Treatment of Tobacco Use Disorder in Primary Care-Presentation

Video Transcription

Video Summary

In this video, Jill Williams, a professor of psychiatry at Rutgers University, discusses the treatment of tobacco use disorder in primary care. She highlights the various forms of clinical assessment, including the "Time to First Cigarette" measure, and evidence-based pharmacotherapies for tobacco use disorder treatment, such as nicotine replacement dosing. Williams emphasizes the role of counseling in increasing the success of quit attempts using the "Ask, Advise, and Refer" model for primary care. <br /><br />She explains that tobacco smoke exposure contains thousands of chemical toxins, some naturally occurring in the tobacco plant and others from the manufacturing process. Tobacco use disorder is associated with many major health consequences, including heart disease, lung disease, and cancer, as well as financial hardships and mental health issues.<br /><br />Williams also discusses the social justice aspect of tobacco use disorder, noting that smoking rates are higher in disadvantaged populations. She explains the safety and effectiveness of different pharmacological treatments, such as nicotine replacement therapy, varenicline, and bupropion. The video also explores the role of counseling, including telephone counseling and intensive counseling, in helping individuals quit smoking.<br /><br />Additionally, Williams discusses the role of e-cigarettes as a harm reduction alternative. She examines the evidence regarding their effectiveness in smoking cessation, emphasizing the importance of switching entirely to e-cigarettes to maximize health benefits.<br /><br />Overall, the video provides a comprehensive overview of the treatment options and strategies for tobacco use disorder in primary care.

Asset Subtitle

View the recorded presentation to attest that you have viewed the presentation in its entirety.

Keywords

tobacco use disorder

primary care

clinical assessment

counseling

smoking rates

pharmacological treatments

e-cigarettes

harm reduction

health benefits