Protocol - Susceptibility to Tobacco Products
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:
- If one of your friends offered you a cigarette, would you smoke it?
[ ] Definitely Yes
[ ] Probably Yes
[ ] Probably Not
[ ] Definitely Not
- At any time during the next 12 months, do you think you will smoke a cigarette?
[ ] Definitely Yes
[ ] Probably Yes
[ ] Probably Not
[ ] Definitely Not
- Do you think you will be smoking cigarettes 5 years from now?
[ ] Definitely Yes
[ ] Probably Yes
[ ] Probably Not
[ ] Definitely Not
Cigarettes
- 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:
Personnel and Training Required
None
Equipment Needs
None
Requirements
| Requirement Category | Required |
|---|---|
| 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
| Standard | Name | ID | Source |
|---|---|---|---|
| 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 Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX710302_Susceptibility_Tobacco_Cigarette_Curiosity | ||||
| PX710302040000 | Have you ever been curious about smoking a more | N/A | ||
| PX710302_Susceptibility_Tobacco_Cigarette_Five_Years | ||||
| PX710302030000 | Do you think you will be smoking cigarettes more | N/A | ||
| PX710302_Susceptibility_Tobacco_Cigarette_Friend_Encoded | ||||
| PX710302060000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_Cigarette_Past_Year | ||||
| PX710302020000 | At any time during the next 12 months, do more | 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 more | N/A | ||
| PX710302_Susceptibility_Tobacco_Cigarillo_Friend | ||||
| PX710302150000 | If one of your best friends were to offer more | 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 more | N/A | ||
| PX710302_Susceptibility_Tobacco_Cigar_Friend | ||||
| PX710302120000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_Cigar_Try_Soon | ||||
| PX710302110000 | Do you think that you will try a traditional more | N/A | ||
| PX710302_Susceptibility_Tobacco_ElectronicProduct_Curiosity | ||||
| PX710302070000 | Have you ever been curious about using an more | N/A | ||
| PX710302_Susceptibility_Tobacco_ElectronicProduct_Friend | ||||
| PX710302090000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_ElectronicProduct_Try_Soon | ||||
| PX710302080000 | Do you think that you will try an electronic more | N/A | ||
| PX710302_Susceptibility_Tobacco_FilteredCigar_Curiosity | ||||
| PX710302160000 | Have you ever been curious about smoking a more | N/A | ||
| PX710302_Susceptibility_Tobacco_FilteredCigar_Friend | ||||
| PX710302180000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_FilteredCigar_Try_Soon | ||||
| PX710302170000 | Do you think that you will try a filtered more | N/A | ||
| PX710302_Susceptibility_Tobacco_Friend_Cigarette | ||||
| PX710302010000 | If one of your friends offered you a more | N/A | ||
| PX710302_Susceptibility_Tobacco_Hookah_Curiosity | ||||
| PX710302220000 | Have you ever been curious about smoking more | N/A | ||
| PX710302_Susceptibility_Tobacco_Hookah_Friend | ||||
| PX710302240000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_Hookah_Try_Soon | ||||
| PX710302230000 | Do you think that you will try smoking more | N/A | ||
| PX710302_Susceptibility_Tobacco_Pipe_Curiosity | ||||
| PX710302190000 | Have you ever been curious about smoking a more | N/A | ||
| PX710302_Susceptibility_Tobacco_Pipe_Friend | ||||
| PX710302210000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_Pipe_Try_Soon | ||||
| PX710302200000 | Do you think that you will try smoking a more | N/A | ||
| PX710302_Susceptibility_Tobacco_Smokeless_Curiosity | ||||
| PX710302250000 | Have you ever been curious about using more | N/A | ||
| PX710302_Susceptibility_Tobacco_Smokeless_Friend | ||||
| PX710302270000 | If one of your best friends were to offer more | N/A | ||
| PX710302_Susceptibility_Tobacco_Smokeless_Try_Soon | ||||
| PX710302260000 | Do you think that you will try smokeless more | N/A | ||
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