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Modelling of this information needs discussion at ISMT. Should this be related to SU using FASU, Should the NRT be recorded in CM, or SU. How to represent in SUCAT Should SUCAT always be TOBACCO... can Nicotine be used. |
Types of tobacco use Cigarette,Cigars,Smokeless Tobacco,Pipe Tobacco,Nicotine Vaping Collected with Check all that appy in CDASH.
Current type of smokeless tobacco used, Snuff, Chewing tobacco. Amount Used : Cans/pouches per week, Dips per day Dipping tobacco is a type of finely ground or shredded, moistened smokeless tobacco product. It is commonly and idiomatically known as "dip". Dipping tobacco is used by placing a pinch, or "dip", of tobacco between the lip and the gum (sublabial administration). The act of using it is called dipping.
Other users of tobacco in household
Years of regular smokeless tobacco use
Fagerstrom Test for Nicotine Dependence (FND) The Fagerström Tolerance Questionnaire was developed by Karl-Olov Fagerström. This instrument was modified to the Fagerström Test for Nicotine Dependence by Todd Heatherton, et al. in 1991. The FTND is copyrighted by Taylor and Francis Ltd., but may be reproduced without permission, as available from the source reference (Heatherton, et al., 1991).
Smoking status (self-reported and biochemically validated)
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title | SMOKING CESSATION PRODUCT |
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CDASH Variable | Order | Question Text | Prompt | CRF Completion Instructions | Type | SDTMIG Target Variable | SDTMIG Target Mapping | Controlled Terminology Code List Name | Permissible Values | Pre-Populated Value | Query Display | List Style | Hidden | SUCAT | 1 | What is the category of the substance used? |
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| SMOKING CESSATION PRODUCT USAGE |
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| SUYN | 2 | Did the subject previously use any products to attempted to quit smoking? |
| Indicate if the subject had used any products to attempted to quit smoking. |
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| SUSCAT | 3 | What is the type of product the subject used to attempted to quit smoking? | Substance Use Category | Record the type of tobacco product used | Text | SUSCAT |
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| Nicotine Replacement Therapy (NRT Pharmaceuticals other than NRTs Other Smoking Cessation aids
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| SUTRT | 4 | What was the name of the product the subject used to attempted to quit smoking?
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| SUDSTXT | 5 | What was the amount of product used to quit smoking? | Amount | Indicate the amount of amount of tobacco product used to quit smoking? | Text | SUDOSE; SUDOSTXT |
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| SUDUR | 6 | What was the duration of the product usage to quit smoking? | Duration | Provide the duration of the substance use | Text | SUDOSFRQ |
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| QD; EVERY WEEK; QM; PA |
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| SUCDURU | 7 | What was the duration unit of the product used to quit smoking? | Unit | Select the appropriate duration unit of the tobacco product used | Text | SUDUR |
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| DAYS; MONTHS; YEARS |
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| SUDOSFRQ | 8 | What was the frequency of of the product used to quit smoking | Frequency |
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| (FREQ) | QD; EVERY WEEK; QM; PA |
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Row 1: | Subject 1234005 is a 2-pack/day current smoker. “Current” implies that smoking started sometime before the time the question was asked (SUSTTPT = "2006-01-01", SUSTRTPT = "BEFORE") and had not ended as of that date (SUENTTP = "2006-01-01", SUENRTPT = "ONGOING"). See Section 4.4.7, Use of Relative Timing Variables for the use of these variables. Both the beginning and ending reference time points for this question are the date of the assessment. | Row 2: | Subject 1234005 drank 3 cups of coffee on the day of the assessment. | Row 3: | Subject 1234006 is a former smoker. The date this subject began smoking is unknown, but it was sometime before the assessment date; this is shown by the values of SUSTTPT and SUSTRTPT. The end date of smoking was collected, so SUENTPT and SUENRTPT are not populated. Instead, the end date is in SUENDTC. | Row 4: | Subject 1234006 drank tea on the day of the assessment. | Row 5: | Subject 1234006 drank coffee on the day of the assessment. | Row 6: | Subject 1234007 had missing data for the smoking questions; this is indicated by SUOCCUR null and SUSTAT = "NOT DONE". The reason is in SUREASND. | Row 7: | Subject 1234007 also had missing data for all of the caffeine questions. | |
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Row | STUDYID | DOMAIN | USUBJID | SUSEQ | SUTRT | SUCAT | SUPRESP | SUOCCUR | SUSTAT | SUREASND | SUDOSE | SUDOSU | SUDOSFRQ | SUSTDTC | SUENDTC | SUSTTPT | SUSTRTPT | SUENTPT | SUENRTPT |
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1 | 1234 | SU | 1234005 | 1 | CIGARETTES | TOBACCO | Y | Y |
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| 2 | PACK | QD |
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| 2006-01-01 | BEFORE | 2006-01-01 | ONGOING | 2 | 1234 | SU | 1234005 | 2 | COFFEE | CAFFEINE | Y | Y |
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| 3 | CUP | QD | 2006-01-01 | 2006-01-01 |
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| 3 | 1234 | SU | 1234006 | 1 | CIGARETTES | TOBACCO | Y | Y |
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| 1 | PACK | QD |
| 2003 | 2006-03-15 | BEFORE |
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| 4 | 1234 | SU | 1234006 | 2 | TEA | CAFFEINE | Y | Y |
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| 1 | CUP | QD | 2006-03-15 | 2006-03-15 |
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| 5 | 1234 | SU | 1234006 | 3 | COFFEE | CAFFEINE | Y | Y |
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| 2 | CUP | QD | 2006-03-15 | 2006-03-15 |
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| 6 | 1234 | SU | 1234007 | 1 | CIGARETTES | TOBACCO | Y |
| NOT DONE | Subject left office before CRF was completed |
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| 7 | 1234 | SU | 1234007 | 2 | CAFFEINE | CAFFEINE | Y |
| NOT DONE | Subject left office before CRF was completed |
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| NICOTINE REPLACEMENT THERAPY | NICOTINE |
| Y OR N |
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| SMOKELESS CIGARETTES |
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| Y or N |
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Rows 1, 6, 11: |
| Rows 2-5, 7-10, 12-15: | |
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Row | STUDYID | DOMAIN | USUBJID | FASEQ | FASPID | FATESTCD | FATEST | FAOBJ | FACAT | FAORRES | FASTRESC | FADTC | FATPT | FATPTNUM | FAELTM | FATPTREF |
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1 | ABC | FA | ABC-123 | 1 | 90567 |
| NUMBER | NRT | TOBACCO CESSATION ATTEMPTS | 10 | 10 | 2007-05-16 | 5M PRE-DOSE | 1 | -PT5M | DOSING | 2 | ABC | FA | ABC-123 | 2 | 90567 | OCCUR | AGE STARTED SMOKING ( Or Tobacco Product) DAILY |
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| 16 | 16 | 2007-05-16 | 5M PRE-DOSE | 1 | -PT5M | DOSING | 3 | ABC | FA | ABC-123 | 3 | 90567 | OCCUR | NUMBER | PHARMACUETIAL | TOBACCO CESSATION ATTEMPTS | N | N | 2007-05-16 | 5M PRE-DOSE | 1 | -PT5M | DOSING | 4 | ABC | FA | ABC-123 | 4 | 90567 | OCCUR | Occurrence Indicator |
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| Y | Y | 2007-05-16 | 5M PRE-DOSE | 1 | -PT5M | DOSING | 5 | ABC | FA | ABC-123 | | 90567 | OCCUR | Occurrence Indicator |
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| Y | Y | 2007-05-16 | 5M PRE-DOSE | 1 | -PT5M | DOSING | |
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