A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update

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doi:10.1016/j.amepre.2008.04.009

Cited by 1,410Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesClinical practice guidelines implementation

A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update

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⁎·2008·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2008.04.009PMC PMC4465757

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Abstract

Objective To summarize the U.S. Public Health Service guideline Treating Tobacco Use and Dependence: 2008 Update, which provides recommendations for clinical interventions and system changes to promote the treatment of tobacco dependence.Participants An independent panel of 24 scientists and clinicians selected by the U.S. Agency for Healthcare Research and Quality on behalf of the U.S. Public Health Service. A consortium of eight governmental and nonprofit organizations sponsored the update.Evidence Approximately 8700 English-language, peer-reviewed articles and abstracts, published between 1975 and 2007, were reviewed for data that addressed assessment and treatment of tobacco dependence. This literature served as the basis for more than 35 meta-analyses.Consensus process Two panel meetings and numerous conference calls and staff meetings were held to evaluate meta-analyses and relevant literature, to synthesize the results, and to develop recommendations. The updated guideline was then externally reviewed by more than 90 experts, made available for public comment, and revised.Conclusions This evidence-based, updated guideline provides specific recommendations regarding brief and intensive tobacco-cessation interventions as well as system-level changes designed to promote the assessment and treatment of tobacco use. Brief clinical approaches for patients willing and unwilling to quit are described.

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Standard cessation approaches such as USCPG teach avoidance of cravings that trigger smoking.
“In contrast, standard approaches for cessation, such as the US Clinical Practice Guidelines (USCPG), teach avoidance of cravings that trigger smoking.43”
From Efficacy of smartphone applications to help cancer patients quit smoking: Protocol of the Quit2Heal randomized controlled trial (2023) · cites this paper as [43]
The guideline’s “Smoking cues and availability of cigarettes” section recommends avoiding temptation and trigger situations. It also recommends coping with smoking urges through distraction and changes in routine, but does not specifically teach avoiding the cravings themselves. (LLM, conf=0.85)
Experimental — accuracy not yet measured
QuitGuide is a smoking cessation app that is not tailored and targets the general adult smoking population, following the USCPG.
“QuitGuide is a non-tailored smoking cessation app designed for the general population of adults who smoke that follows the USCPG.43”
From Efficacy of smartphone applications to help cancer patients quit smoking: Protocol of the Quit2Heal randomized controlled trial (2023) · cites this paper as [43]

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Authors: ⁎
Corresponding author: ⁎
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2008-08
Volume: 35
Issue: 2
Pages: 158-176
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2008.04.009
PMC: PMC4465757
OpenAlex: W2148690562
Cited by: 1,410
References: 149
Citations by year: 2026: 45 · 2025: 69 · 2024: 82 · 2023: 74 · 2022: 109 · 2021: 92 · 2020: 101 · 2019: 89 · 2018: 100 · 2017: 99 · 2016: 88 · 2015: 88 · 2014: 61 · 2013: 63 · 2012: 57
FWCI: 6.27
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Robert Wood Johnson Foundation
Centers for Disease Control and Prevention
Agency for Healthcare Research and Quality
University of Illinois at Urbana-Champaign
U.S. Public Health Service (AHRQ-06-0005)
School of Medicine and Public Health, University of Wisconsin-Madison
National Heart, Lung, and Blood Institute
National Cancer Institute (HHSN261200900453P, HHSN261200800738P)
Topics: Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Keywords: tobacco use, tobacco dependence, smoking cessation, brief intervention, intensive intervention, tobacco cessation treatment, tobacco use assessment, health system transformation, clinical guidelines
MeSH terms: Counseling, Humans, Motivation, Nicotine, Tobacco Use Disorder, United States, United States Public Health Service, Meta-Analysis as Topic, United States Agency for Healthcare Research and Quality, Smoking Cessation, Practice Guidelines as Topic

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A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update

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