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Green = Recent FDA Changes

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titleInformation for Reviewers

Text in black is part of the template used to create this document and is not revised under CDISC internal or public review. Please review the blue text; this text represents the changes made to the template that are specific to this QRS instrument.

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Title

Brief Questionnaire of on Smoking Urges-Brief (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
TeamTobacco Standards Teamand CDISC Questionnaires, Ratings, and Scales (QRS) Subteam
Supplement Version1.0
StatusDRAFT
Date2024-0104-0708
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.


Revision History

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Date

Revision History

DateVersion
2024-0104-07081.0 Draft

© 2023 2024 Clinical Data Interchange Standards Consortium, Inc. All rights reserved. 

1 Introduction

This document describes the CDISC implementation of the Brief the Questionnaire of on Smoking Urges-Brief (QSU-BRIEF) instrument.

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 specific implementation details for this instrument are meant to be used in conjunction with the SDTMIG. All CDISC Questionnaires, Ratings, and Scales ( QRS) documentation packages can be found on the CDISC website at: https://www.cdisc.org/standards/foundational/qrs.

The CDISC Intellectual Property Policy can be found on the CDISC website at: https://www.cdisc.org/about/bylaws.

1.1 Representations and Warranties, Limitations of Liability, and Disclaimers

This document is a supplement to the SDTMIG for Human Clinical Trials and is covered under Appendix F of that document, which describes representations, warranties, limitations of liability, and disclaimers. Please see Appendix F of the SDTMIG for a complete version of this material.

CDISC specifies how to structure the data that has been collected in a database, not what should be collected or how to conduct clinical assessments orimplement protocols. CDISC disclaims any liability for your use of this material.

Although the United States Food and Drug Administration (US FDA) has provided input with regard to this supplement, this input does not constitute US FDA endorsement of any particular instrument.  (Include this line only for supplements that the US FDA will be reviewing.  Please DO NOT MODIFY the sentence.)

2 Copyright Status

Stephen T Tiffany owns 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. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the instrument.

2 Copyright Status

Stephen T. Tiffany owns 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. Hence, CDISC developed QSTESTCD and QSTEST for each item based on the actual text on the instrument.

These materials discuss and/or include the Questionnaire on Smoking Urges-Brief (QSU-BRIEF), which are owned exclusively by Stephen T. Tiffany. No part of the Questionnaire on Smoking Urges-Brief (QSU-BRIEF) may be reproduced, distributed, or transmitted Questionnaire on Smoking Urges-Brief (QSU-BRIEF) (Cox, L. S., Tiffany, S. T., & Christen, A. G. (2001). Evaluation of the brief questionnaire of smoking urges (QSU-Brief) in laboratory and clinical settings. Nicotine and Tobacco Research, 3, 7-16). These materials discuss and/or include the Questionnaire on Smoking Urges-Brief (QSU-BRIEF), which are owned exclusively by Stephen T Tiffany. No part of the Questionnaire on Smoking Urges-Brief (QSU-BRIEF) may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of  Stephen T. Tiffany and payment of any applicable fees. Copyright Stephen T. Tiffany. All rights reserved.

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Info
titleInformation for Reviewers

The CRF is attached at the top of the Wikiwiki. When you click the paperclip image, you will find the file for the annotated CRF.

...

CDISC acknowledges Stephen T. Tiffany for the approval to include the QSU-BRIEF in the CDISC data standards.

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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.

3 The QS Domain Model

3.1 Assumptions for the QS Domain Model

All assumptions and business rules described in the SDTMIG QS domain are applicable to this supplement. Additional assumptions specific to the QSU-BRIEF are listed below.

The QSU-BRIEF is a self-report instrument used to assess the severity of craving to smoke. The QSU-Brief Form contains 10 items and is intended to represent the two factors contained in the longer, 32-item QSU (Tiffany & Drobes, 1991). This brief form contains 10 items, each rated on a 100-point scale in increments of 10 ranging from 0 = "Strongly Disagree" to 100 = "Strongly Agree". Factor 1 Scale 2 factors and a general factor. The factor 1 scale is represented by the average score of items 1, 3, 6, 7, and 10; the factor 2 scale is represented by the average score of items 1, 3, 6, 7, and 10, and the Factor 2 Scale 4, 8, and 9. The general factor scale is represented by the overall average score of items 4, 8, and 9. The General Factor Scale is represented by the overall average score derived from all 10 items.derived from all 10 items.

  1. The original scores include scores include a numeric rating (0-100) in increments of 10, and a definition of what the ratings represent at the scale anchors (e.g., 0 = "Strongly Disagree" and 100 = "Strongly Agree"). For the QSU-BRIEF, QSORRES is populated with the text description while ; the numeric rating is represented in the standardized character and numeric result variables QSSTRESC and QSSTRESN.   All other numeric values are stored in QSORRES, QSSTRESC and QSSTRESN.

  2. The numeric rating scale used in the QSU-BRIEF includes text and numeric values as indicated in the SUPPQS domain with:

    QNAM = "QSANTXLO"     QNAM = "QSANTXHI"

    QNAM = "QSANVLLO"     QNAM = "QSANVLHI"
    By storing this information in SUPPQS, it is available for interpretation purposes.The low and high anchor text is stored in QSORRES with the numeric values stored in QSSTRESC and QSSTRESN.  All other numeric values are stored in QSORRES, QSSTRESC and QSSTRESN.
  3. For questionnaire items QSTESTCD = "QSUB0101" to QSTESTCD ="QSUB0110", QSMETHOD is populated with "NUMERICAL RATING SCALE 11-POINT". The numeric rating scale represents the item-level ratings from 0 = "Strongly Disagree" to 100 = "Strongly Agree" in increments of 10.
  4. The time period of evaluation for the QSU-BRIEFThe time period of evaluation for the QSU-BRIEF is populated in the QSEVINTX field as an evaluation interval text value, since it cannot be precisely described as an ISO 8601 duration. The evaluation interval for the QSU-BRIEF is "DURING QUESTIONNAIRE COMPLETIONRIGHT NOW" (QSEVINTX = "DURING QUESTIONNAIRE COMPLETIONRIGHT NOW").
  5. Records are created in qs.xpt for every instrument item
    1. For items with no data, QSORRES, QSSTRESC, and QSSTRESN are all missing and QSSTAT = "NOT DONE". If the reason is known then that reason is represented in QSREASND (e.g., QSREASND = "PREFER NOT TO ANSWER"). If the reason is unknown, then QSSTAT = "NOT DONE" and QSREASND is missing.

    2. Due to the variability of copyright holder and public domain derived subscore and overall score generation processes, records are not included for derived subscores or overall scores that are not provided.
  6. The QSU-BRIEF instrument includes an overall score and two 2 subscoresthat are considered as captured data on the instrument and is not considered as derived in the example below. These scores may be submitted in SDTM or derived in the Analysis Data Model (ADaM) per scoring instructions from Stephen T. Tiffany.

    1. Subscores and overall scores are represented in QSORRES, QSSTRESC, and QSSTRESN.
    2. If subscores or overall scores are received or derived by the sponsor, it is recommended that they are submitted to SDTM and verified in ADaM whenever feasible.It is the sponsors sponsor's responsibility to do this verification based on the instrument's user manual or instructions from the copyright owner.
  7. Terminology

    1. QSCAT, QSTESTCD, and QSTEST values are included in CDISC Controlled Terminology.

    2. A full list of value sets for the result fields is provided in Section 4, SDTM Mapping Strategy.

3.2 Example for the QSU-BRIEF QS Domain Model

The QSU-BRIEF example below shows the terminology used to implement the instrument in the QS domain. This example shows the data for 1 subject collected at the baseline visit and VISITNUM = 2 for the QSU-BRIEF instrument. The example uses CDISC Controlled Terminology for QSTESTCD, QSTEST, and QSCATAll original results, matching the CRF item response text, are represented in QSORRES. This result is then represented as a standard numeric score in QSSTRESN and as a standard character representation in QSSTRESC.

...

Dataset wrap
Nameqs
Rowcaps
Rows 11-13:Row 11 represents the subscale score for Factor 1 Scale, row 12 represents subscale score for Factor 2 Scale, and row 13 represents the General Factor Scale. 
Rows 14-26:

Represent the missing data from the QSU-BRIEF Scale for subject 2324-P0001 at

visit 1

VISITNUM = 2. Since the visit was missed, the reason for not completing the questionnaire at the visit was not collected,

the

and no date is

included in QSDTC

assumed for when the visit

was planned

would have occurred.

 

Rows 11-13:

Row 11 represents the subscale score for Factor 1 Scale, row 12 represents subscale score for Factor 2 Scale, and row 13 represents the General Factor Scale.

Dataset wrap
Namesuppqs
STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
Dataset2
Dataset2
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSREASNDQSLOBXFLVISITNUMQSDTCQSEVINTX
1
RowSTUDYIDDOMAINUSUBJIDQSSEQQSTESTCDQSTESTQSCATQSORRESQSSTRESCQSSTRESNQSSTATQSREASNDQSMETHODQSLOBXFLVISITNUMQSDTCQSEVINTX

1

STUDYX

QS

2324-P0001

1

QSUB0101

QSUB01-Desire Cigarette Right Now

QSU-BRIEF

90

90

90



NUMERICAL RATING SCALE 11-POINT

Y

1

2015-05-15

RIGHT NOW

2

STUDYX

QS

2324-P0001

2

QSUB0102

QSUB01-Nothing Better Than Cigarette Now

QSU-BRIEF

808080

NUMERICAL RATING SCALE 11-POINT

Y

1

2015-05-15

RIGHT NOW

3

STUDYX

QS

2324-P0001

3

QSUB0103

QSUB01-Probably Would Smoke Now

QSU-BRIEF

70

70

70



NUMERICAL RATING SCALE 11-POINT

Y

1

2015-05-15

RIGHT NOW

4

STUDYX

QS

2324-P0001

4

QSUB0104

QSUB01-Control Things Better Could Smoke

QSU-BRIEF

70

70

70



NUMERICAL RATING SCALE 11-POINT

Y

1

2015-05-15

RIGHT NOW

5

STUDYX

QS

2324-P0001

1

5

QSUB0101

QSUB0105

QSUB01-

Desire Cigarette

All I Want Right Now Is Cigarette

QSU-BRIEF

50

90

50

90

50



NUMERICAL RATING SCALE 11-POINT

90

Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

6

2

STUDYX

QS

2324-P0001

2

6

QSUB0102

QSUB0106

QSUB01-

Nothing Better Than Cigarette Now

Have an Urge for a Cigarette

QSU-BRIEF

NOT DONESUBJECT REFUSED

Strongly Agree

100

100



NUMERICAL RATING SCALE 11-POINT

Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

7

3

STUDYX

QS

2324-P0001

3

7

QSUB0103

QSUB0107

QSUB01-

Probably

A Cigarette Would

Smoke

Taste Good Now

QSU-BRIEF

70

80

80

70

80



NUMERICAL RATING SCALE 11-POINT

70

Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

8

4

STUDYX

QS

2324-P0001

4

8

QSUB0104

QSUB0108

QSUB01-

Control Things Better Could Smoke

Do Anything for a Cigarette Now

QSU-BRIEF

70

90

90

70

90



NUMERICAL RATING SCALE 11-POINT

70

Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

9

5

STUDYX

QS

2324-P0001

5

9

QSUB0105

QSUB0109

QSUB01-

All I Want Right Now Is Cigarette

Smoking Make Me Less Depressed

QSU-BRIEF

50

80

80

50

80



NUMERICAL RATING SCALE 11-POINT

50

Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

10

6

STUDYX

QS

2324-P0001

6

10

QSUB0106

QSUB0110

QSUB01-

Have an Urge for a Cigarette

Going Smoke as Soon as Possible

QSU-BRIEF

Strongly

Agree

Disagree

0

100

0



NUMERICAL RATING SCALE 11-POINT
100

Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

11

7

STUDYX

QS

2324-P0001

7

11

QSUB0107

QSUB0111

QSUB01-

A Cigarette Would Taste Good Now

Factor 1 Scale

QSU-BRIEF

80

68

80

68

80

68




Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

12

8

STUDYX

QS

2324-P0001

8

12

QSUB0108

QSUB0112

QSUB01-

Do Anything for a Cigarette Now

Factor 2 Scale

QSU-BRIEF

90

80

90

80

90

80




Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

13

9

STUDYX

QS

2324-P0001

9

13

QSUB0109

QSUB0113

QSUB01-

Smoking Make Me Less Depressed

General Factor Scale

QSU-BRIEF

80

71

80

71

80

71




Y

1

2015-05-15

DURING QUESTIONNAIRE COMPLETION

RIGHT NOW

14

10

STUDYX

QS

2324-P0001

10

14

QSUB0110

QSUB0101

QSUB01-

Going Smoke as Soon as Possible

Desire Cigarette Right Now

QSU-BRIEF

Strongly Disagree00Y12015-05-15DURING QUESTIONNAIRE COMPLETION




NOT DONE


2



15

STUDYX

QS

2324-P0001

15

QSUB0102

QSUB01-Nothing Better Than Cigarette Now

QSU-BRIEF




NOT DONE




2

16

11

STUDYX

QS

2324-P0001

11

16

QSUB0111

QSUB0103

QSUB01-

Factor 1 Scale

Probably Would Smoke Now

QSU-BRIEF

686868Y12015-05-15DURING QUESTIONNAIRE COMPLETION



NOT DONE


2

17

STUDYX

QS

2324-P0001

17

QSUB0104

QSUB01-Control Things Better Could Smoke

QSU-BRIEF




NOT DONE


2

18

12

STUDYX

QS

2324-P0001

12

18

QSUB0112

QSUB0105

QSUB01-

Factor 2 Scale

All I Want Right Now Is Cigarette

QSU-BRIEF

808080Y12015-05-15DURING QUESTIONNAIRE COMPLETION



NOT DONE


2

19

STUDYX

QS

2324-P0001

19

QSUB0106

QSUB01-Have an Urge for a Cigarette

QSU-BRIEF




NOT DONE




2

20

13

STUDYX

QS

2324-P0001

13

20

QSUB0113

QSUB0107

QSUB01-

General Factor Scale

A Cigarette Would Taste Good Now

QSU-BRIEF

68



NOT DONE

68




2
68


21

Y

STUDYX

1

QS

2015

2324-

05-15DURING QUESTIONNAIRE COMPLETION

The anchor range text and numeric values for data collection needs to be populated in SUPPQS as follows. The standard terminology for QNAM and QLABEL are listed below.

CRF

P0001

21

QSUB0108

QSUB01-Do Anything for a Cigarette Now

QSU-BRIEF




NOT DONE




2

22

STUDYX

QS

2324-P0001

22

QSUB0109

QSUB01-Smoking Make Me Less Depressed

QSU-BRIEF




NOT DONE




2

23

STUDYX

QS

2324-P0001

23

QSTESTCDQSUB0106QSANTXLOAnchor Text LowStrongly Disagree

QSUB0110

QSUB01-Going Smoke as Soon as Possible

QSU-BRIEF




NOT DONE


2

24

STUDYX

QS

2324-P0001QSTESTCDQSUB0110QSANTXHIAnchor Text HighStrongly AgreeCRF

2324-P0001

24

QSUB0111

QSUB01-Factor 1 Scale

QSU-BRIEF




NOT DONE


2



25

STUDYX

QS

2324-P0001

25

QSTESTCDQSUB0106QSANVLLOAnchor Numeric Value Low0

QSUB0112

QSUB01-Factor 2 Scale

QSU-BRIEF




NOT DONE


2



26

CRF

STUDYX

QS

2324-P0001

QSTESTCDQSUB0110QSANVLHIAnchor Numeric Value High100CRF

26

QSUB0113

QSUB01-General Factor Scale

QSU-BRIEF




NOT DONE


2



info
Dataset wrap
Namesuppqs

The anchor range text and numeric values for data collection needs to be populated in SUPPQS as follows. The example provided illustrates the potential response options for QSTESTCD = "QSUB0101" only, but this applies to all QSTESTCD. The standard terminology for QNAM and QLABEL are listed below.

Dataset wrapdataset2
Nametableidsuppqs
STUDYIDRDOMAINUSUBJIDIDVARIDVARVALQNAMQLABELQVALQORIG
STUDYXQS2324-P0001QSTESTCD
QSUB0106
QSUB0101QSANTXLOAnchor Text LowStrongly DisagreeCRF
STUDYXQS2324-P0001QSTESTCD
QSUB0110
QSUB0101QSANTXHIAnchor Text HighStrongly AgreeCRF
STUDYXQS2324-P0001QSTESTCD
QSUB0106
QSUB0101QSANVLLOAnchor Numeric Value Low0CRF
STUDYXQS2324-P0001QSTESTCD
QSUB0110
QSUB0101QSANVLHIAnchor Numeric Value High100CRF

4 SDTM Mapping Strategy

This section is used for reference regarding the CRF data capture and to understand the alignment of the instrument to the SDTM QS domain. It also provides guidance on how the result variables (QSORRES, QSSTRESC, and QSSTRESN) should be populated.

...

"All QSTESTCDs"

QSORRESQSSTRESCQSSTRESN
Strongly Disagree00
101010
202020
303030
404040
505050
606060
707070
808080
909090
Strongly Agree100100


5 Supplemental Qualifier Name Codes

...