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Tobacco Dependence Treatment Toolkit

  • Executive Summary
  • Clinical Background
    • How To Use The CHEST Tool Kit
    • Introduction and Goals
    • Correct Coding Principles For Tobacco-Dependence Treatment
      • Appendix A: Veterans Affairs / Veterans Health Administration
      • Appendix B: HMO Capitated Managed Care Plans: Kaiser Permanente
    • The Scientific & Clinical Basis for the Tool Kit Recommendations
    • The Biological Basis for Tobacco Use
    • Tobacco-Dependence Treatment Process and Approach
      • Case Examples: Treatment
    • Pharmacologic Treatment
    • Quick Reference Guide to Pharmacotherapy
    • Smoking and Tobacco-Dependence Treatment for Pregnant Women and Women of Childbearing Age
    • The Role of the Pediatric Health-Care Provider in Tobacco-Dependence Treatment and Secondhand Smoke Exposure Reduction
    • Intermittent, Nondaily, & Social Smoking
    • The Stages of Behavior Change for Stopping Smoking
  • Treatment Algorithms
    • Introduction to Treatment Algorithms: How to Use Them in Clinical Practice
    • Stepwise Tobacco-Dependence Treatment Guide: Table 1
    • Stepwise Tobacco-Dependence Treatment Guide: Table 2
    • Recommended Visit Schedule for Diagnosing and Treating Tobacco Dependence
    • Assessment (Initial)
    • Assessment Specifics
    • Managing Patient Reluctance (i.e., Getting to “Yes”)
    • Developing a Medication Treatment Plan: Logic Model
    • Long-Term Evaluation and Management
    • Managing Relapse
    • Tapering Pharmacologic Interventions
    • Management of the Child/Adolescent at Risk for Smoking
    • Management of the Smoke-Exposed Child
    • Algorithm Key
  • Patient Assessment
    • Introduction to Patient Assessment Tools
    • Assessment of Tobacco Use and Exposure
    • Nicotine Dependence Assessment – Adults
      • Fagerström Test for Nicotine Dependence (FTND) Instructions, Scoring & Use
      • Fagerström Test for Nicotine Dependence (FTND)
    • Nicotine Dependence Assessment – Pediatric-Age Patients
      • Modified Fagerström Tolerance Questionnaire (FTQ) Instructions, Scoring & Use
      • Modified Fagerström Tolerance Questionnaire (FTQ) for Adolescents
      • The Hooked on Nicotine Checklist (HONC) Instructions, Scoring & Use
      • The Hooked on Nicotine Checklist (HONC)
    • Nicotine Withdrawal Symptom (NWS) Scale
      • NWS Scale Instructions, Scoring & Use
      • Quantitative NWS Scale
    • Depression, Mood, Dyspnea, and Quality of Life Assessment Scales
      • Patient Health Questionnaire (PHQ-9) Depression Scale
      • Beck Depression Inventory®–II (BDI®–II)
      • Center for Epidemiologic Studies – Depression (CES-D) Scale (Ordering and information web link)
      • Profile of Moods State (POMS) Questionnaire (Ordering and information web link)
      • Borg Scale (Ordering and information web link)
      • St. George’s Respiratory Questionnaire (SGRQ) (Ordering and information web link)
      • Visual Analog Scale (Ordering and information web link)
  • Patient Management
    • Introduction to Patient Management Tools
    • Chart Identification Stickers
      • Current Smoker
      • Former Smoker
      • Never Smoker
      • Secondhand Smoke Exposed
    • Assessment & Encounter Checklist
    • Trigger Settings
    • The Action Plan and Its Component Action Strategies
      • Action Strategies Instructions & Use
      • Action Strategies List (Partial Example)
    • Tobacco-Dependence Pre-Treatment Checklist
      • Tobacco-Dependence Pre-Treatment Checklist Instructions & Use
      • Tobacco-Dependence Pre-Treatment Checklist
    • Tobacco-Dependence Relapse-Prevention Checklist
      • Tobacco-Dependence Relapse-Prevention Checklist Instructions & Use
      • Tobacco-Dependence Relapse-Prevention Checklist
    • Physician Notes and Treatment Planning
    • Tobacco-Dependence Consultation Report Form
    • Tools for the Pediatric Healthcare Provider
    • Carboxyhemoglobin vs. Exhaled Carbon Monoxide Graph
    • Performance Measures in Tobacco Dependence Treatment
  • Communication and Education
    • Introduction to Communication and Patient Education Tools
    • Evaluation Report / Letter
    • Sample Insurance Appeal Letters
    • Behavioral “Homework” Worksheet
    • Patient Education Brochures
      • Why is it Hard to Stop Smoking?
      • You Deserve to Stop Smoking Comfortably
      • The Truth About Stopping Smoking
      • Thinking About Stopping Smoking?
    • Freedom From Tobacco Action Plan
  • Additional Resources
    • Treating Tobacco Dependence Slide Set
    • Health Effects and Epidemiology of Tobacco Use Slide Set
    • General & Referral Resources
    • Resources for the Pediatric Healthcare Provider
    • CHEST Resources
    • Abbreviation List
    • References
  • Physician Advocacy
    • Advocating for Smoke-free Communities
    • Annotated Bibliographies
      • Secondhand Smoke Ventilation Studies
      • Economic Impact of Smoke-free policies on the Hospitality Industry: Annotated Bibliography
      • Summary of Studies that Measure Economic Impact of Smoke-free Policies on the Hospitality Industry
    • Talking Point Sheets
      • Smoke-free Illinois – Secondhand Smoke: The Health Risks
      • Smoke-free Illinois – Secondhand Smoke: Economics
      • Smoke-free Illinois – Secondhand Smoke: Tobacco Industry Myths and Facts
      • Smoke-free Illinois – The 2006 Surgeon General’s Report
      • American Cancer Society – Smoke-free Workplace Myths
      • American Cancer Society – Smoke-free Policies: Good for Business
  • CHEST’s Role
    • History of CHEST Anti-tobacco Activity
    • CHEST: No Smoking Pledge
  • My Account

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