A comparison of the psychometric properties of the hooked on nicotine checklist and the modified Fagerstrom tolerance questionnaire
Department of Family Medicine and Community Health; Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Psychiatry; Department of Pediatrics
Adolescent; Adolescent Behavior; Adult; Female; Follow-Up Studies; Humans; Male; Personal Autonomy; Prospective Studies; *Psychometrics; Questionnaires; Reproducibility of Results; Smoking; Smoking Cessation
Behavioral Disciplines and Activities | Behavior and Behavior Mechanisms | Community Health and Preventive Medicine | Preventative Medicine
We compared the psychometric properties of the Hooked on Nicotine Checklist (HONC) and the Modified Fagerstrom Tolerance Questionnaire (MFTQ). Adolescent current smokers (n = 215) completed both instruments three times, at baseline and 6- and 12-month follow-up. Internal consistency of the HONC was high (alpha = 0.92), as was its stability over the follow-up interval (intraclass correlation (ICC) = 0.93 over 6 months and 0.91 over 1 year). Internal consistency of the MFTQ was acceptable (alpha = 0.83), and its stability over the follow-up interval was similar to that reported previously (ICC = 0.79 at 6 months and 0.76 at 1 year). The HONC predicted smoking at both follow-up points, while the MFTQ did so only at 6 months. The HONC compared favorably with the MFTQ in all respects. The most important advantage of the HONC is that it is measuring a clearly defined concept, diminished autonomy over tobacco, which begins when the sequelae of tobacco use present a barrier to quitting.
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Citation: Addict Behav. 2006 Mar;31(3):486-95. Epub 2005 Jun 29. Link to article on publisher's site
Wellman, Robert J.; DiFranza, Joseph R.; Pbert, Lori; Fletcher, Kenneth E.; Flint, Alan J.; Young, Martin H.; and Druker, Susan, "A comparison of the psychometric properties of the hooked on nicotine checklist and the modified Fagerstrom tolerance questionnaire" (2006). Preventive and Behavioral Medicine Publications and Presentations. Paper 142.