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Title

Brief Questionnaire of Smoking Urges (QSU-BRIEF)

CDISC ReferenceQuestionnaire Supplement to the Study Data Tabulation Model Implementation Guide for Human Clinical Trials
QRS Short Name

QSU-BRIEF

QRS Permission StatusApproved
TeamStandards team QRS instrument is being developed for (e.g., Major Depressive Disorder Standards Team), if applicable, Tobacco Standards Teamand CDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusDRAFT
Date2024-01-05
Notes to Readers
  • This supplement is available to be used with other CDISC user guides for specific therapeutic/disease areas and follows the CDISC Study Data Tabulation Model Implementation Guide for Human Clinical Trials.
Known IssuesOnly include this row to describe any known issues related to the supplement. If there are no issues, this row can be deleted.

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This document describes the CDISC implementation of the Brief Questionnaire of Smoking Urges instrument.

For CRFs that are created by CDISC with SME input, use this statement:  There is no known standard case report form (CRF) available for this instrument. CDISC created this CRF to represent the instrument, which CDISC believes is in the public domain. This is not an endorsement of the instrument. The creation of this instrument was based on input from PASI (TA or instrument) subject matter experts. Sponsors may create this instrument’s CRF using their style guidelines, but they need to maintain the wording and order of the questions/items and responses as described on the CRF.  (note that if you use this statement, then QRS is not spelled out for the first time until where noted below.) (the related reference article needs to be included as a footnote on the CDISC created CRF)

For CRFs that are created by CDISC based on articles, use this statement. Include the 1st sentence for articles that don't have a CRF.  If the 1st sentence is NOT included, then spell out "case report form (CRF)" in the 2nd sentence:  There is no known standard case report form (CRF) available for this instrument. CDISC created this CRF to represent the instrument, which CDISC believes is in the public domain. This is not an endorsement of the instrument. The creation of this instrument was based on published articles describing the instrument. Sponsors may create this instrument’s CRF using their style guidelines, but they need to maintain the wording and order of the questions/items and responses as described on the CRF.  (note that if you use this statement, then QRS is not spelled out for the first time until where noted below.)CDISC did not modify this questionnaires, ratings, and scales (QRS) instrument to meet Clinical Data Acquisition Standards Harmonization (CDASH) case report form (CRF) standards.

The representation of data collected for this instrument is based on the Study Data Tabulation Model Implementation Guide (SDTMIG) Questionnaires (QS) domain model, which can be found on the CDISC website at: https://www.cdisc.org/standards/foundational/sdtmig.

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Stephen T Tiffanyowns the copyright for the QSU-BRIEF instrument and has granted CDISC permission to include this supplement in the CDISC inventory of QRS data standards supplements. (For supplements that are to be distributed by the copyright holder, add: Name of copyright holder (e.g., Board of Regents of The University of Texas System) will distribute the CDISC supplement package to sponsors when they are approved to use this instrument.) standards supplements. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the instrument.

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  • Cox, L. S., Tiffany, S. T., and Christen, A. G. Evaluation of the brief questionnaire of smoking urges (QSU-BRIEF) in laboratory and clinical settings. Nicotine and Tobacco Research, 3:7-16, 2001.
  • Tiffany, S. T., and Drobes, D. J. The development and initial validation of a questionnaire on smoking urges. British Journal of Addition, 86:1467-1476, 1991.

3 The QS Domain Model

3.1 Assumptions for the QS Domain Model

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Dataset wrap
Nameqs
Rowcaps
Rows 1-13:

Represent the questions from the QSU-Brief Scale for subject 2324-P0001 at visit 1. Row 11 represents the subscale total score for Factor 1, row 12 represents subscale total score for Factor 2 and row 13 represents the Overall Global Score.

Row 14:Represent the missing datsa from the QSU-BRIEF Scale for subject 2324-P0001 at visit 2. Since the reason for not completing the visit was collected, the date is included in --DTC for when the visit was planned. As no observation is provided evaluation interval QSEVINTX is missing. NEED TO CHECK THIS. 
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSREASNDQSLOBXFLVISITNUMQSDTCQSEVINTX
1STUDYXQS2324-P00011QSUB0101QSUB01-Desire Cigarette Right NowQSU-BRIEF909090

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
2STUDYXQS2324-P00012QSUB0102QSUB01-Nothing Better Than Cigarette NowQSU-BRIEF505050

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
3STUDYXQS2324-P00013QSUB0103QSUB01-Probably Would Smoke NowQSU-BRIEF707070

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
4STUDYXQS2324-P00014QSUB0104QSUB01-Control Things Better Could SmokeQSU-BRIEF707070

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
5STUDYXQS2324-P00015QSUB0105QSUB01-All I Want Right Now Is CigaretteQSU-BRIEF505050

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
6STUDYXQS2324-P00016QSUB0106QSUB01-Have an Urge for a CigaretteQSU-BRIEFStrongly Agree100100

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
7STUDYXQS2324-P00017QSUB0107QSUB01-A Cigarette Would Taste Good NowQSU-BRIEF808080

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
8STUDYXQS2324-P00018QSUB0108QSUB01-Do Anything for a Cigarette NowQSU-BRIEF909090

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
9STUDYXQS2324-P00019QSUB0109QSUB01-Smoking Make Me Less DepressedQSU-BRIEF808080

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
10STUDYXQS2324-P000110QSUB0110QSUB01-Going Smoke as Soon as PossibleQSU-BRIEFStrongly Disagree00

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
11STUDYXQS2324-P000111QSUB0111QSUB01-Factor 1 ScaleQSU-BRIEF686868

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
12STUDYXQS2324-P000112QSUB0112QSUB01-Factor 2 ScaleQSU-BRIEF808080

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
13STUDYXQS2324-P000113QSUB0113QSUB01-General Factor ScaleQSU-BRIEF686868

Y12015-05-15DURING QUESTIONNAIRE COMPLETION
14STUDYXQS2324-P00011QSUB0101QSUB01-Desire Cigarette Right NowQSU-BRIEF


NOT DONESUBJECT REFUSED
22015-05-15

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