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Modelling of this information needs discussion at ISMT. 

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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)


Panel
title SMOKING CESSATION PRODUCT
Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
CMCAT1What is the category of the substance used?

TextCMCAT


DRUG  USED IN  NICOTINE DEPENDENCE


CMYN2Did the subject previously use any medically acceptable products to attempted to quit smoking?
Indicate if the subject had used any medically acceptable products to attempted to quit smokingTextCMOCCURCMOCCUR where CMTRT= "Drug used in nicotine dependence" (NY)Yes; No



FAORRES3How many times did the subject attempt to quit smoking using a smocking cessation product? Times the subject attempted to quit smoking Record the number of times a subject attempt to quit smoking. TextFAORRESFAORRES where FAOBJ ="Drug used in nicotine dependence"  and FATEST= NUMBER OF ATTEMPTS TP QUIT"







RECORD  THE INFORMATION FOR THE  LAST ATTEMPT TO QUIT FOR EACH TYPE OF PRODUCT USED  COMBINATION OF METHODS SHOULD BE LISTED ON TEH SAME LINE  ??????  This is a problem.. 


Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
CMCAT1What is the category of the substance used?


CMCAT


DRUG  USED IN  NICOTINE DEPENDENCE


CMSCAT3What is the type of product the subject used to attempted to quit smoking? Substance Use CategoryRecord the type of product the subject used to attempted to quit smoking. TextCMSCAT

Nicotine Replacement
Therapy (NRT);

Pharmaceuticals
other than NRTs; 

Other
Smoking Cessation aids







CMTRT4What was the  name of the product the subject used to attempted to quit smoking? 



TextCMTRT






CMDSTXT5What was the amount of product used to quit smoking? AmountIndicate the amount of amount of tobacco product used to quit smoking? TextCMDOSE; CMDOSTXT



Prompt

CMDUR6What was the duration of the product usage to quit smoking?  DurationProvide the duration of the substance use TextCMDOSFRQ



Prompt

CMCDURU7What was the duration unit of the product used to quit smoking?  UnitSelect the appropriate duration unit of the  tobacco product usedTextCMDUR

DAYS; MONTHS; YEARS
Prompt

CMDOSFRQ

8What was the frequency of  of the  product used to quit smokingFrequency
Text CMDOSFRQ
(FREQ)QD; EVERY WEEK; QM; PA
Prompt

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