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Agency for Healthcare Research Quality

Treating Tobacco Use and Dependence: 2008 Update

Treating Tobacco Use and Dependence: 2008 Update, sponsored by the Public Health Service, includes new, effective clinical treatments for tobacco dependence that have become available since the 2000 Guideline was published. This update will make an important contribution to the quality of care in the United States and to the health of the American people.

Accurate, up-to-date information and professional assistance are provided in two resources from the U.S. Department of Health and Human Services to help support people who are trying to quit smoking:

  • You Can Quit Smoking Now. Go to:
  • 1-800-QUIT NOW—the national access number to State-based quitline services.


How Health Care Providers Can Help
Tool to Help Smokers Quit
Tool to Help Pregnant Women Quit
Help for Tobacco Users
Evidence Report
Additional Resources
Want More Information?

How Health Care Providers Can Help

All health care providers, especially those with direct patient contact, have a unique opportunity to help tobacco users quit. Smokers cite a doctor's advice to quit as an important motivator for attempting to stop smoking. Materials to help you help them follow:

Clinical Practice Guideline. Treating Tobacco Use and Dependence: 2008 Update (PDF file, 2 MB; PDF Help)—Updated
      General References for Guideline (PDF File, 200 KB)
      References for Studies in Meta-analyses
 Clinician's Tear Sheet (Personalized Quit Plan)—Updated
      (PDF File, 62 KB, PDF Help)
Clinician's Tear Sheet (Personalized Quit Plan)
      En español: Usted puede dejar de fumarActualizado
Helping Smokers Quit: A Guide for CliniciansUpdated

Tool to Help Smokers Quit

To help inform kids and adults about how smoking affects children, former National Football League pro Darrell Green talks with third-grade kids about tobacco use.

 Smoking Cessation Public Service Announcements

Tool to Help Pregnant Women Quit

If you're expecting, quitting smoking is the most important thing you can do for yourself and your baby. When you stop using tobacco products, you will have more energy and breathe more easily. Additionally, your baby will get more oxygen and be more likely to be born at a normal weight.

Clinician Tear Sheets, Prenatal (PDF File, 538 KB, PDF Help)—Updated
Clinician Tear Sheets, Prenatal
      En español: Usted puede dejar de fumarActualizado

Help for Tobacco Users

Consumer materials to help smokers become tobacco-free.

Help for Smokers and Other Tobacco Users, Easy-to-Read Consumer Booklet—Updated
      En español: Ayuda para fumadores u otros consumidores de tabaco
You Can Quit Smoking, Pocket Card
      En español: Usted puede dejar de fumar
Quitting Helps You Heal Faster, Hospital Card
      En español: Dejar de fumar le ayuda a sanar más rápido
Quit Smoking Products Ordering Information


This information is being revised to relect the 2008 update of Treating Tobacco Use and Dependence.

Clinician's Packet—Treating Tobacco Use and Dependence
Quick Reference Guide for Clinicians. Treating Tobacco Use and Dependence
Treating Tobacco Use and Dependence--A Systems Approach
Posters (You Can Quit Smoking) (PDF File, 69 KB, PDF Help; Text Version)
      En español (PDF FIle, 27 KB, PDF Ayuda; Text version)
Quit Smoking: Consumer Interactive Tool
You Can Quit Smoking, 5-Day Countdown
      En español: Prepárese en 5 días para dejar de fumar
You Can Quit Smoking, Consumer Guide
      En español: Usted puede dejar de fumar: Guía del consumidor

Evidence Report

The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center systematically reviews the medical literature on the effectiveness of interventions to prevent tobacco use, the impact of smokeless tobacco marketing on smoking, and directions for future research.

Tobacco Use: Prevention, Cessation, and Control

Additional Resources

 Search the healthfinder® Web site for more Smoking Cessation resources.
 Visit the National Women's Health Information Center Web site for a special section: A Breath of Fresh Air! Independence from Smoking.
 Go to the National Library of Medicine for consumer information on Smoking Cessation.
Twenty years ago, the first Surgeon General's report on secondhand smoke created greater awareness across the country about the exposure of nonsmokers to tobacco smoke. This report provides a fresh perspective on the best available science in this area to better inform policymakers, health professionals, and the public at large. The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General, 2006

Want More Information?

In the United States, call the AHRQ Clearinghouse toll-free 800-358-9295, 24 hours a day, 7 days a week. Hearing impaired persons may call 888-586-6340 for the TDD service. Callers from outside of the United States only should use the telephone number (703) 437-2078.

Send requests by E-mail to

You can also access and download materials from the Surgeon General's Web site at:

Current as of May 2008

AHRQ Advancing Excellence in Health Care