B-19 Youth Social Norms Module

Generic Clearance for Cognitive Testing of Instrumentation and Materials for the PATH Study (NIDA)

PATH Cognitive Testing Sub-study Attachment B-19. Youth Social Norms Module 062115

Cognitive Testing for the PATH Study Wave 4 Questionnaires

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Population Assessment of Tobacco and Health (PATH) Study

Wave 4 Cognitive Testing Protocol



Youth Social Norms Module



Youth Social Norms Module

research question

Test to see if youth understand what is meant by general views for “most people.”



R03_YX0008

existing path item

  1. In general, do you think most people disapprove of smoking cigarettes?

  • Definitely yes

  • Probably yes

  • Probably not

  • Definitely not



R03_YX0012

existing path item

  1. In general, do you think most people disapprove of using e-cigarettes or other electronic nicotine products?

  • Definitely yes

  • Probably yes

  • Probably not

  • Definitely not




Research question

Do youth understand that these questions are asking about other people's opinions on tobacco use in general, and not their views on the respondent's personal use? If respondents are unfamiliar with a particular tobacco product, are they using their response to Q3 (RO3_YX0071) to inform their answers to Q4-9?



R03_YX0071

existing path item

  1. Thinking about the people who are important to you, how would you describe their views on using tobacco in general?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative



R03_YC1143

existing path item adapted for cognitive testing

  1. Thinking about the people who are important to you, how would you describe their views on smoking cigarettes?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative



R03_ Yv1143

existing path item adapted for cognitive testing

  1. Thinking about the people who are important to you, how would you describe their views on using e-cigarettes or other electronic nicotine products?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative





R03_ Yg1143

existing path item adapted for cognitive testing

  1. Thinking about the people who are important to you, how would you describe their views on smoking traditional cigars, cigarillos, or filtered cigars?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative



R03_ Yh1143

existing path item adapted for cognitive testing

  1. Thinking about the people who are important to you, how would you describe their views on smoking hookah?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative



R03_ Yu1143

existing path item adapted for cognitive testing

  1. Thinking about the people who are important to you, how would you describe their views on using snus pouches?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative





R03_ Ys1143

existing path item adapted for cognitive testing

  1. Thinking about the people who are important to you, how would you describe their views on using smokeless tobacco (such as dip, spit, or chew)?

  • Very positive

  • Positive

  • Neither positive nor negative

  • Negative

  • Very negative

R03_YX0741

existing path item

  1. Thinking about the people who are important to you, do any of them use any of the following products? Choose all that apply.

  • Cigarettes

  • E-cigarettes or other electronic nicotine products

  • Traditional cigars

  • Cigarillos

  • Filtered cigars

  • Hookah

  • Snus pouches

  • Smokeless tobacco (such as dip, spit or chew)





research question

Do youth understand that these questions are asking about other people's opinions on respondents’ use (for users) or hypothetical use (for nonusers)?

if do not smoke cigarettes GO TO Q12

R03_yc1144

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my cigarette smoking.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not use e-cigarettes GO TO Q13

R03_yv1144_ecig

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my e-cigarette use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree





if do not use e-cigars GO TO Q14

R03_ yv1144_ecigar

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my e-cigar use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not use e-pipes GO TO Q15

R03_ yv1144_epipe

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my e-pipe use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not use e-hookahs GO TO Q16

R03_ yv1144_ehookah

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my e-hookah use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree



if do not use electronic nicotine products GO TO Q17

R03_ yv1144_ends

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my electronic nicotine product use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not smoke traditional cigars GO TO Q18

R03_yg9041

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my traditional cigar smoking.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not smoke cigarillos GO TO Q19

R03_ yg9042

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my cigarillo smoking.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree



if do not smoke filtered cigars GO TO Q20

R03_ yg9043

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my filtered cigar smoking.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not use hookahs GO TO Q21

R03_yh1144

existing path item adapted for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my hookah smoking.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if do not use SNUS GO TO Q 22

R03_ yu1144

existing path item adapted for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my snus use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree



if do not use SMOKELESS TOBACCO GO TO Q23

R03_ys1144

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me disapprove of my smokeless tobacco use.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

IF SMOKE CIGARETTES GO TO Q24

R03_yc1145

existing path item adapted for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I smoked cigarettes.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if use e-cigarettes or other electronic nicotine products GO TO Q25

R03_ yv1145

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I used e-cigarettes or other electronic nicotine products.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree



If SMOKE TRADITIONAL CIGAR GO TO Q26

R03_YG9056

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I smoked traditional cigars.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

If SMOKE CIGARILLO GO TO Q27

R03_ YG9057

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I smoked cigarillos.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

If SMOKE FILTERED CIGAR GO TO Q28

R03_ YG9058

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I smoked filtered cigars.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree



if SMOKE hookah GO TO Q29

R03_ Yh1145

existing path item adapted for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I smoked hookah.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

If use snus GO TO Q30

R03_ Yu1145

existing path item adapted for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I used snus.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree

if use smokeless tobacco GO TO PROBES

R03_ Ys1145

existing path item adpated for cognitive testing

  1. How much do you agree or disagree with the following statement?



People who are important to me would disapprove if I used smokeless tobacco.

  • Strongly agree

  • Agree

  • Neither agree nor disagree

  • Disagree

  • Strongly disagree



Let’s look at questions 1 and 2. Tell me more about your answers for these questions. PROBE TO CONFIRM THAT RESPONDENTS ARE CORRECTLY INTEREPRETING THE ITEM; I.E., CHOOSING “DEFINITELY YES” MEANS “I DEFINITELY THINK MOST PEOPLE DISAPPROVE OF SMOKING CIGARETTES.”

Who did you think about when you were answering these questions?

Let’s look at questions 3 through 10. In your words, what are these questions asking?

Who did you think about when you were answering these questions?

CHECK YOUTH SKIP SHEET FOR ANY PROUCTS THE RESPONDENT WAS UNFAMILIAR WITH. How did you come up with your answer for {UNFAMILIAR PRODUCT}?
IF ANSWER FOR Q3 (TOBACCO GENERALLY) IS DIFFERENT, How did you decide that the people are most important to you would have more positive/negative views of {UNFAMILIAR PRODUCT} than of tobacco generally?

SELECT A FEW ITEMS TO PROBE. FOCUS ON ANY OUTLIER RESPONSES.
How did you come up with your answers for these questions?
IF NEEDED, Have you ever discussed their views on {USING PRODUCT}?
IF NOT, How did you decide how to answer?





Let’s look at questions 11 through 30. In your words, what are these questions asking?

Who did you think about when you were answering these questions?

How did you come up with your answers for these questions?


SELECT A FEW ITEMS TO PROBE. FOCUS ON ANY OUTLIER RESPONSES.

BE SURE TO PROBE ABOUT BOTH ITEMS FOR PRODUCTS THEY USE & ITEMS FOR PRODUCTS THEY DO NOT USE. ENSURE RESPONDENTS ARE DIFFERENTIATING BETWEEN THE TWO WHEN ANSWERING.



Research question

Test revised W3 section to see how youth differentiate between “most people,” “people that are important to you,” and “best friends.”

IF NOT A TOBACCO USER GO TO Q32


R03_yx0742

existing path item

  1. In the past 12 months, to what extent, if at all, has the disapproval of close friends and family led you to think about quitting?

  • Not at all

  • Somewhat

  • Very much

Who did you think about when you were answering this question?

Tell me about your answer.



R03_YX0680

existing path item adapted for cognitive testing

  1. How many of your best friends smoke cigarettes?

  • None

  • A few

  • Some

  • Most

  • All





R03_YX0681

existing path item adapted for cognitive testing

  1. How many of your best friends use e-cigarettes or other electronic nicotine products?

  • None

  • A few

  • Some

  • Most

  • All



R03_YX0682

existing path item adapted for cognitive testing

  1. How many of your best friends smoke traditional cigars?

  • None

  • A few

  • Some

  • Most

  • All



R03_YX0683

existing path item adapted for cognitive testing

  1. How many of your best friends smoke cigarillos?

  • None

  • A few

  • Some

  • Most

  • All



R03_YX0684

existing path item adapted for cognitive testing

  1. How many of your best friends smoke filtered cigars?

  • None

  • A few

  • Some

  • Most

  • All



R03_YX0693

existing path item adapted for cognitive testing

  1. How many of your best friends use snus pouches?

  • None

  • A few

  • Some

  • Most

  • All



R03_YX0685

existing path item adapted for cognitive testing

  1. How many of your best friends use smokeless tobacco (such as dip, spit or chew)?

  • None

  • A few

  • Some

  • Most

  • All

Who did you think about when you were answering these questions?

How did you come up with your answers for these questions?



R03_YX0714

existing path item

  1. In the past 12 months, have your parents or guardians talked with you, even once, about not using e-cigarettes or other electronic nicotine products?

  • Yes

  • No



R03_YX0694

existing path item

  1. If your parents or guardians found you using e-cigarettes or other electronic nicotine products, how do you think they would react? Would they…

  • Be very upset

  • Not be too upset

  • Have no reaction

R03_YX0500

existing path item

  1. In the past 12 months, have your parents or guardians talked with you, even once, about not using any other type of tobacco product?

  • Yes

  • No

R03_YX0200

existing path item

  1. If your parents or guardians found you using tobacco, how do you think they would react? Would they…

  • Be very upset

  • Not be too upset

  • Have no reaction




What reaction, if any, did you have to these questions?

Tell me about your answers.

IF RESPONDENT USES TOBACCO AND/OR ELECTRONIC PRODUCTS,
Do your parents/guardians know that you use {PRODUCT}?
IF YES, How did they react when they found out?
IF THERE IS ANY DISCREPANCY BETWEEN THIS AND THEIR ANSWER TO THE QUESTION, PROBE TO FIND OUT HOW RESPONDENT DECIDED ON ANSWER.

In your own words, what is the difference between “most people,” “people who are important to you,” and “your best friends?” How easy or difficult was it to think about their general views on tobacco products?



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