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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)
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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 | CMCAT | 1 | What is the category of the substance used? |
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| Text | CMCAT |
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| DRUG USED IN NICOTINE DEPENDENCE |
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| CMYN | 2 | Did 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 smoking | Text | CMOCCUR | CMOCCUR where CMTRT= "Drug used in nicotine dependence" | (NY) | Yes; No |
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| FAORRES | 3 | How 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. | Text | FAORRES | FAORRES where FAOBJ ="Drug used in nicotine dependence" and FATEST= NUMBER OF ATTEMPTS TP QUIT" |
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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..
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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 | CMCAT | 1 | What is the category of the substance used? |
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| CMCAT |
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| DRUG USED IN NICOTINE DEPENDENCE |
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| CMSCAT | 3 | What is the type of product the subject used to attempted to quit smoking? | Substance Use Category | Record the type of product the subject used to attempted to quit smoking. | Text | CMSCAT |
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| Nicotine Replacement Therapy (NRT); Pharmaceuticals other than NRTs; Other Smoking Cessation aids
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| CMTRT | 4 | What was the name of the product the subject used to attempted to quit smoking?
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| Text | CMTRT |
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| CMDSTXT | 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 | CMDOSE; CMDOSTXT |
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| CMDUR | 6 | What was the duration of the product usage to quit smoking? | Duration | Provide the duration of the substance use | Text | CMDOSFRQ |
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| CMCDURU | 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 | CMDUR |
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| DAYS; MONTHS; YEARS |
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| CMDOSFRQ | 8 | What was the frequency of of the product used to quit smoking | Frequency |
| Text | CMDOSFRQ |
| (FREQ) | QD; EVERY WEEK; QM; PA |
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