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Protocol - Susceptibility to Tobacco Products

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Description:

This 27-item instrument is used to predict whether adolescents or young adults, who never used tobacco, are likely to start. Item responses are on a 4-point Likert scale and include "refused" and "don’t know" options.

Specific Instructions:

Gateway question, "Smoking Status" PhenX Toolkit measure must be asked first. Proceed with this protocol only if subject has never smoked.

Protocol:
  1. If one of your friends offered you a cigarette, would you smoke it?

[ ] Definitely Yes

[ ] Probably Yes

[ ] Probably Not

[ ] Definitely Not

  1. At any time during the next 12 months, do you think you will smoke a cigarette?

[ ] Definitely Yes

[ ] Probably Yes

[ ] Probably Not

[ ] Definitely Not

  1. Do you think you will be smoking cigarettes 5 years from now?

[ ] Definitely Yes

[ ] Probably Yes

[ ] Probably Not

[ ] Definitely Not

Cigarettes

  1. Have you ever been curious about smoking a cigarette?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

5. Do you think that you will try a cigarette soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

6. If one of your best friends were to offer you a cigarette, would you smoke it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

Expanded to Other Products

Electronic Nicotine Products

7. Have you ever been curious about using an electronic nicotine product? (Electronic nicotine products include e-cigarettes, vape pens, hookah pens, personal vaporizers and mods, e-cigars, e-pipes, and e-hookahs.)

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

8. Do you think that you will try an electronic nicotine product soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

9. If one of your best friends were to offer you an electronic nicotine product, would you try it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

Cigars (Traditional, Cigarillos, Filtered)

10. Have you ever been curious about smoking a traditional cigar?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

11, Do you think that you will try a traditional cigar soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

12. If one of your best friends were to offer you a traditional cigar, would you smoke it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

13, Have you ever been curious about smoking a cigarillo?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

14 Do you think that you will try a cigarillo soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

15. If one of your best friends were to offer you a cigarillo, would you smoke it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

16. Have you ever been curious about smoking a filtered cigar?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

17. Do you think that you will try a filtered cigar soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

18, If one of your best friends were to offer you a filtered cigar, would you smoke it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

Pipe

19. Have you ever been curious about smoking a pipe filled with tobacco?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

20. Do you think that you will try smoking a pipe filled with tobacco soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

21. If one of your best friends were to offer you a pipe filled with tobacco, would you smoke it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

Hookah

22. Have you ever been curious about smoking tobacco in a hookah?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

23. Do you think that you will try smoking tobacco in a hookah soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

24. If one of your best friends were to offer you a hookah, would you try it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

Smokeless Tobacco

25. Have you ever been curious about using smokeless tobacco?

[ ] 1 Very curious

[ ] 2 Somewhat curious

[ ] 3 A little curious

[ ] 4 Not at all curious

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

26. Do you think that you will try smokeless tobacco soon?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

27. If one of your best friends were to offer you smokeless tobacco, would you try it?

[ ] 1 Definitely yes

[ ] 2 Probably yes

[ ] 3 Probably not

[ ] 4 Definitely not

[ ] -8 DON’T KNOW

[ ] -7 REFUSED

Scoring:

Respondents who are currently not tobacco product users and answered "definitely not" to all three questions were coded as nonsusceptible, and all other students were labeled as susceptible to using tobacco products.

Protocol Name from Source:

National Cancer Institute Measures Guide for Youth Tobacco Research and Population Assessment of Tobacco and Health (PATH) Study

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adolescent

Participants:

Adolescents who never used tobacco, aged 12-17 years.

Selection Rationale

The first three items come from the Pierce instrument, a well-established protocol that is available in the public domain and was previously evaluated through the National Cancer Institute Measures Guide for Youth Tobacco Research. It is used for adolescents across gender and race/ethnicity and requires no training or equipment to administer. The three-item version of the scale has also been used to predict smoking among young adults, including military recruits. The scale has high reliability.

The remaining 24 items (items 4-27 below) come from the Population Assessment of Tobacco and Health (PATH) Study, a national longitudinal study of tobacco use and how it affects the health of people in the United States. These items expand the Pierce protocol to tobacco products other than cigarettes.

Language

English, Spanish

Standards
StandardNameIDSource
Common Data Elements (CDE) Tobacco Use Susceptibility Assessment Scale 4719136 CDE Browser
Derived Variables

None

Process and Review

The Expert Review Panel #3 (ERP 3) reviewed the measures in Alcohol, Tobacco and Other Substances, and Substance Abuse and Addiction domains.

Guidance from ERP 3 includes:

• Changed name of Measure

• Updated protocol

• New Data Dictionary

Back-compatible: Not back-compatible (vastly different than previous protocol which would require a new data dictionary) and not recommended for use (discredited or no longer considered broadly validated)

Previous version in Toolkit archive (link)

Source

Pierce, J. P., Choi, W. S., Gilpin, E. A., Farkas, A. J., & Merritt, R. K. (1996). Validation of susceptibility as a predictor of which adolescents take up smoking in the United States. Health Psychology, 15, 355-361.

National Institutes of Health, U.S. Food and Drug Administration. (2015). Population Assessment of Tobacco and Health (PATH) Study: Attachment 2 PATH Study Data Collection Instruments_Wave 3: 2a.5 - English Youth: Aged-Up Extended Interview, 2015-06-10. Bethesda, MD: National Institutes of Health. [http://www.reginfo.gov/public/do/PRAICList?ref_nbr=201506-0925-002]

General References

.

Choi, W. S., Gilpin, E. A., Farkas, A. J., & Pierce, J. P. (2001) Determining the probability of future smoking among adolescents. Addiction, 96, 313-323.

Pierce, J, P., Choi, W. S., Gilpin, E. A., Farkas, A. J., & Berry, C. C. (1988). Tobacco industry promotion of cigarettes and adolescent smoking. Journal of the American Medical Association, 279, 511-515.

Pierce, J. P., Choi, W. S., Gilpin, E. A., Farkas, A. J., & Merritt, R. K. (1996). Validation of susceptibility as a predictor of which adolescents take up smoking in the United States. Health Psychology, 15, 355-361.

Pierce, J. P., Distefan, J. M., Jackson, C., White, M. M., & Gilpin, E. A. (2002). Does tobacco marketing undermine the influence of recommended parenting in discouraging adolescents from smoking? American Journal of Preventive Medicine, 23, 73-81.

Pierce, J. P., Farkas, A. J., Evans, N., & Gilpin, E. (1995). An improved surveillance measure for adolescent smoking? Tobacco Control, 4, S47-S56.

Sargent, J. D., Dalton, M., Beach. M., Bernhardt, A., Heatherton, T., & Stevens, M. (2000). Effect of cigarette promotions on smoking uptake among adolescents. Preventive Medicine, 30, 320-327.

Protocol ID:

710302

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX710302_Susceptibility_Tobacco_Cigarette_Curiosity PX710302040000 Have you ever been curious about smoking a cigarette? N/A
PX710302_Susceptibility_Tobacco_Cigarette_Five_Years PX710302030000 Do you think you will be smoking cigarettes 5 years from now? N/A
PX710302_Susceptibility_Tobacco_Cigarette_Friend_Encoded PX710302060000 If one of your best friends were to offer you a cigarette, would you smoke it? N/A
PX710302_Susceptibility_Tobacco_Cigarette_Past_Year PX710302020000 At any time during the next 12 months, do you think you will smoke a cigarette? N/A
PX710302_Susceptibility_Tobacco_Cigarette_Try_Soon PX710302050000 Do you think that you will try a cigarette soon? N/A
PX710302_Susceptibility_Tobacco_Cigarillo_Curiosity PX710302130000 Have you ever been curious about smoking a cigarillo? N/A
PX710302_Susceptibility_Tobacco_Cigarillo_Friend PX710302150000 If one of your best friends were to offer you a cigarillo, would you smoke it? N/A
PX710302_Susceptibility_Tobacco_Cigarillo_Try_Soon PX710302140000 Do you think that you will try a cigarillo soon? N/A
PX710302_Susceptibility_Tobacco_Cigar_Curiosity PX710302100000 Have you ever been curious about smoking a traditional cigar? N/A
PX710302_Susceptibility_Tobacco_Cigar_Friend PX710302120000 If one of your best friends were to offer you a traditional cigar, would you smoke it? N/A
PX710302_Susceptibility_Tobacco_Cigar_Try_Soon PX710302110000 Do you think that you will try a traditional cigar soon? N/A
PX710302_Susceptibility_Tobacco_ElectronicProduct_Curiosity PX710302070000 Have you ever been curious about using an electronic nicotine product? (Electronic nicotine products include e-cigarettes, vape pens, hookah pens, personal vaporizers and mods, e-cigars, e-pipes, and e-hookahs.) N/A
PX710302_Susceptibility_Tobacco_ElectronicProduct_Friend PX710302090000 If one of your best friends were to offer you an electronic nicotine product, would you try it? N/A
PX710302_Susceptibility_Tobacco_ElectronicProduct_Try_Soon PX710302080000 Do you think that you will try an electronic nicotine product soon? N/A
PX710302_Susceptibility_Tobacco_FilteredCigar_Curiosity PX710302160000 Have you ever been curious about smoking a filtered cigar? N/A
PX710302_Susceptibility_Tobacco_FilteredCigar_Friend PX710302180000 If one of your best friends were to offer you a filtered cigar, would you smoke it? N/A
PX710302_Susceptibility_Tobacco_FilteredCigar_Try_Soon PX710302170000 Do you think that you will try a filtered cigar soon? N/A
PX710302_Susceptibility_Tobacco_Friend_Cigarette PX710302010000 If one of your friends offered you a cigarette, would you smoke it? N/A
PX710302_Susceptibility_Tobacco_Hookah_Curiosity PX710302220000 Have you ever been curious about smoking tobacco in a hookah? N/A
PX710302_Susceptibility_Tobacco_Hookah_Friend PX710302240000 If one of your best friends were to offer you a hookah, would you try it? N/A
PX710302_Susceptibility_Tobacco_Hookah_Try_Soon PX710302230000 Do you think that you will try smoking tobacco in a hookah soon? N/A
PX710302_Susceptibility_Tobacco_Pipe_Curiosity PX710302190000 Have you ever been curious about smoking a pipe filled with tobacco? N/A
PX710302_Susceptibility_Tobacco_Pipe_Friend PX710302210000 If one of your best friends were to offer you a pipe filled with tobacco, would you smoke it? N/A
PX710302_Susceptibility_Tobacco_Pipe_Try_Soon PX710302200000 Do you think that you will try smoking a pipe filled with tobacco soon? N/A
PX710302_Susceptibility_Tobacco_Smokeless_Curiosity PX710302250000 Have you ever been curious about using smokeless tobacco? N/A
PX710302_Susceptibility_Tobacco_Smokeless_Friend PX710302270000 If one of your best friends were to offer you smokeless tobacco, would you try it? N/A
PX710302_Susceptibility_Tobacco_Smokeless_Try_Soon PX710302260000 Do you think that you will try smokeless tobacco soon? N/A
Tobacco Regulatory Research
Measure Name:

Susceptibility to Smoking Cigarettes

Release Date:

November 21, 2016

Definition

These questions address susceptibility to smoking cigarettes.

Purpose

To determine adolescent susceptibility to use cigarettes.

Keywords

Intention, use, smoking susceptibility, smoking, smoking status, smoking onset, adolescents, peer influence