No. 4.

Zullich, AJ, et. al.. Smoking Cessation for the busy clinician. RX Consultant 2007; Vol 16, No. 8.

Physician Related & Practice Patterns Related to Smoking Cessation
A report prepared for the American Legacy Foundation by the Association of American Medical Colleges, 2007.

Smoking Cessation Counseling in U.S. Hospitals: A Comparison of High and Low Performers
Journal of Clinical Outcomes Management, July 2005.