Blood draw
| | | |
X
| |
X
| | | | |
Salivary cotinine
| | | | | | | | | |
X
|
Demographics
|
7
| |
X
|
X
| | | | | | |
Cigarette Data
|
5
| | |
X
| | | | | | |
Other Tobacco Use
|
1
| |
X
|
X
| | | |
X
| |
X
|
Smoking Status (cpd)
|
1
| |
X
|
X
|
X
|
X
| |
X
| |
X
|
Timeline Follow-back (TLFB)
|
7
| | |
X
| |
X
| |
X
| |
X
|
Smoking History
|
4
| | |
X
| | | | | | |
Quitting History
|
4
| | |
X
| | | | | | |
Weight Concerns:
| | | | | | | | | | |
Weight Concerns Scale,
|
6
|
1-6
| | | | | | | | |
Weight Self Efficacy Scale,
|
6
|
1-10
| |
X
| | | | | | |
Adapted Myers Weight Concerns
|
2
|
0-11
| | | | | | | | |
Home Smoking Restrictions
|
5
| | |
X
| | | |
X
| | |
Work Place Smoking Restrictions
|
4
| | |
X
| | | | | | |
Motivation to Quit
|
1
|
1-10
| |
X
| | | | | | |
Confidence to Quit
|
1
|
1-10
| |
X
| | | | | | |
Nicotine Dependence (FTND)
|
6
|
0-10
| |
X
| | | | | | |
Wisconsin Inventory of Smoking Dependence Motives (WISDM-30)
|
30
|
10-70
| |
X
| | | | | | |
Minnesota Withdrawal Scale (MNWS)
|
8
|
0-32
| |
X
| |
X
| |
X
| |
X
|
Craving (QSU-Brief)
|
10
|
1-7
| |
X
| |
X
| |
X
| |
X
|
Positive and Negative Affect (PANAS)
|
20
|
10-50
| |
X
| |
X
| |
X
| |
X
|
Depression:
| | | | | | | | | | |
CES-Short Depression Scale (CESD-10),
|
10
|
0-30
| | | | | | | | |
2-item Patient Health Questionnaire (PHQ-2)
|
2
|
0-6
| |
X
| |
X
| |
X
| |
X
|
Stress (PSS-4)
|
4
|
0-16
| |
X
| | | | | | |
Social Support (ISEL-12)
|
12
|
12-48
| |
X
| | | | | | |
Impulsivity
|
5
|
5-20
| |
X
| | | | | | |
Racial Discrimination [45]
|
12
|
0-9
| |
X
| | | | | | |
| |
0-45
| | | | | | | | |
Racial/Ethnic Identity
|
8
| | |
X
| | | | | | |
Approximate duration of survey (in minutes)
| | |
10
|
45
|
5
|
15
|
5
|
15
|
5
|
10
|