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Smoking History Questionnaire

287 Shared Subjects

N/A
Clinical Assessments
Substance Use
01/07/2015
smq01
03/18/2022
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project id, patid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY adate
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query visit String 60 Recommended Visit name
Query asstyp Integer Recommended Assessment type 1::20 1=TADS GATE A; 2=TADS GATE B; 3 = TADS Gate C; 4 = TADS Week 6; 5 = TADS Week 12; 6 = TADS Week 18; 7 = TADS Week 24; 8 = TADS Week 30; 9 = TADS Week 36; 10 = TADS F/U Mo 3; 11 = TADS F/U Mo 6; 12 = TADS F/U Mo 9; 13 = TADS F/U Mo 12; 14 = SOFTAD month 6; 15 = SOFTAD month 12; 16 = SOFTAD month 18; 17 = SOFTAD month 24; 18 = SOFTAD month 30; 19 = SOFTAD month 36; 20 = SOFTAD month 42
Query stage Integer Recommended Study stage
0::5; 51::53; 67; -888; -999
0 = Pre-Randomization (TADS) 1 = Stage 1 (TADS) 2 = Stage 2 (TADS) 3 = Stage 3 (TADS) 4 = Stage 4 (TADS) 5 = Stage 5 (SOFTAD); 51=Treatmentas Usual; 52=Screening Alone; 53=Intervention; 67=Unknown; -888=Not Applicable; -999=Missing;
Query bsit0 Float Recommended Weeks from Time 0/baseline to assessment smqt0
Query bsimo Float Recommended Months from Time 0 to assessment monfol, smqmo
Query bsistm Float Recommended Months from SOFTAD enrollment date to assessment smqstm
Query smq1 Integer Recommended Have you started smoking or using tobacco products since your last TADS or SOFTAD study visit? 0;1 0 = No; 1 = Yes
Query smq2 Integer Recommended Have you quit since your last TADS or SOFTAD study visit? 0;1 0 = No; 1 = Yes
Query smq3 Integer Recommended Smoking or tobacco use history 1::8 1 = Never used, not even a single puff2 = Smoked once or twice, but not in the last month3 = Do not smoke, but in the past I was a regular smoker4 = Smoked regularly but no more than once a month5 = Smoked regularly but no more than once a week6 = Smoked regularly and more than once a week; 7 = current smoker; 8 = Past Smoker
Query smq4 Integer Recommended Have many cigarettes do you typically smoke each day? 1::6 1 = Zero; 2 = 1 to 5; 3 = 6 to 10; 4 = 11 to 15 ;5 = 16 to 20; 6 = Over 20 smoke4b
Query smq5 Integer Recommended Does someone you live with smoke cigarettes? 0;1 0 = No; 1 = Yes
Query smq6 Integer Recommended How many of your closest 5 friends smoke? 0::5
Query smq7 Integer Recommended Do you smoke cigars or a pipe? 0;1 0 = No; 1 = Yes
Query smq7a Integer Recommended How many times a week (cigar/pipe)? 1::3 1 = 1 to 5; 2 = 6 to 10; 3 = 11 or more
Query smq8 Integer Recommended Do you use snuff or chewing tobacco? 0;1 0 = No; 1 = Yes
Query smq8a Integer Recommended How many times a week (snuff/chewing tobacco)? 1::3 1 = 1 to 5; 2 = 6 to 10; 3 = 11 or more
site String 101 Recommended Site Study Site
Query first_cig_smoke_eday_age1_code Integer Recommended How old were you when you first started smoking cigarettes every day? PX030701_First_Cigarette_Smoking_Everyday_Age_Coded 97 97=Don't know/Refused tobacco10fu
Query fnd_how_long_quit Integer Recommended How long has it been since you quit smoking? smoke1a
Query cigaretteuse_time_yrs Float Recommended indicate the number of years that the participant has smoked cigarettes smoke1c
Query sm_2j Integer Recommended Are you currently a daily cigarette smoker? 1;2; 999; 77 1=No; 2=Yes; 999=DK; 77=Refused smoke4
Query freq_30day_count Integer Recommended During the past 30 days, on how many days did you smoke part or all of a cigarette? PX030801_30Day_Frequency_Count 0::30;999 smoke4a
Query tobacco1fu Integer Recommended Have you ever used any tobacco product such as cigarettes, cigars, tobacco pipe, chewing tobacco, snuff, e-cigarettes containing nicotine, nicotine chewing gum or a nicotine patch since last follow up? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco2fu Integer Recommended Have you ever smoked cigarettes regularly for at least three months since last follow up? By "regularly" we mean at least 5 cigarettes per week almost every week. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco3fu Integer Recommended Have you ever smoked cigars regularly for a least three months since last follow up? By "regularly" we mean at least 2 cigars per week almost every week. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco3afu Integer Recommended Do you still smoke cigars regularly? 0::2;999 0 = No; 1 = Yes; 2 = No, but I still smoke cigars occasionally; 999 = Missing/Not Applicable
Query tobacco4fu Integer Recommended Have you ever smoked a tobacco pipe regularly for at three months since last follow up? By "regularly" we mean at least 2 pipes full of tobacco a week almost every week. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco4afu Integer Recommended Do you still smoke a pipe regularly? 0::2;999 0 = No; 1 = Yes; 2 = No, but I still smoke a pipe occasionally; 999 = Missing/Not Applicable
Query tobacco5fu Integer Recommended Have you ever used smokeless tobacco such as snuff, chewing tobacco, other products such as "Skoal's Bandits" or e-cigarettes containing nicotine regularly for at least three months since last follow up? By "regularly" we mean at least once a week almost every week. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco5afu Integer Recommended Do you still use smokeless tobacco regularly? 0::2;999 0 = No; 1 = Yes; 2 = No, but I still use smokeless tobacco occasionally; 999 = Missing/Not Applicable
Query tobacco6fu Integer Recommended Have you ever used a nicotine gum such as "Nicorette" since last follow up? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco6afu Integer Recommended Have you used nicotine gum in the past week? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco7fu Integer Recommended Have you ever used a nicotine patch such as "Nicoderm" or "Habitrol" since last follow up? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco7afu Integer Recommended Have you used a nicotine patch in the past week? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco8fu Integer Recommended Not counting yourself, how many people do you live with that smoke cigarettes since last follow up?
Query tobacco9fu Integer Recommended Based on old COBY TOBACCO USE FORM definition, have you ever smoked cigarettes regularly since last follow up? By "regularly" we mean at least 1 cigarette a day or more for at least 30 days. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query tobacco11fu Integer Recommended Based on old COBY TOBACCO USE FORM definition, what was your greatest amount of tobacco use since last follow up?
Query smoke1 Integer Recommended Do you still smoke cigarettes regularly? By "regularly" we mean at least 5 cigarettes per week almost every week. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query smoke2 Integer Recommended Have you started smoking regularly in the last three months? By "regularly" we mean at least 5 cigarettes per week almost every week. 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query smoke7 Integer Recommended Have you made any attempts to stop smoking cigarettes in the past five years? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query smoke7a Integer Recommended How many of these attempts to stop smoking lasted 48 hours or more? 0::4;999 0 = None, 1 = 1; 2 = 2-3; 3 = 4-5; 4 = 6 or more; 999 = Missing/Not Applicable
Query smoke8a Integer Recommended Do you plan to make any of these changes in your smoking in the next six months? - Quit completely? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query smoke8b Integer Recommended Do you plan to make any of these changes in your smoking in the next six months? - Cut down on number of cigarettes smoked? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query smoke8c Integer Recommended Do you plan to make any of these changes in your smoking in the next six months? - Change to lower "tar" or nicotine cigarette? 0;1;999 0 = No; 1 = Yes; 999 = Missing/Not Applicable
Query smoke9 Integer Recommended On a scale of 0 to 10, where 0 means not at all interested in quitting and 10 means very interested in quitting, how interested are you in quitting smoking? 0::10;999 0 = Not at all interested in quitting; 10 = Very interested in quitting; 999 = Missing/Not Applicable
issmoker Integer Recommended Are you a smoker? 0::2 0 = Never Smoker; 1 = Current Smoker; 2 = Former Smoker
cigs_no Integer Recommended Number of cigarettes you smoke(d) per day 0::200
years_no Integer Recommended Number of years you?ve smoked cigarettes 0::200
same_tobacco4e Integer Recommended On average, how many cigars, cheroots, or cigarillos did you smkoe per day when you were smoking regularly? Per day
same_tobacco4f Integer Recommended On average, how many water piper sessions did you participate in per day when you were smoking regularly? Per day
same_tobacco4g_other String 100 Recommended Any others Specify type
same_tobacco4g Integer Recommended On average, how many Other did you smkoe per day when you were smoking regularly? Per day
same_tobacco5 Integer Recommended Did you ever use smokeless tobacco on a regular basis (4 or more days per week)? 1::3 1 = Yes; 2 = No; 3 = Not Screened; If NO, please go to Form 06
same_tobacco6 Integer Recommended If YES, age at which you started using smokeless tobacco regularly In years
same_tobacco7 Integer Recommended If YES, age at which you stopped using smokeless tobacco In years; 9 = Still using
same_tobacco8a Integer Recommended On average, how many times a week did you use snuff, by mouth? Per day
same_tobacco8b Integer Recommended On average, how many times a week did you use snuff, by nose? Per day
same_tobacco8c Integer Recommended On average, how many times a week did you use chewing tobacco? Per day
same_tobacco8d Integer Recommended On average, how many times a week did you use betel quid with tobacco? Per day
same_tobacco8e_other String 100 Recommended Any others? Specify type
same_tobacco8e Integer Recommended On average, how many times a week did you use Other? Per day
same_tobacco1 Integer Recommended Did you ever smoke tobacco on a regular basis (4 or more days per week)? 1::3 1 = Yes; 2 = No; 3 = Not Screened; If NO, please skip to question 5
same_tobacco2 Integer Recommended If YES, age at which you started smoking tobacco regularly? In years
same_tobacco3 Integer Recommended If YES, age at which you stopped smoking tobacco? In years; 9 = Still smoking
same_tobacco4a Integer Recommended On average, how many manufactured cigarettes did you smkoe per day when you were smoking regularly? Per day
same_tobacco4b Integer Recommended On average, how many hand-rolled cigarettes did you smkoe per day when you were smoking regularly? Per day
same_tobacco4c Integer Recommended On average, how many kreteks did you smkoe per day when you were smoking regularly? Per day
same_tobacco4d Integer Recommended On average, how many tobacco did you smkoe per day when you were smoking regularly? Per day
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

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