Att J. Primary Secondary Outcomes and Survey Items 1 9 13

Att J. Primary Secondary Outcomes and Survey Items 1 9 13.doc

Evaluation of the National Tobacco Prevention and Control Public Education Campaign

Att J. Primary Secondary Outcomes and Survey Items 1 9 13

OMB: 0920-0923

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Attachment J. Primary and Secondary Outcomes, Survey Questions, and Expected Timeframe for Outcome Change


Type of Outcome

Expected Timeframe for Impact

Survey Question

Instrument Item Numbers

Smokers Survey - Baseline

Smokers Survey - Follow Up

Nonsmokers Survey - Baseline

Nonsmokers Survey - Follow Up

Smokers Survey- Wave 3

Nonsmokers Survey- Wave 3


Secondary Outcome: Campaign Awareness and Receptivity

Within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH], have you seen or heard of any ads on television or radio with the following themes or slogans?

F14

F17

E18

E18

F17


E18

Within 3-12 months

Where have you seen or heard about the TIPS Campaign?

-

F18

-

E19

F18


E19

Within 12 months

Have you heard of the Website [INSERT FINAL URL]?

-

F18A

-

E19A

F18A


E19A

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you visited [INSERT FINAL URL]?

-

F18B

-

E19B

F18B


E19B

Within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH], Have you seen this ad on television?

-

F24

-

E25

F24


E25

Within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad on television?

-

F24A

-

E26

F24A


E26

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad on the online?

-

-

-

-

F24A1


E26A

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad on the online?

-

-

-

-

F24B


E26B

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad on a mobile device?

-

-

-

-

F24C


E26C

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad on a mobile device?

-

-

-

-

F24D


E26D

Within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH], have you heard this ad on the radio?

-

F35

-

E36

F35


E36

Within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH], how frequently have you heard this ad on the radio?

-

F35A

-

E37

F35A


E37

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen any of these ads in magazines, on Websites, or in public places outside your home?

-

F36

-

E38

F36


E38

Within 3-12 months

Where did you see these advertisements?

-

F37

-

E39

F37


E39

Within 4 months

On an average day, how much television do you watch?

-

-

-

-

F1


E1

Within 4 months

On an average day, how many hours do you listen to the radio?

-

-

-

-

F2


E2

Within 4 months

On an average day, how many hours do you use the Internet for personal reasons?

-

-

-

-

F3


E3

Within 4 months

Overall, when you use the Internet, are you mostly using your cell phone or mostly using some other device like a desktop, laptop, tablet or other mobile device?

-

-

-

-

F3A


E3A

Within 4 months

What type of Internet connection do you have for your home computer or other primary computer?

-

-

-

-

F4


E4

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], how often have you seen ads against smoking on television?

F5

F5

E5

E5

F5


E5

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], how often have you heard ads against smoking on the radio?

F6

F6

E6

E6

F6


E6

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], how often have you seen ads against smoking in newspapers or magazines?

F7

F7

E7

E7

F7


E7

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], how often have you seen ads against smoking in videos online?

F8

F8

E8

E8

F8


E8

Within 4 months

Have you ever heard of any quit smoking websites online?

-

-

-

-

F9


E11

Within 3-12 months

The TIPS campaign is on social networking sites including Facebook, YouTube , and Twitter. Have you ever seen the TIPS campaign on these sites?

-

F20

-

E21

F20


E21

Within 3-12 months

Please tell us if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements. This ad is…..

-

F25_1 - F25_9

-

E27_1 - E28_9

F25_1 - F25_9


E27_1 - E27_9

Within 3-12 months

On scale of 1 to 5, where 1 means “not at all” and 5 means “very”, please indicate how much this ad made you feel…

-

F26_1 - F26_9

-

E28_1 - E28_9

F26_1 - F26_9


E28_1 - E28_9

Within 3-12 months

Would this ad make you want to encourage someone you care about to quit smoking?

-

F27

-

E29

F27


E29

Within 3-12 months

Would this ad make you want to quit smoking?

-

F28

-

-

F28


-

Within 4 months

Do you think these ads would be relevant for people who smoke cigars, cigarillos or very small cigars that look like cigarettes.

-

-

-

-

F28A


E29A

Within 4 months

Do you think these ads would be relevant for people who smoke brown cigarettes?





F28B


E29B

Within 3-12 months

Did seeing these ads on television make you want to encourage someone you care about to quit smoking?

-

F29

-

E30

F29


E30

Within 3-12 months

Did you talk to anyone about any of these ads ?

-

F30

-

E31

F30


E31

Within 3-12 months

When you talked about the ads, did you talk about any of the following topics? Please select all that apply.

-

F31_1 - F31_5

-

F32_1 - F32_5

F31_1 - F31_5


E32 (no E32_1-E32_5)

Within 3-12 months

A telephone quitline is a free telephone-based service that connects people who smoke cigarettes with someone who can help them quit. Are you aware of any telephone quitline services that are available to help you quit smoking?

C18

C18

-

E9

C18


E9

Within 3-12 months

Have you heard of 1-800-QUIT-NOW?

C20

C20

E10

E10

C20


E10

Within 3-12 months

Have you heard of the Website [insert final url] ?

F11

F11

E14

E14

F11


E14

Secondary Outcome: Awareness of Cessation Services

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH],have you called 1-800 QUIT-NOW or any other telephone quitline?

C22

C22

-

-

C22


-

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you talked with your doctor or health care professional about quitting smoking?

-

-

-

-

C23


-

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH],have you visited any quit smoking websites online?

F10A

F10A

E13

E13

F10A


E13

Secondary Outcome: Behavior - Cessation-Related Information-seeking

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you visited [insert final url]?

F12A

F12A

E16

E16

F12A


E16

Within 3-12 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen or heard advertisements for products to help people quit smoking, such as nicotine patches or gums?

F13

F13

E17

E17

F13


E17

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], when you were using the Internet or your smartphone, how many times did you see information about…?

-

-

-

-

F14


E4A

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever seen information about any of these topics when using the following platforms?

-

-

-

-

F14A


E4B

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], when you were using the Internet or your smartphone, how many times did you search for information about…?

-

-

-

-

F14B


E4C

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever searched information about any of these topics when using the following platforms?

-

-

-

-

F15


E4D

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], , how many times have you shared information with other people, or posted information on your social network (e.g., Facebook, LinkedIn, Twitter, MySpace, or another social network) about each of the following?

-

-

-

-

F16


E4E

Within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever shared information about any of these topics when using the following platforms?

-

-

-

-

F16B


E4F

Within 3-12 months

If you decided to quit smoking in the future, would gather information or support for quitting from…a telephone quitline, etc..

C19_1 - C19_4

C19_1 - C19_4

-

-

C19_1 - C19_4


-

Possibly within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH],, have you recommended any family members or friends that smoke to call a telephone quitline?

-

-

E9A

E9A

-


E9A

Possibly within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH], have you recommended any family members or friends that smoke to visit[insert final url]?

-

-

E16A

E16A

-


E16A

Possibly within 3-12 months

Since [DATE OF CAMPAIGN LAUNCH],, have you recommended any family members or friends that smoke to call 1-800-QUIT-NOW?

-

-

E10A

E10A

-


E10A

Possibly within 4 months

Since [FILL DATE OF CAMPAIGN LAUNCH], have you recommended any family members or friends that smoke to talk with their doctor or health care professional about quitting smoking?

-

-

-

-

-


E10B

Possibly within 3-12 months

During the past 3 months, have you talked to any family members or friends about the dangers of smoking?

-

-

D5

D5

-


D5

Secondary Outcome: Cessation-Related Communication with Smokers

Possibly within 3-12 months

During the past 3 months, did you encourage a friend or family member to quit smoking?




-

-

D5A

D5A

-


D5A

Possibly within 3-12 months

Do you want to quit smoking cigarettes for good?

C6

C6

-

-

C6


-

Possibly within 3-12 months

How much do you want to quit smoking? Would you say…

C7

C7

-

-

C7


-

Possibly within 3-12 months

Do you have a time frame in mind for quitting?

C8

C8

-

-

C8


-

Possibly within 3-12 months

Do you plan to quit smoking for good….

C9

C9

-

-

C9


-

Possibly within 3-12 months

If you decided to give up smoking altogether in the next 12 months, how likely do you think you would be to succeed? Would you say…

C10

C10

-

-

C10


-

Secondary Outcome: Smoking and Cessation-Related Knowledge, Attitudes, and Policies

Possibly within 3-12 months

How much do you think your health would improve if you were to quit smoking?

C11

C11

-

-

C11


-

Possibly within 3-12 months

How worried are you that smoking will damage your health in the future?

C12

C12

-

-

C12


-

Possibly within 3-12 months

How do you think most people who are important to you would feel about you quitting tobacco use during the next 12 months? Would they…

C13

C13

-

-

C13


-

Possibly within 3-12 months

Among close friends, do

C14

C14

D6

D6

C14


D6

Possibly within 4 months

Among close relatives, do

C15

C15

D7

D7

C15


D7

Possibly within 3-12 months

How many of your family members have quit smoking or are currently quitting smoking?

C16

C16

D8

D8

C16


D8

Possibly within 3-12 months

How many of your friends have quit smoking or are currently quitting smoking?

C17

C17

D9

D9

C17


D9

Possibly within 3-12 months

Smoking cigarettes is pleasurable.

D1

D1

-

-

D1


-

Possibly within 3-12 months

Smoking cigarettes relieves tension.

D2

D2

-

-

D2


-

Possibly within 3-12 months

Smoking helps me concentrate and do better work.

D3

D3

-

-

D3


-

Possibly within 3-12 months

I would be more energetic right now if I didn’t smoke.

D4

D4

-

-

D4


-

Possibly within 3-12 months

I’m embarrassed that I have to smoke.

D5

D5

-

-

D5


-

Possibly within 3-12 months

Smoking is hazardous to my health.

D6

D6

-

-

D6


-

Possibly within 3-12 months

I have been thinking a lot about quitting smoking recently.

D7

D7

-

-

D7


-

Possibly within 3-12 months

I am eager for a life without smoking.

D8

D8

-

-

D8


-

Possibly within 3-12 months

I am not prepared to make changes in my life in order to quit smoking.

D9

D9

-

-

D9


-

Possibly within 3-12 months

I get upset when I think about my smoking.

D10

D10

-

-

D10


-

Possibly within 3-12 months

I am disappointed in myself because I smoke.

D11

D11

-

-

D11


-

Possibly within 3-12 months

I get upset when I hear or read about illnesses caused by smoking.

D12

D12

-

-

D12


-

Possibly within 3-12 months

Warnings about the health risks of smoking upset me.

D13

D13

-

C1_1 - C1_11

D13


-

Possibly within 3-12 months

Smoking will severely lower my quality of life in the future.

D14

D14

-

-

D14


-

Possibly within 3-12 months

I will not become a burden to others in the future because of my smoking.

D15

D15

-

-

D15


-

Possibly within 3-12 months

Smokers should take warnings about cigarette smoking and lung cancer seriously.

D16

D16

-

-

D16


-

Possibly within 3-12 months

On a scale from 1 to 5 with 1 being the “lowest” and 5 being the “highest,” how would you rate quitting smoking as a priority in your life?

D17

D17

-

-

D17


-

Possibly within 3-12 months

Smoking can cause immediate damage to your body.

D18

D18

-

-

D18


-

Possibly within 3-12 months

How likely do you think a smoker is to develop a smoking-related disease as a result of smoking?

D19

D19

C2

C2

D19


C2

Possibly within 3-12 months

How likely do you think you are to develop a smoking-related disease as a result of smoking?

D20

D20

-

-

D20


-

Possibly within 3-12 months

Do you believe cigarette smoking is related to:

D21_1 - D21_11

D21_1 - D21_11

C1_1 - C1_11

C1_1 - C1_11

D21_1 –D21_12


C1_1 – C1_12

Possibly within 4 months

Do you believe cigars, cigarillos, or little cigars smoking is:

-

-

-

-

D21A


-

Possibly within 4 months

Do you believe smoking brown cigarettes is:

-

-

-

-

D21B


C1A

Possibly within 4 months

How likely do you think it is that smoking worsens medical complications of diabetes such as blindness, renal failure, or amputations?

-

-

-

-

D21C


C4B

Possibly within 3-12 months

Thinking about all the health problems in your community, how important is addressing the problem of tobacco use? Would you say it is…

D22

D22

C7

C7

D22


C7

Possibly within 3-12 months

In general, how do the adults you spend time with feel about cigarette smoking by adults? Do they feel it is…

D23

D23

C8

C8

D23


C8

Possibly within 3-12 months

How do the adults you spend time with feel about someone smoking if children are present? Do they feel it is…

D24

D24

C9

C9

D24


C9

Possibly within 3-12 months

How likely would you be to ask a stranger not to smoke around you if you couldn’t move away from their smoke—…?

-

-

C5

C5

-


C5

Possibly within 3-12 months

Not counting decks, porches, or garages, during the past 7 days, that is, since last [today’s day of week], on how many days did someone other than you smoke tobacco inside your home while you were at home?

E3

E3

D2

D2

E3


D2

Possibly within 3-12 months

Not counting decks, porches, or garages, inside your home, is smoking …?

E4

E4

D3

D3

E4


D3

Possibly within 3-12 months

Not counting motorcycles, in the vehicles that you and your family members who live with you own or lease, is smoking …

E5

E5

D4

D4

E5


D4

Possibly within 3-12 months

Cigarette smoking has no serious effects on non-smokers.

E6_1

E6_1

C6_1

B4_1

E6_1


C6_1

Possibly within 3-12 months

Parents who live with their children should not be allowed to smoke in their homes.

E6_2

E6_2

C6_2

B4_2

E6_2


C6_2

Possibly within 3-12 months

Adults should not smoke around other people in their home.

E6_3

E6_3

C6_3

B4_3

E6_3


C6_3

Possibly within 3-12 months

I protect all other household members from any harm related to smoking.

E6_4

E6_4

C6_4

-

E6_4


C6_4

Possibly within 3-12 months

Do you think that breathing smoke from other people’s cigarettes or from other tobacco products is …?

E7

E7

C3

C3

E7


C3

Possibly within 3-12 months

How likely do you think it is that regularly breathing secondhand smoke from cigarettes would cause children to have asthma or breathing problems?

E8

E8

C4

C4

E8


C4

Possibly within 4 months

How likely do you think it is that regularly breathing secondhand smoke from cigarettes would cause non-smokers to have asthma, infections, or lung damage?

-

-

-

-

E8A


C4A

Possibly within 3-12 months

Are you seriously considering increasing restrictions on smoking in your household?

E9

E9

-

-

E9


-

Unknown likelihood within 4 months

About how long has it been since you last smoked cigarettes -- even a puff?

-

-

B3

-

-


-

Unknown likelihood within 4 months

Do you think you will try a cigarette soon?

-

-

B4_1

B4_1

-


B4_1

Unknown likelihood within 4 months

If you started smoking regularly, do you think you could stop smoking anytime you wanted?

-

-

B4_2

B4_2

-


B4_2

Unknown likelihood within 4 months

Do you think you will smoke a cigarette anytime during the next year?

-

-

B4_3

B4_3

-


B4_3

Unknown likelihood within 3-12 months

Since [DATE FILL OF CAMPAIGN LAUNCH], how many times have you tried to quit smoking cigarettes for good, but stopped for less than a day?

C4

C4

-

-

-


-

Unknown likelihood within 4 months

During the past 12 months, that is, since [DATE FILL] how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?

-

-

-

-

C1


-

Primary Outcome: Cessation-related Intentions and Behaviors

Unknown likelihood within 4 months

Since [DATE FILL OF CAMPAIGN LAUNCH] how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?

-

-

-

-

C2


-

Unknown likelihood within 4 months

During the past 12 months (365 days), what is the longest period of time you stopped smoking cigarettes because you were trying to quit smoking for good?

-

-

-

-

C4A1


-

Unknown likelihood within 4 months

Since [DATE FILL OF CAMPAIGN LAUNCH], what is the longest period of time you stopped smoking cigarettes because you were trying to quit smoking for good?

-

-

-

-

C4A2


-

Unknown likelihood within 4 months

During the past 12 months (365 days), how many days did you NOT smoke (not even a puff)?

-

-

-

-

C4A3


-

Unknown likelihood within 4 months

Since [DATE FILL OF CAMPAIGN LAUNCH], how many days did you NOT smoke (not even a puff)?

-

-

-

-

C4B


-

Unknown likelihood within 3-12 months

Have you stopped smoking for one day or longer since January 1, 2013 because of a New Year’s resolution to stop smoking?

C5

 

-

-

C5


-

Unknown likelihood within 3-12 months

Other than yourself, does anyone who lives in your home smoke cigarettes now?

E1

E1

-

-

E1


D1

Unknown likelihood within 3-12 months

About how often do you smoke when you are in the company of children?

E2

E2

-

-

E2


-















































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