M C Fiore's research while affiliated with University of Wisconsin–Madison and other places

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Publications (38)


Treating Tobacco Use and Dependence: 2008 Update
  • Article

January 2008

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205 Reads

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1,348 Citations

M.C. Fiore

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T.B. Baker
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Figure 1. 2008 Update development process 
Figure 2. Model for treatment of tobacco use and dependence. 
A Clinical Practice Guideline for Treating Tobacco Use and Dependence: 2008 Update
  • Book
  • Full-text available

January 2008

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2,050 Reads

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1,708 Citations

Download


A valiação clínica da eficácia do cloridrato de bupropiona e da terapêutica de substituição de nicotina na cessação tabágica

March 2001

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22 Reads

Revista Portuguesa de Pneumologia

O tabagismo representa, na actualidade, um impo1tante problema de Saude Pública, sendo inequfvoco o seu papel na patogénese de inumeras doenr;as, nomeadamente, na patologia do foro pneumológico. Assim, toma-se primordial a prevenrção do infcio dos habitos tabágicos e, no caso dos fumadores, o apoio médico especializado na sua desabituarção.


Helping wisconsin women quit smoking: A successful collaboration

May 2000

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19 Reads

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28 Citations

WMJ: official publication of the State Medical Society of Wisconsin

The cost of treatments for tobacco dependence frequently presents a financial barrier to their use. To overcome such barriers, the Wisconsin Women's Health Foundation, the Wisconsin Bureau of Public Health, the McNeil Consumer Healthcare, and the University of Wisconsin Center for Tobacco Research and Intervention collaborated in an initiative to distribute nicotine patches to Wisconsin women at no cost. As a result of this collaborative effort, approximately 19,000 women received a 6-week course of Nicotrol Patches. To evaluate the effectiveness of this initiative, a sample of 500 recipients were contacted and surveyed by telephone 6 months after receiving their patches. Approximately 22% of these women reported total abstinence at 6 months, and another 77% reported they had reduced their smoking. At follow-up, women who had successfully quit rated their health status significantly better than women who were still smoking. More than 99% of respondents recommended that the program be repeated. Extrapolating the observed abstinence rate to the 19,000 patch recipients, an estimated 4000 Wisconsin women successfully quit smoking as a result of this program.


Development and Validation of the Wisconsin Smoking Withdrawal Scale

November 1999

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227 Reads

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285 Citations

Experimental and Clinical Psychopharmacology

The accurate assessment of nicotine withdrawal is important theoretically and clinically. A 28-item scale, the Wisconsin Smoking Withdrawal Scale, was developed that contains 7 reliable subscales tapping the major symptom elements of the nicotine withdrawal syndrome. Coefficients alpha for the subscales range from .75 to .93. This scale is sensitive to smoking withdrawal, is predictive of smoking cessation outcomes, and yields data that conform to a 7-factor structure. The 7 scales predicted intratreatment smoking, chi2(7, N = 163) = 15.19, p = .034. Moreover, the questionnaire is sufficiently brief so that it can be used in both clinical and research contexts.


The epidemiology of tobacco use, dependence, and cessation in the United States

October 1999

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57 Reads

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53 Citations

Primary Care Clinics in Office Practice

Tobacco use, primarily in the form of cigarette smoking, is the leading preventable cause of death in the United States. After epidemic increases in current smoking in the first half of the 20th century, overall rates of smoking have decreased during the past 30 years. Certain sociodemographic groups continue to have high rates of tobacco use. The prevalence of current smoking in adults in the United States decreased from 42.4% in 1965 to 24.7% in 1995. Recent epidemiologic data indicate that 47 million adults currently smoke cigarettes and over 5 million use smokeless tobacco; over 3 million adolescents are current smokers and over 750,000 use smokeless tobacco. Thus, tobacco use continues to be a major public health concern.



Citations (29)


... Fiore M C et al [21] and Gill et al 22 , showed a 17% abstinence rate for non-alcoholic smokers receiving nicotine patch therapy, and 9.1% of participants in the six-month intensive treatment condition were proven to be abstinent which was similar to our study. ...

Reference:

The Effect of Behavioural Modification Therapy on Tobacco Cessation among Patients Visiting a Dental Institution in Bangalore – A Pragmatic Study
Treating tobacco use and dependence: Clinical practice guideline
  • Citing Article

... Many quit attempts fail during the first week when withdrawal symptoms are strongest. 3,4 The few studies that have examined race/ ethnicity and withdrawal report some group differences. Among 1007 current smokers 5 , non-Hispanic White adults reported a greater number of withdrawal symptoms than non-Hispanic Black adults (M = 4.40, SD = 2.17 vs. M = 3.0, SD = 2.02; p = .001). ...

Smoking withdrawal dynamics: II
  • Citing Article
  • January 2002

Journal of Abnormal Psychology

... Before NRT was prescribed, we obtained approval from each woman's physician. The Agency for Health Care Policy and Research guidelines of 1996 had cautioned against use of NRT by patients within 6 weeks of an acute coronary event, 24 but thereafter the safety of NRT was confirmed, even for such cardiac patients, 20 on the basis of a favorable risk-to-benefit ratio associated with NRT usage as opposed to the patient's continued smoking. NRT became available on an over-the-counter basis after the present study began, but some participants in both groups obtained NRT and, very late in the study, bupropion (an antidepressant and a non-nicotine aid to smoking cessation) from their personal physicians. ...

Quick Reference Guide for Smoking Cessation Specialists, Number 18, Smoking Cessation Information for Specialists
  • Citing Article
  • January 1999

... Yet, the following aspects need to be considered in patients with CVDs. Nicotine replacement products (nicotine gum, inhaler, nasal spray, transdermal patch, sublingual tablet, or lozenge) reliably increases long-term smoking abstinence rates [2], but medical contraindications to nicotine replacement therapy include recent myocardial infarction or stroke [24,25]. The contraindication to nicotine replacement therapy soon after acute coronary syndrome remains unclear [26,27]. ...

Smoking cessation: Information for specialists
  • Citing Article
  • January 1996

... Prior research has demonstrated a dose-response relationship between the intensity of certain clinical interventions for smoking (e.g., length of counseling sessions) and tobacco abstinence rates (Fiore et al, 2008). Identifying subgroups of participants who are more or less likely to smoke during a quit attempt from week to week enables prioritization of resources to those individuals who may need more support in order to stay quit. ...

Treating Tobacco Use and Dependence: 2008 Update. A U.S. Public Health Service report
  • Citing Article
  • January 2008

American Journal of Preventive Medicine

... Pharmacological smoking cessation therapies have been shown to double the chances of quitting successfully when administered in adjunction to brief physician counselling 7 . Unfortunately, a limited number of drugs are available for use in such therapies. ...

Treating Tobacco Use and Dependence: 2008 Update
  • Citing Article
  • January 2008

... The primary outcome will be Quality Adjusted Life Years (QALYs). Although utility scores (EQ-5D) (The Euroqol Group, 1990) will be measured at the beginning and end of the study period, previous studies have demonstrated that the cost effectiveness of smoking-cessation programs is very dependent on the quit rates at 12 months and subsequent relapse rates (Cromwell, Bartosch, Fiore, Baker, & Hasselblad, 1998;Hughes, Peters, & Naud, 2008;Shearer & Shanahan, 2006). As the long-term benefits from smoking cessation (e.g., avoided cases of lung cancer) may not be evident for many years, the analysis will use a Markov state transition model to track costs and QALYs for a hypothetical cohort model of participants moving between specified health states at the end of each cycle. ...

Cost-effectiveness of the AHCPR guidelines for smoking - Reply
  • Citing Article
  • March 1998

JAMA The Journal of the American Medical Association

... Between September and November 2021, we recruited 24 adult smokers through their local independent pharmacy in rural Appalachia. Participants were primarily recruited through an ask-advise-connect model in which pharmacists asked potential participants if they were smoking, advised them to quit, and connected them to our study if they were interested [34]. Other recruitment methods included flyers on prescription bags and store signage. ...

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

... Once people start smoking, they usually have a hard time quitting (Jarvis 2004). This is due to the addictive chemical nicotine, a main ingredient in tobacco (Fiore et al. 1996;Rothemich et al. 2008). Nicotine dependence arises when you react to nicotine and cannot stop without using it. ...

Smoking Cessation: Clinical Practice Guideline No. 18
  • Citing Book
  • January 1996

... To assess general and anxiety-specific symptoms of nicotine withdrawal syndrome and to verify protocol compliance, participants completed the WSWS (28 items) at the neuroimaging session [70]. Items are rated on a 5-point scale, with 0 indicating 'strongly disagree' and 4 indicating 'strongly agree'. ...

Development and Validation of the Wisconsin Smoking Withdrawal Scale

Experimental and Clinical Psychopharmacology