Protocol - Smoking Quit Attempts
These self-administered questions ask current and former smokers about their intention to quit smoking, details of past attempts to quit, and whether a health care professional advised the respondent to quit smoking.
These questions are only asked of current or former smokers. In order to exclude nonsmokers, the Cancer Working Group recommends adding a filter question. The recommended filter question can be located in the PhenX Toolkit. Please see question 1 of the Alcohol, Tobacco and Other Substances measure Tobacco - Smoking Status (Adult Protocol).
1. Are you considering quitting smoking during the next 6 months?
[ ] Yes, plan to stop within next 30 days
[ ] Yes, plan to stop within next 6 months, but not within next 30 days
[ ] No, not thinking of quitting in next 6 months
2. In the past, have you ever made a serious attempt to quit smoking? That is, have you stopped smoking for at least one day or longer because you were trying to quit?
[ ] Yes » CONTINUE WITH QUESTION 3
[ ] No » GO TO QUESTION 6
3. What was the longest length of time you stopped smoking because you were trying to quit?
[ ] Less than 1 week
[ ] 1 to 3 weeks
[ ] 1 to 2 months
[ ] 3 to 11 months
[ ] 1 to 4 years
[ ] 5 to 9 years
[ ] 10 years or more
4. How old were you when you most recently quit smoking?
____ AGE STOPPED SMOKING
5. Thinking of the most recent time you quit smoking, did you use any of the following products? (MARK EACH ONE THAT YOU USED)
[ ] Nicotine gum
[ ] Nicotine patch
[ ] Nicotine nasal spray, inhaler, lozenge, or tablet
[ ] Prescription pill such as Zyban®, Bupropion, or Wellbutrin®
[ ] None of these
6. During the past 12 months, did any doctor, dentist, nurse, or any other health professional advise you to quit smoking?
[ ] Yes
[ ] No, was not advised to quit
[ ] No, did not see a health professional in past 12 months
[ ] No, did not smoke in past 12 months
Zyban® is a registered trademark, GlaxoSmithKline; Wellbutrin® is a registered trademark, GlaxoSmithKline
Protocol Name from Source:
Personnel and Training Required
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
Men and women aged 55 to 74 years old* who are current or former smokers
*While this questionnaire was used in a study of men and women aged 55 to 74 years old, the Cancer Working Group deems it appropriate to use with the adult general population.
It is well documented that quitting smoking can take multiple attempts. This protocol captures current and past efforts to quit smoking, including information on the use of prescription medicines, as well as whether the respondent has been advised by a health care professional to quit.
|Common Data Elements (CDE)||Person Tobacco Smoking Cessation History Text||2960991||CDE Browser|
|Logical Observation Identifiers Names and Codes (LOINC)||Smoking quit attempts proto||62608-5||LOINC|
Process and Review
SourceU.S. Department of Health and Human Services. National Institutes of Health. National Cancer Institute. Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial, Supplemental Questionnaire. Version Date: 1/06, pages 8–9, questions 49–54 (source for questions 1–6).
Prorok, P. C. (2000). Design of the PLCO Cancer Screening Trial. Control Clinical Trials, 21, 273S–309S.
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
|PX071001040000||How old were you when you most recently quit more||N/A|
|PX071001020000||In the past, have you ever made a serious more||N/A|
|PX071001010000||Are you considering quitting smoking during more||N/A|
|PX071001030000||What was the longest length of time you more||N/A|
|PX071001050100||Thinking of the most recent time you quit more||N/A|
|PX071001050300||Thinking of the most recent time you quit more||N/A|
|PX071001050200||Thinking of the most recent time you quit more||N/A|
|PX071001050500||Thinking of the most recent time you quit more||N/A|
|PX071001050400||Thinking of the most recent time you quit more||N/A|
|PX071001060000||During the past 12 months, did any doctor, more||N/A|
Smoking Quit Attempts
December 30, 2009
Measure to determine intention to quit smoking and obtain details of past attempts to quit
Intention to quit smoking is important to assess because of the effect of smoking on diagnosis of subsequent cancer.
cancer, smoking, quitting smoking, quit, Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial