A comparison of the psychometric properties of the hooked on nicotine checklist and the modified Fagerstrom tolerance questionnaire

UMMS Affiliation

Department of Family Medicine and Community Health; Department of Medicine, Division of Preventive and Behavioral Medicine; Department of Psychiatry; Department of Pediatrics

Publication Date


Document Type



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 | Preventive 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.

DOI of Published Version



Addict Behav. 2006 Mar;31(3):486-95. Epub 2005 Jun 29. Link to article on publisher's site

Journal/Book/Conference Title

Addictive behaviors

Related Resources

Link to Article in PubMed

PubMed ID