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

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Addictive behaviors, ISSN: 0306-4603, Vol: 31, Issue: 3, Page: 486-95

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https://works.bepress.com/lori_pbert/24; https://escholarship.umassmed.edu/prevbeh_pp/142
Wellman, Robert J.; DiFranza, Joseph R.; Pbert, Lori; Fletcher, Kenneth E.; Flint, Alan J.; Young, Martin H.; Druker, Susan
Elsevier BV
Medicine; Psychology; Pharmacology, Toxicology and Pharmaceutics; 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
article description
We compared the psychometric properties of the Hooked on Nicotine Checklist (HONC) and the Modified Fagerström 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.