Resource Center: tobacco, assessment
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Description:
From Treatment Improvement Protocol (TIP) Series from SAMHSA, published in 2012. Title implies this is related to chronic opioid therapy for patients in recovery from substance use disorders, which it is, but it also is relevant to use of chronic opioid therapy for all patients and preventing substance use disorders.
Source:
SAMHSA Patient Example: Amy's Fagerström Tolerance Questionnaire Results
Description:
Patient Example of the Fagerström Tolerance Questionnaire for Adolescents This is a patient's response to the Fagerström Tolerance Questionnaire for Adolescents.
Name:
Amy Clark
Description:
This article is an intervention review. It reviews behavioral and pharmacological interventions for helping users quit smokeless tobacco.
Source:
The Cochrane Collaboration
Description:
The burden of suffering due to tobacco use is staggering, and irreconcilable with the relative social and medical complacency with which it is treated. Smoking is the leading cause of preventable premature death in our society, claiming more lives around the world each year than war: it may be the most important public health issue of our time., Since most smokers see a physician each year, and most smokers report a desire to quit, primary care clinicians are well positioned to assist smokers in their cessation efforts. It is essential to provide effective cessation intervention for all smokers at each visit. (From their website)
Source:
Randolph C. Barrows, Jr., M.D. Tobacco Use Stickers
Description:
Stickers that indicate on a patient chart whether the patient is a smoker or non-smoker. Use these stickers to indicate if a patient is a smoker or not:
Patient Example: Tamika's Tobacco Assessment Form
Description:
Patient Example: Tamika's Tobacco Assessment Form Tobacco Use Assessment Form for Children or Teens
Name: Tamika Jones
Date: 6/ 1 /2005
Have you ever smoked cigarettes or used any other tobacco product?
Description:
Tobacco Use Assessment Form for Children or Teens reproduced with modifications from: Choi, WS, Pierce, JP, Gilpin, EA, Berry, CC. Which adolescent experimenters progress to established smoking in the United States? Am J Prev Med. 1997; 13(5), 385-391.
Source:
Choi, WS, Pierce, JP, Gilpin, EA, Berry, CC
Description:
Tobacco use assessment form reproduced with modifications from Glynn and Manley, 1998.
Source:
Glynn and Manley, 1998
Description:
Fagerström Tolerance Questionnare for Adolescents
Source:
Br J Addict and Addictive Behaviors
Description:
Fagerström Test for Nicotine Dependence from Heatherton et al., 1991
Source:
Heatherton et al., 1991 
