0920-0923 Change Request Justification_6-11-13 (v3)

0920-0923 Change Request Justification_6-11-13 (v3).docx

Evaluation of the National Tobacco Prevention and Control Public Education Campaign

0920-0923 Change Request Justification_6-11-13 (v3)

OMB: 0920-0923

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Evaluation of the National Tobacco Prevention and Control Public Education Campaign

(OMB no. 0920-0923, approved 4/30/2013, exp. date 4/30/2014)


Justification for Non-Substantive Change


June 12, 2013


Revised June 19, 2013


OMB approval requested by June 21, 2013


Summary


In early 2013, CDC announced plans to launch a second phase (Phase 2) of the “Tips from Former Smokers” campaign, using advertisements similar to those used in the first phase of the Campaign in 2012. The currently-approved information collection for the National Tobacco Prevention and Control Public Education Campaign consists of a one-time online survey of smokers and non-smokers to assess their awareness of and reactions to the Phase 2 campaign as well as quit attempts and other behavioral actions that were made during the timeframe of the Phase 2 campaign. To provide information on outcomes that are specific to the nonsmoker and smoker populations, this information collection uses a screening process to determine smoker or nonsmoker status as well as instrument versions that are specific to smokers and nonsmokers.


As described in the currently-approved Information Collection Request (0920-0923), this data collection will be launched after the conclusion of the Phase 2 campaign, which is currently on air nationwide. CDC plans to launch the follow-up survey on or around June 21, 2013 following the conclusion of the campaign. CDC requests OMB approval for revisions and enhancements to our survey instruments that reflect more recent information about the Phase 2 campaign implementation. These revisions will enhance our ability to analyze the impact of the Phase 2 campaign on smokers’ quit attempts and other key outcomes. The nature of our proposed revisions can be summarized as follows:


  • Revised item wording to reflect the finalized Phase 2 campaign launch and subsequent timeline. Several previously-approved items have been updated to reference the specific March 4, 2013 launch date of the campaign.

  • Removal of previously approved items that are no longer relevant to the finalized Phase 2 campaign.

  • Refined survey screener that includes information on household smoking behavior.

  • Removal of previously approved items that were shown in past data collection to have high ceilings in their response data and limited utility in analysis.

  • Enhancements to items about the Phase 2 campaign, to include more accurate details about the campaign that have been learned since the original ICR was approved. This includes information on a health care provider component of the Phase 2 campaign as well as assessment of awareness of a new campaign-specific Website that the Phase 2 advertisements are now promoting.

  • Improved items to better measure methods and motivations that smokers used to quit smoking (among those who indicated having made a quit attempt). These measures will help us better understand the Phase 2 campaign’s impact on smokers’ methods and reasons for attempting to quit.

  • Refined items to better measure nonsmokers’ recent cessation behavior, if any. Given our lack of a pre-Phase 2 survey, these enhancements enable us to calculate recent quit attempts that may have been made by nonsmokers.

  • Minor revisions and updates to previously-approved demographic questions. These revisions are aimed at making our demographic measures more comparable to U.S. Census as well as existing KnowledgePanel profile variables.


The specific instrument revisions are outlined in Tables 1, 2, and 3 below and include details on currently-approved wording, revised item wording, and justification for each specific change. In order to launch our survey in a timely fashion, CDC respectfully requests approval of these revisions by June 21, 2013. To contain program costs, CDC plans to submit screenshots of the modified instruments upon receipt of OMB approval for changes in content.


Justification for Change


Since the approval of this information collection, CDC and its media partners have finalized the strategy for the Phase 2 campaign, including the development of a new campaign-specific website, new advertisements targeted toward health care providers and patients who they see, and other elements of advertising via mobile technologies (e.g., smartphones). In addition, the timeframe of the overall campaign has been lengthened to 16 weeks, requiring that some questionnaire items include updated references to the campaign timeframe. Hence, many of the survey revisions noted in Tables 1, 2, and 3 below involve necessary enhancements or revisions to more accurately reflect the Phase 2 campaign’s implementation.


In addition to revisions based on more recent information about the Phase 2 campaign implementation, we have also improved the questionnaires to more accurately measure emerging behavioral trends among smokers and nonsmokers. This includes information on uses of electronic cigarettes, use of cigars, and methods that smokers may have used to quit smoking. These items will provide a more accurate context (and potentially important control variables) in analysis of the Phase 2 campaign’s impact on quit attempts and other key outcomes.

The proposed changes to the approved questionnaires do not alter the original purposes and functions of the surveys. Our changes are intended to enhance the accuracy of the surveys by more closely reflecting the recently-finalized advertising plans of the campaign and improving the analytic value of variables that will be used in our analysis of the effects of the Phase 2 campaign on key outcomes of interest.


Effect of Proposed Change on Burden Estimate


None. The proposed changes result in a net increase of 8 items to the study screener, a decrease of 12 items in the smoker survey and a net decrease of 13 items in the nonsmoker survey. Given these minor changes to survey length, we believe there will be no measurable impact on the current burden estimate.


Effect of Proposed Changes on Currently Approved Instruments and Attachments


The following files will be replaced as described below:


  • Replace “Att E-1. Screener Screenshots Rev Dec28 v2.pdf” with “Att E-1. Revised Screener 6-11-13.docx”


  • Replace “Att C-2a. Smoker wave 3 survey 1 8 13.docx” with “Att C-2a. Revised Smoker wave 3 survey 6-11-13.docx


  • Replace “Att D-2a. Nonsmoker Follow-up Survey_1 9-13.docx” with “Att D-2a. Revised Nonsmoker Follow-up Survey_6-11-13.docx

Table 1. Changes to Screening and Consent Process (Phase 2Survey)

Item

Currently Approved

Change Type

Revised


Justification

S1a

N/A

Addition

S1. Welcome to the CDC Health Survey! Your opinion counts! Please try to answer all questions to the best of your ability. Your answers will be kept private. We have a few qualifying questions about you and other members of your household. If you or another member of your household is selected and does our one-time 25-minute interview, the respondent will be sent [$ AMOUNT] as our way of saying “thank you.”


First, are you 18 years old or older?


  1. Yes

  2. No

Provides information on household smoking, for purposes of accurate sample weighting.

G12

N/A

Addition

G12. In what state do you live?

Provides geographic information on non-responding households. This information will be used for purposes of survey weighting

G13

N/A

Addition

G13. What county do you live in?

Provides geographic information on non-responding households. This information will be used for purposes of survey weighting

G14

N/A

Addition

G14. What is the zip code where you live


__________[ZIP]


You told us you live in zip code [FILL ZIP]. Is this correct?

Provides geographic information on non-responding households. This information will be used for purposes of survey weighting

S1

N/A

Addition

S1. Including yourself, how many adults 18 or older are currently living in your household?


  1. 1

  2. 2

  3. 3

  4. 4

  5. 5 or more

  6. None, no adults live here

Provides information on household smoking, for purposes of accurate sample weighting.

A1

A1. What is your age?

Revision

A1. How old are you (in years)?

Updated wording to reflect current KP panel profile variable.

S2_2

N/A

Addition

S2_2. Are you….?


  1. Male

  2. Female

Previously approved gender question has been moved to screener to provide gender information on survey nonresponders

S2

N/A

Addition

S2. Next, we’d like some brief information about [ADULT] in household. What is the age and gender of the adult and has the adult smoked at least 100 cigarettes in his or her entire lifetime?



Provides information on household smoking, for purposes of accurate sample weighting.

S3

N/A

Addition

S3. For each person who smoked 100 or more cigarettes in his/her lifetime, does [he/she] smoke every day, some days, or not at all?


  1. Every day

  2. Some days

  3. Not at all


[DISPLAY IF NOT SELECTED]: Thank you for your participation today. Your answers to this short survey were very valuable to us. As of this time, all the longer surveys you could participate in have been completed for us so you and your household have not been selected for our study. Thanks again for your contribution this important research.

Provides information on household smoking, for purposes of accurate sample weighting.

S6

N/A

Addition

S6. Good news! The [AGE] year old [man/woman] in your household has been selected for our study, which takes about 25 minutes to complete for a [$ AMOUNT] reward. Are you that person?


  1. Yes

  2. No

Provides information on household smoking, for purposes of sample weighting.

S6b

N/A

Addition

S6b. Welcome to the CDC Health Survey! Thank you for making sure your opinion counts! Please try to answer all questions to the best of your ability. Your answers will be kept private. Based on some information provided earlier about your household, the [AGE] year old [man/woman] in your household has been selected for our study. Are you that person?


  1. Yes

  2. No


Great! Please note that the survey takes about 25 minutes to complete and you will be sent [$ AMOUNT] once the survey is completed as our way of saying “thank you.”

Provides information on household smoking, for purposes of accurate sample weighting.

A4

A4. Have you ever tried cigarette smoking, even one or two puffs?


  1. Yes

  2. No

Deletion

N/A

No longer needed for screening process

A5

A5. During the past 30 days, that is, since January 15, 2012, on how many days did you smoke cigarettes?


_________ # Days

I did not smoke in the past 30 days

Deletion

N/A

No longer needed for screening process

Intro & Consent

Intro & Consent. According to previous responses, you qualify to participate in a survey that will take about 25 minutes to complete. You will be asked various questions about yoru experiences with tobacco and television ads about smoking as well as a few questions about your background. The goal of this survey, which will include approximately 5,000 individuals nationwide, is to provide more in-depth analysis of mass media efforts and smoker’s reactions to television ads.


Your responses will be maintained in a secure manner and no personal identification information will be passed on to the sponsors of this study. In addition, your name or other personal information will never be associated with your responses. The data collected for this research study will be combined with that of all participants before it is analyzed.


If you choose to participate in this survey, you will be contacted to participate in a follow-up survey in approximately 3-4 months. The additional survey will take about the same amount of time to complete.


There are no physical risks involved in participating in this study; however, it is possible that you could find some of the questions to be sensitive. If you find a question during the survey to be too personal, you may choose not to answer the question. Your participation is strictly voluntary and you may terminate your participation at any time. The benefit of participating in this study is to assist the sponsor in determining a nationwide estimate of awareness of an important media campaign. You will be awarded 15,000 KN points for completing this study.


This survey is being conducted on behalf of the Centers for Disease Control and Prevention (www.cdc.gov) and RTI International (www.rti.org), a non-profit research organization that conducts studies on many types of health and social issues. If you have any questions about this study, you can contact Knowledge Networks Panel Relations at 1-800-782-6899 and you will be directed to the appropriate researchers. If you have any questions about your rights as a study participant, you can contact RTI’s Human Research Protections Office by email at [email protected], or by phone at 1-866-214-2043 (a toll-free number). Please print or save a copy of this document for your records.


I have read and understand the information provided above and the study purpose and procedures are clear to me.


  1. Yes, I agree to participate in this study

  2. No, I do not wish to participate in this study

Revision

Intro & Consent. According to your previous responses, you qualify to participate in a survey that will take about 25 minutes to complete. You will be asked various questions about your experiences with tobacco and television ads about smoking as well as a few questions about your background. The goal of this survey, which will include approximately 5,000 individuals nationwide, is to provide more in-depth analysis of mass media efforts and smoker’s reactions to television ads.


Your responses will be maintained in a secure manner and no personal identification information will be passed on to the sponsors of this study. In addition, your name or other personal information will never be associated with your responses. The data collected for this research study will be combined with that of all participants before it is analyzed.


There are no physical risks involved in participating in this study; however, it is possible that you could find some of the questions to be sensitive. If you find a question during the survey to be too personal, you may choose not to answer the question. Your participation is strictly voluntary and you may terminate your participation at any time. The benefit of participating in this study is to assist the sponsor in determining a nationwide estimate of awareness of an important media campaign. You will be awarded 15,000 bonus points credited to your KnowledgePanel account for completing this study.


This survey is being conducted on behalf of the Centers for Disease Control and Prevention (www.cdc.gov) and RTI International (www.rti.org), a non-profit research organization that conducts studies on many types of health and social issues. If you have any questions about this study, you can contact GfK Panel Relations at 1-800-782-6899 and you will be directed to the appropriate researchers. If you have any questions about your rights as a study participant, you can contact RTI’s Human Research Protections Office by email at [email protected], or by phone at 1-866-214-2043 (a toll-free number). Please print or save a copy of this document for your records.


I have read and understand the information provided above and the study purpose and procedures are clear to me.


  1. Yes, I agree to participate in this study.

  2. No, I do not wish to participate in this study.


Consent screen has been revised to reflect that this is a one-wave (as opposed to 2-wave) survey. We have also updated the data collection contractor’s name (from Knowledge Networks to GfK) as the previous contractor (KN) has since been acquired by GfK and now operates under the GfK name.


Table 2. Changes to 2013 Smoker Follow-up Questionnaire (Phase 2)

Item

Currently Approved

Change Type

Revised


Justification

A3

A3. Do you now smoke every day, some days or not at all?


  1. I smoke every day

  2. I smoke on some days

  3. I do not smoke at all

Deletion

N/A

Item is deleted from main survey as it will be reassessed during screening process.

A5

N/A

Addition

A5. During the past 30 days, that is, since [DATE FILL], on how many days did you smoke cigarettes?


__________ # Days

Question was previously included in original Wave 1 survey. Included here for comparison purposes.

C1a

N/A

Addition

C1a. During the past [FILL MONTHS SINCE MARCH 4, 2013], that is since March 4, 2013, have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?


  1. Yes

  2. No

This item corresponds to similar items on quit attempts but includes a specific time reference that anchors the respondent’s recall to the exact time period of the Tips campaign.

C2

C2. 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?


_________# Times

Revision

C2. Thinking about your more recent past, during the past 3 months, how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?


____________ # Times

This item has been updated to include the phrase “Thinking about your more recent past” at the beginning of the question. This was necessary to clarify the time reference given the addition of C1a above. The 3-month variable is being kept to enable comparisons to previous survey waves.

C3

N/A

Addition

C3. How long has it been since you last smoked a cigarette?


  1. Hours (0-24)

  2. Days (0-10)

  3. Weeks (0-26)

  4. Months (0-6)

Provides additional information on how long ago smokers may have quit. This enables better analysis of Tips campaign impact on successful and/or sustained quits

C4a1

C4a1. 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?


______ # Days


Deletion

N/A

This variable is no longer needed for analysis.

C4a2

C4a2. 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?


_______ # Days

Deletion

N/A

This variable is no longer needed for analysis

C4a3

C4a3. During the past 12 months (365 days), how many days did you NOT smoke (not even a puff)?


______ # Days

Deletion

N/A

This variable is no longer needed for analysis.

C4b

C4b. Since [DATE FILL OF CAMPAIGN LAUNCH], how many days did you NOT smoke (not even a puff)?


_______ # Days

Deletion

N/A

This variable is no longer needed for analysis.

C4a

N/A

Addition

C4a. When you last tried to quit smoking, did you do any of the following?


  1. Give up cigarettes all at once

  2. Gradually cut back on cigarettes?

  3. Switch completely to electronic cigarettes or e-cigarettes such as Blu or NJOY?

  4. Substituted some of your regular cigarettes with e-cigarettes?

  5. Switch to mild or some other brand of cigarettes?

  6. Use nicotine replacements like the nicotine patch or nicotine gum?

  7. Use medications like Zyban or Chantix?

  8. Get help from a telephone quit line?

  9. Get help from a website such as Smokefree.gov?

  10. Get help froma doctor or other health professional?

This item is included to provide additional context on smokers’ methods of quitting and will give insights on whether the Tips campaign motivated smokers to utilize specific methods over others.

C4b

N/A

Addition

C4b. When you last tried to quit smoking, did any of the following motivate you to try to quit?


  1. A family member or friend encouraged me to try to quit

  2. Television commercials, radio ads, or other types of advertisements that talk about the health consequences of smoking

  3. My doctor or other health professional advised me to quit smoking

  4. Workplace restrictions on smoking

  5. Other, specify_______

This item provides additional information on smokers’ motivations for attempting to quit. This will enable us to more accurately assess whether the Tips campaign (i.e., TV commercials) were a specific motivation for quitting

C4c

N/A

Addition

C4c. During the past [FILL MONTHS SINCE MARCH 4, 2013] months, that is since March 4, 2013, did any doctor, nurse or health professional ask if you smoke?


  1. Yes

  2. No

CDC has recently added new taglines to the Tips campaign ads. These taglines read “Talk With Your Doctor” and are aimed at encouraging patient-doctor conversations about quitting. New items C6 and C7 are included to evaluate this new campaign component.

C4c1

N/A

Addition

C4c1. During the past 6 months, that is since March 4, 2013, have you talked with your doctor or health care professional about quitting smoking?


  1. Yes

  2. No

CDC has recently added new taglines to the Tips campaign ads. These taglines read “Talk With Your Doctor” and are aimed at encouraging patient-doctor conversations about quitting. New items C6 and C7 are included to evaluate this new campaign component.

C4d

N/A

Addition

C4d. During the [FILL MONTHS SINCE MARCH 4, 2013], that is since March 4, 2013, has a doctor, nurse or other health professional advised you to quit smoking?


  1. Yes

  2. No

CDC has recently added new taglines to the Tips campaign ads. These taglines read “Talk With Your Doctor” and are aimed at encouraging patient-doctor conversations about quitting. New items C6 and C7 are included to evaluate this new campaign component.

C5

C5. Have you stopped smoking for one day or longer since January 1, 2013 because of a New Year’s resolution to stop smoking?


  1. Yes

  2. No

Deletion

N/A

This variable is no longer needed for anlysis.

C8

C8. Do you have a time frame in mind for quitting?

  1. Yes

  2. No

Deletion

N/A

This variable is no longer needed for analysis.

C13

C13. 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…

  1. Strongly disapprove

  2. Disapprove

  3. Neither disapprove nor approve

  4. Approve

  5. Strongly approve

Deletion

N/A

Data from previous survey waves indicated a high proportion of respondents answered “Approve or Strongly Approve” to this question. Item is not useful, given high ceilings present in survey responses.

C16

C16. How many of your family members have quit smoking or are currently quitting smoking?

  1. None

  2. Only a few

  3. Some

  4. Most

  5. All


Deletion

N/A

Item is no longer useful for analysis

C17

C17. How many of your friends have quit smoking or are currently quitting smoking?

  1. None

  2. Only a few

  3. Some

  4. Most

  5. All

Deletion

N/A

Item is no longer useful for analysis

C19

C19. If you decided to quit smoking in the future, would you gather information or support for quitting from….


  1. A telephone quitline

  2. An Internet website

  3. Class, program, or one on one counseling from a healthcare provider

  4. Your doctor or other health care professional

Deletion

N/A

Item is redundant with new question C4 noted above. Hence C19 will be deleted.

C20a

C20a. Have you called 1-800-QUIT-NOW or any other telephone quit line in the past [FILL MONTHS SINCE MARCH 4, 2013], since March 4, 2013?


  1. Yes

  2. No

Addition

N/A

This item is included to specifically anchor the respondent’s recall about quitline use to the exact timeframe of the Phase 2 Tips campaign.


C22

C22. Since [FILL DATE OF CAMPAIGN LAUNCH], have you called 1-800-QUIT-NOW or any other telephone quit line in the past 3 months?


  1. Yes

  2. No

Revision

C22. Thinking about your more recent past, have you called 1-800-QUIT-NOW or any other telephone quit line in the past 3 months?


  1. Yes

  2. No

This item has been updated to include the phrase “Thinking about your more recent past”. This is necessary to clarify the time reference given the addition of C20a above.

C23

C23. Since [FILL DATE OF CAMPAIGN LAUNCH], have you talked with your doctor or health care professional about quitting smoking?


  1. Yes

  2. No

Deletion


N/A

This item has been replaced by C4c1, noted above, which includes more accurate wording related to the “Talk with your Doctor” component of the Tips campaign.

E8b

N/A

Addition

E8b. How likely do you think it is that smoking by diabetics will make their medical complications from diabetes such as blindness, renal failure, or amputations from diabetes worse?


  1. Extremely likely

  2. Very likely

  3. Somewhat likely

  4. Very unlikely

  5. Extremely unlikely

Several of the new Phase 2 campaign ads now feature messages that focus on the health effects of smoking on diabetics. This item is intended to capture effects of those ads on these constructs.

D21_a

D21_a. Do you believe cigars, cigarillos, or little cigars smoking is:


  1. Healthier than smoking cigarettes

  2. About the same health effects as smoking cigarettes

  3. Less healthier than smoking cigarettes

Deletion

N/A

This item is no longer needed for analysis and is being deleted to accommodate other additions.

D21_b

D22_a. Do you believe smoking brown cigarettes is:


  1. Healthier than smoking cigarettes

  2. About the same health effects as smoking cigarettes

  3. Less healthier than smoking cigarettes

Deletion

N/A

This item is no longer needed for analysis and is being deleted to accommodate other additions.

D21_c

D21_c. How likely do you think it is that smoking worsens medical complications of diabetes such as blindness, renal failure, or amputations?


  1. Extremely likely

  2. Very likely

  3. Somewhat likely

  4. Very likely

  5. Extremely unlikely

Deletion

N/A

This variable has been moved to a later section of the survey (see item E8b)

D22

D22. Thinking about all the health problems in your community, how important is addressing the problem of tobacco use? Would you say it is…


  1. Among the most important health problems

  2. Equally as important as other health problems

  3. Among the least important health problems

Deletion

N/A

Data from previous survey waves indicated high ceilings in responses to this question. This variable is thus less useful in analysis and is being deleted.

D23

D23. In general, how do the adults you spend time with feel about cigarette smoking by adults?  Do they feel it is…


  1. Totally acceptable

  2. Somewhat acceptable

  3. Neither acceptable nor unacceptable

  4. Somewhat unacceptable

  5. Totally unacceptable

Deletion

N/A

Data from previous survey waves indicated high ceilings in responses to this question. This variable is thus less useful in analysis and is being deleted.

D24

D24. How do the adults you spend time with feel about someone smoking if children are present?  Do they feel it is…


  1. Totally acceptable

  2. Somewhat acceptable

  3. Neither acceptable nor unacceptable

  4. Somewhat unacceptable

  5. Totally unacceptable

Deletion

N/A

Data from previous survey waves indicated high ceilings in responses to this question. This variable is thus less useful in analysis and is being deleted.

E3

E3. 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?


________ # Days

Deletion

N/A

Current Phase 2 campaign messages do not focus on adopting home rules against secondhand smoke. Hence, this variable is not a key outcome and is being dropped.

E4.

E4. Not counting decks, porches, or garages, inside your home, is smoking….


  1. Always allowed

  2. Allowed only at some times or in some places

  3. Never allowed

Deletion

N/A

Current Phase 2 campaign messages do not focus on adopting home rules against secondhand smoke. Hence, this variable is not a key outcome and is being dropped.

E5

E5. Not Counting motorcycles, in the vehicles that you and your family members who live with you own or lease, is smoking…


  1. Always allowed in all vehicles

  2. Sometimes allowed in at least one vehicle

  3. Never allowed in any vehicle

  4. My family does not own or lease a vehicle

Deletion

N/A

Current Phase 2 campaign messages do not focus on adopting rules against secondhand smoke in vehicles. Hence, this variable is not a key outcome and is being dropped.

E6_1.

E6_1. Please tell us if you strongly agree, agree, disagree, or strongly disagree with the following statements.


Cigarette smoking has no serious effects on non-smokers

Deletion

N/A

Data from previous survey waves show that high proportions of individuals disagreed with E6_1. Given ceiling effects on this item is less useful for analysis and is being deleted.

E6_2

E6_2. Parents who live with their children should not be allowed to smoke in their homes

Deletion

N/A

Data from previous survey waves show that high proportions of individuals agreed with E6_2. Given ceiling effects on this item is less useful for analysis and is being deleted.

E6_3

E6_3. Adults should not smoke around other people in their home

Deletion

N/A

Data from previous survey waves show that high proportions of individuals agreed with E6_3. Given ceiling effects on this item is less useful for analysis and is being deleted.

E6_4

E6_4. I protect all other household members from any harm related to smoking

Deletion

N/A

Data from previous survey waves show that high proportions of individuals agreed with E6_4. Given ceiling effects on this item is less useful for analysis and is being deleted.

F1

N/A

Addition

F1. On an average day, how much television do you watch?


  1. None

  2. Less than one hour

  3. About 1 hour

  4. About 2 hours

  5. About 3 hours

  6. About 4 hours

  7. 5 hours or more

This is a previously-approved item that was asked in our original baseline survey. It is being reintroduced in the current survey in order to provide a control variable for media use habits in the current analysis of Phase 2 campaign effects on quit attempts

F2

N/A

Addition

F2. On an average day, how many hours do you listen to the radio?


  1. None

  2. Less than one hour

  3. About 1 hour

  4. About 2 hours

  5. About 3 hours

  6. About 4 hours

  7. 5 hours or more

This is a previously-approved item that was asked in our original baseline survey. It is being reintroduced in the current survey in order to provide a control variable for media use habits in the current analysis of Phase 2 campaign effects on quit attempts

F3

N/A

Addition

F3. On an average day, how many hours do you use the Internet for personal reasons?


  1. None

  2. Less than one hour

  3. About 1 hour

  4. About 2 hours

  5. About 3 hours

  6. About 4 hours

  7. 5 hours or more

This is a previously-approved item that was asked in our original baseline survey. It is being reintroduced in the current survey in order to provide a control variable for media use habits in the current analysis of Phase 2 campaign effects on quit attempts

F3a

F3a. 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?


  1. Mostly on cell phone

  2. Mostly on something else

  3. Both equally

  4. Depends

  5. Don’t know

  6. Refused

Deletion

N/A

This variable is no longer required for analysis.

F4

N/A

Addition

F4. What type of Internet connection do you have for your home computer or other primary computer?


  1. Cable/DSL/Broadband/High-Speed

  2. Dial-Up

  3. Not sure

This is a previously-approved item that was asked in our original baseline survey. It is being reintroduced in the current survey in order to provide a control variable for media use habits in the current analysis of Phase 2 campaign effects on quit attempts

F5

F5. In the past 3 months, about how often have you seen ads against smoking on television?


  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

F6

F6. In the past 3 months, how often have you heard ads against smoking on the radio?

  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

F7

F7. In the past 3 months, how often have you seen ads against smoking in newspapers or magazines?


  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

F8

F8. In the past 3 months, how often have you seen ads against smoking in videos, or websites online?


  1. Almost every time I was online

  2. Frequently when I was online

  3. Occasionally when I am online

  4. Never/Not that I remember

  5. I rarely or never go online or use the internet

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

F10

N/A

Addition

F10. Have you visited any quit smoking websites online in the past [FILL MONTHS SINCE MARCH 4, 2013], since March 4, 2013?


  1. Yes

  2. No

This item includes a specific reference to the exact timeframe of the Phase 2 campaign to increase accuracy of respondent’s recall.

F10a

F10a. Since [FILL DATE OF CAMPAIGN LAUNCH], have you visited any quit smoking websites online?


  1. Yes

  2. No

Revision

F10a. Thinking about your more recent past, have you visited any quit smoking websites online in the past 3 months?


  1. Yes

  2. No

We have added the phrase “Thinking about your more recent past” to the beginning of this question to clarify the time reference, given addition of F10a above. The 3-month variable is being kept to enable comparisons to previous survey waves.

F11

F11. Have you heard of the Website [insert final url]?


1. Yes

2. No

Deletion

N/A

Tips campaign final website has been determined. This item is being replaced with a new question that refers specifically to the new campaign website (see item F13a)

F12A

F12A. Since [FILL DATE OF CAMPAIGN LAUNCH], have you visited [insert final url]?


1. Yes

2. No

Deletion

N/A

Tips campaign final website has been determined. This item is being replaced with a new question that refers specifically to the new campaign website (see item F13b)

F13a

N/A

Addition

F13a. Have you heard of the Website www.cdc.gov/Tips?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items F13a-F13c assesses awareness of and use of the new campaign website.

F13b

N/A

Addition

F13b. Have you visited www.cdc.gov/Tips in the past [FILL MONTHS SINCE MARCH 4, 2013], since March 4, 2013?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items F13a-F13c assesses awareness of and use of the new campaign website.

F13c

N/A

Addition

F13c. Thinking about your more recent past, have you visited www.cdc.gov/Tips in the past 3 months?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items F13a-F13c assesses awareness of and use of the new campaign website.

F13

F13. In the past 3 months, have you seen or heard advertisements for products to help people quit smoking, such as nicotine patches or gums?


  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Deleted to accommodate other additions in the survey

F14

F14. Since [FILL DATE OF CAMPAIGN LAUNCH], when you were using the Internet or your smartphone, how many times did you see information about…


  1. Cigarettes and other tobacco products

  2. Ways to quit smoking

  3. Secondhand smoke

  4. The health effects of smoking

  5. Electronic cigarettes

  6. Warning labels on cigarette packages

  7. Banning menthol cigarettes

  8. Coupons or discounts for buying cigarettes or other tobacco products online

  9. Antismoking ads

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

F14a

F14a. Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever seen information about any of these topics when using the following platforms?


  1. Cigarettes and other tobacco products

  2. Coupons or discounts for buying cigarettes

  3. Ways to quit smoking

  4. Advertisements for e-cigarettes

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

F14b

F14b. Since [FILL DATE OF CAMPAIGN LAUNCH], when you were using the Internet or your smartphone, how many times did you search for information about….?


  1. Cigarettes and other tobacco products

  2. Ways to quit smoking

  3. Secondhand smoke

  4. The health effects of smoking

  5. Electronic cigarettes

  6. Warning labels on cigarette packages

  7. Banning menthol cigarettes

  8. Coupons or discounts for buying cigarettes or other tobacco products online

  9. Antismoking ads

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

F15

F15. Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever searched for information about any of these topics when using the following platforms?


  1. Cigarettes and other tobacco products

  2. Coupons or discounts for buying cigarettes

  3. Ways to quit smoking

  4. Advertisements for e-cigarettes

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

F16

F16. 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?


  1. Cigarettes and other tobacco products

  2. Ways to quit smoking

  3. Secondhand smoke

  4. The health effects of smoking

  5. Electronic cigarettes

  6. Warning labels on cigarette packages

  7. Banning menthol cigarettes

  8. Coupons or discounts for buying cigarettes or other tobacco products online

  9. Antismoking ads

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

F16b

F16b. Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever shared information about any of these topics when using the following platforms?


  1. Cigarettes and other tobacco products

  2. Coupons or discounts for buying cigarettes

  3. Ways to quit smoking

  4. Advertisements for e-cigarettes

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

F17

F17. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen or heard of any ads on television or radio with the following themes or slogans?


  1. Tips from a former smoker

  2. Truth

  3. Become an Ex

  4. Every Cigarette is Doing You Damage

  5. Tobacco Free Living

Revision

F17. In the [FILL MONTHS], that is since March 4, 2013, have you seen or heard of any ads on television or radio with the following themes or slogans?


  1. Tips from a former smoker

  2. Truth

  3. Become an Ex

  4. Every Cigarette is Doing You Damage

  5. Tobacco Free Living

This item has been updated to reference the specific timeframe of the Phase 2 Tips campaign. This revision will increase accuracy of respondents’ recall

F18a

F18a. Have you heard of the Website www.cdc.gov/tobacco/campaign/tips?


  1. Yes

  2. No

Deletion

N/A

The Phase 2 campaign now promotes a different website. Questions F18a and F18b are no longer needed.

F18b

F18b. Have you visited www.cdc.gov/tobacco/campaign/tips in the past 3 months?


  1. Yes

  2. No

Deletion

N/A

The Phase 2 campaign now promotes a different website. Questions F18a and F18b are no longer needed.

F24

F24. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad on television?


  1. Yes

  2. No

Revision

F24. Have you seen this ad on television in the past [FILL MONTHS], since March 4, 2013?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

F24A

F24A. Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad on television?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

Revision

F24A. In the past [FILL MONTHS SINCE March 4, 2013], how frequently have you seen this ad on television?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

F24A1

F24A1. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad on the internet?


  1. Yes

  2. No

Revision

F24b. Have you seen this ad online in the past [FILL MONTHS], since March 4, 2013?


  1. Yes

  2. No

This item is being revised to more accurately measure awareness of TV ads via online video.

F24B

F24B. Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad on the internet?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

Revision

F24c. In the past [FILL MONTHS SINCE March 4, 2013], how frequently have you seen this ad online?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

This item is being revised to more accurately measure awareness of TV ads via online video.

F24c

F24c. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad on a mobile device?


  1. Yes

  2. No

Deletion

N/A

This item is no longer needed for analysis.

F24d

F24d. Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad on a mobile device?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

Deletion

N/A

This item is no longer needed for analysis.

F28a

F28a. Do you think these ads would be relevant for people who smoke cigars, cigarillos or very small cigars that look like cigarettes?


  1. Strongly Disagree

  2. Disagree

  3. Neither agree nor disagree

  4. Agree

  5. Strongly agree

Deletion

N/A

This item is no longer needed for analysis.

F28b

F28b. Do you think these ads would be relevant for people who smoke brown cigarettes?


  1. Strongly Disagree

  2. Disagree

  3. Neither agree nor disagree

  4. Agree

  5. Strongly agree

Deletion

N/A

This item is no longer needed for analysis.

F28c

N/A

Addition

F28c. In the [FILL MONTHS], since March 4, 2013, have these ads stopped you from having a cigarette when you were about to smoke one? Would you say….

  1. Never

  2. Once

  3. A few times

  4. Many times

This item has been added to provide more information on the effects of campaign ads, particularly effects on smokers’ choices in forgoing cigarettes as a result of seeing the ads

F33

N/A

Addition

F33. As you listened to this ad, how was it in terms of sound quality?


  1. Not at all clear and smooth

  2. Somewhat clear and smooth

  3. Clear and smooth

  4. Very clear and smooth

  5. Extremely clear and smooth

This is a previously approved item that has been added to assess sound quality of radio ads played during the survey. This will enable us to control for the audio quality when analyzing respondents’ awareness of radio ads.

F35

F35. Since [FILL DATE OF CAMPAIGN LAUNCH], have you heard this ad on the radio?


  1. Yes

  2. No

Revision

F35. Have you heard this ad on the radio in the past [FILL MONTHS], since March 4, 2013?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

F35A

F35A. Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you heard this ad on the radio?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

Revision

F35A. In the [FILL MONTHS SINCE MARCH 4, 2013], how frequently have you heard this ad on the radio?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

F36

F36. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen any of these ads in magazines, on Websites, or in public places outside your home?


  1. Yes

  2. No

Revision

F36. In the [FILL MONTHS], since March 4, 2013, have you seen any of these ads in magazines, on Websites, or in public places outside your home?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

G14

G14. In what zip code do you live?

Deletion

N/A

This item has been replaced with a similar item that contains wording that matches the KP panel profile variable.

G2

G2. What is your sex?


  1. Male

  2. Female

Revision

G2. What is your gender?


  1. Male

  2. Female

This item is updated to match wording of KP panel profile question.

G3

G3. Are you Hispanic, Latino/a, or of Spanish origin?


  1. No, not of Hispanic, Latino/a, or Spanish origin

  2. Yes, Mexican, American, Chicano/a

  3. Yes, Puerto Rican

  4. Yes, Cuban

  5. Yes, Another Hispanic, Latino/a, or Spanish origin

Revision

G3. This question is about Hispanic ethnicity. Are you of Spanish, Hispanic, or Latino descent?


  1. No, I am not.

  2. Yes, Mexican American, Chicano/a

  3. Yes, Puerto Rican

  4. Yes, Cuban

  5. Yes, Central American

  6. Yes, South American

  7. Yes, Caribbean

  8. Yes, Other Spanish/Hispanic/Latino


Updated to include additional Hispanic origin categories for increased accuracy and to match existing KP panel profile categories

G4

G4. What is your race?


  1. White

  2. Black or African American

  3. American Indian or Alaska Native

  4. Asian Indian

  5. Chinese

  6. Filipino

  7. Japanese

  8. Korean

  9. Vietnamese

  10. Other Asian

  11. Native Hawaiian

  12. Guamanian or Chamorro

  13. Samoan

  14. Other Pacific Islander

Revision

G4. Please indicate what you consider your racial background to be. We greatly appreciate your effort to describe your background using the standard categories provided. These race categories may not fully describe you, but they do match those used by the Census Bureau. It helps us compare our survey respondents to the U.S. population.


Please check one or more categories below that indicate what race(s) you consider yourself to be.


  1. White

  2. Black or African American

  3. American Indian or Alaska Native

  4. Asian/Pacific Islander

Updated to match Census Bureau categories and categories utilized in KP panel profile variables.

G5

G5. What is the highest level of school you have completed or the highest degree you have received?


  1. 5th grade or less

  2. 6th grade

  3. 7th grade

  4. 8th grade

  5. 9th grade

  6. 10th grade

  7. 11th grade

  8. 12th grade, no diploma

  9. GED or equivalent

  10. High school diploma

  11. Some college, no degree

  12. Certificate, diploma, or associate degree: occupational, technical, or vocational program

  13. Associate degree: academic program

  14. Bachelor’s degree

  15. Master’s degree

  16. Professional school degree (examples: MD, DDS, DVM, LLB, JD)

  17. Doctoral degree (examples: PhD, Edd)

Revision

G5. What is the highest level of school you have completed?


  1. No formal education

  2. 1st, 2nd, 3rd, or 4th grade

  3. 5th or 6th grade

  4. 7th grade or 8th grade

  5. 9th grade

  6. 10th grade

  7. 11th grade

  8. 12th grade, no diploma

  9. High school graduate – high school Diploma or the equivalent (GED)

  10. Some college, no degree

  11. Associate degree

  12. Bachelor’s degree

  13. Master’s degree

  14. Professional or Doctorate degree

Updated to simplify the response categories and match KP panel profile variables

G6

G6. Thinking about members of your family living in this household, what is your combined annual income, meaning the total pre-tax income from all sources earned in the past year?


  1. $0 to $9,999

  2. $10,000 to $14,999

  3. $15,000 to $19,999

  4. $20,000 to $34,999

  5. $35,000 to $49,999

  6. $50,000 to $74,999

  7. $75,000 to $99,999

  8. $100,000 to $199,999

  9. $200,000 or more


Revision

G6. Was your total HOUSEHOLD income in the past 12 months…


  1. Below $35,000

  2. $35,000 or more

  3. Don’t know

Updated to match KP panel profile categories and increase accuracy of self-reported income.

G6a

N/A

Addition

G6a. We would like to get a better estimate of your total HOUSEHOLD income in the past 12 months before taxes. Was it…


  1. $5,000 to $7,499

  2. $7,500 to $9,999

  3. $10,000 to $12,499

  4. $12,500 to $14,999

  5. $15,000 to $19,999

  6. $20,000 to $24,999

  7. $25,000 to $29,999

  8. $30,000 to $34,999

This item is asked of respondents who answer “below $35,000” to G6. This new item increases accuracy of self-reported income.

G6b

N/A

Addition

G6b. We would like to get a better estimate of your total HOUSEHOLD income in the past 12 months before taxes. Was it…


  1. $35,000 to $39,999

  2. $40,000 to $49,999

  3. $50,000 to $59,999

  4. $60,000 to $75,999

  5. $75,000 to $84,999

  6. $85,000 to $99,999

  7. $100,000 to $124,999

  8. $125,000 to $149,999

  9. $150,000 to $174,999

  10. $175,000 or more

This item is asked of respondents who answer “$35,000 or more” to G6. This new item increases accuracy of self-reported income.

G7

G7. Are you now…


  1. Married

  2. Living with a partner

  3. Divorced

  4. Widowed

  5. Separated

  6. Single, that is, never married and not now living with a partner

Revision

G7. Are you now married, widowed, divorced, separated, never married, or living with a partner?


  1. Married

  2. Widowed

  3. Divorced

  4. Separated

  5. Never married

  6. Living with a partner


Question text and response categories updated to match KP panel profile variable.

G8

G8. Which statement best describes your current employment status?


  1. Working full time as a paid employee

  2. Working full time, self-employed

  3. Not working, on temporary layoff from a job

  4. Not working, looking for work

  5. Not working, retired

  6. Not working, disabled

  7. Not working, other

Revision

G8. Which statement best describes your current employment status?


  1. Working as a paid employee

  2. Working, self-employed

  3. Not working, on temporary layoff from a job

  4. Not working, looking for work

  5. Not working, retired

  6. Not working, disabled

  7. Not working, other

Response categories 1 and 2 updated slightly to match KP panel profile variable.

G9

N/A

Addition

G9. How many smoking or tobacco related web surveys like this have you completed during the past year?


  1. None

  2. 1 survey

  3. 2 surveys

  4. 3 surveys

  5. 4 surveys

  6. 5 or more surveys

This item is being reintroduced to again assess the extent of recent participation in smoking-related surveys. This item will be used as a control variable in later analyses.

G10

N/A

Addition

G10. Did you view or listen to any videos or other advertisements about quitting smoking in any of these surveys?


  1. Yes

  2. No

This item is being added to assess extent of exposure to antismoking ads within previous surveys the participant has taken. This will be used as a control variable in later analyses.

G11

N/A

Addition

G11. Do you currently participate in any other online web panels besides Knowledge Networks?


  1. Yes

  2. No

This item assesses whether respondent participates in multiple web panels. This item will be used to examine demographic differences between single and multiple participation and will be a potentially important control variable in later analyses.

G15

N/A

Addition

G15. Have you been diagnosed by a physician or other qualified medical professional with any of the following medical conditions?


  1. Acid reflux disease

  2. ADHD or ADD

  3. Anxiety disorder

  4. Asthma, chronic bronchitis, or COPD

  5. Cancer (any type except skin cancer)

  6. Chronic pain (such as low back pain, neck pain, or Fibromyalgia)

  7. Depression

  8. Diabetes

  9. Heart attack

  10. Heart disease

  11. High blood pressure

  12. High cholesterol

  13. HIV/AIDS

  14. Kidney disease

  15. Mental health condition

  16. Multiple sclerosis

  17. Osteoporosis or osteopenia

  18. Rheumatoid arthritis

  19. Seasonal allergies

  20. Skin cancer

  21. Sleep disorders such as sleep apnea or insomnia

  22. Stroke

  23. Something else

This item was previously approved in the original ICR as part of the baseline survey. We are reintroducing it in the current survey to reassess presence of chronic conditions. This is used as a control variable in analysis of the effects of the Tips campaign on smoking-related outcomes.



Table 3. Changes to 2013 Non-Smoker Follow-up Questionnaire (Phase 2)

Item

Currently Approved

Change Type

Revised


Justification

B4_1

B4_1. Do you think you will try a cigarette soon?


  1. Definitely not

  2. Probably not

  3. Probably yes

  4. Definitely Yes

Deletion

N/A

This variable is no longer needed for analysis

B4_2

B4_2. If you started smoking cigarettes regularly, do you think you could stop smoking anytime you wanted?


  1. Definitely not

  2. Probably not

  3. Probably yes

  4. Definitely Yes

Deletion

N/A

This variable is no longer needed for analysis

B4_3

B4_3. Do you think you will smoke a cigarette anytime during the next year?


  1. Definitely not

  2. Probably not

  3. Probably yes

  4. Definitely Yes

Deletion

N/A

This variable is no longer needed for analysis

A4

N/A

Addition

A4. Have you smoked cigarettes at all, even one puff, in the past 12 months?


  1. Yes

  2. No

This item is being asked of nonsmokers to assess whether they have smoked at any point in the past 12 months. Nonsmokers who answer “yes” will also be asked new item A5 (see below)

A5

N/A

Addition

A5. Have you quit smoking cigarettes completely in the past [FILL # MONTHS SINCE MARCH 4, 2013], that is since March 4, 2013?


  1. Yes

  2. No


This item determines whether any current nonsmokers have recently quit and, specifically, whether they have recently quit since the launch of the Phase 2 Tips campaign. Recent quitters will be asked additional questions about their recent quit attempts (see below)

B1

N/A

Addition

B1. 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?


___________ # Times

This item is asked of nonsmokers who are previously identified as having smoked at any point during the past 12 months.

B1a

N/A

Addition

B1a. During the [FILL MONTHS SINCE MARCH 4, 2013], that is since March 4, 2013, have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good?


  1. Yes

  2. No

Enables us to assess quit attempts since the launch of the campaign, among nonsmokers who indicate having recently quit. The inclusion of this item prevents recent quitters from being excluded from quit attempt calculations

B2

N/A

Addition

B2. Thinking about your more recent past, during the past 3 months, how many times have you stopped smoking for one day or longer because you were trying to quit smoking cigarettes for good.


_____________ # Times

Enables us to assess more recent quit attempts (past 3 months) since the launch of the campaign, among nonsmokers who indicate having recently quit. The inclusion of this item prevents recent quitters from being excluded from quit attempt calculations

B3

N/A

Addition

B3. How long has it been since you last smoked a cigarette?


__________ Enter #


  1. Hours (0-24)

  2. Days (0-10)

  3. Weeks (0-26)

  4. Months (0-6)

This item allows us to calculate, for recent quitters, the length of time they have been abstinent from smoking. This is important for estimating population impact of the campaign on sustained quits.

B4a

N/A

Addition

B4a. When you last tried to quit smoking, did you do any of the following?


  1. Give up cigarettes all at once

  2. Gradually cut back on cigarettes?

  3. Switch completely to electronic cigarettes or e-cigarettes such as Blu or NJOY?

  4. Substituted some of your regular cigarettes with e-cigarettes?

  5. Switch to mild or some other brand of cigarettes?

  6. Use nicotine replacements like the nicotine patch or nicotine gum?

  7. Use medications like Zyban or Chantix?

  8. Get help from a telephone quit line?

  9. Get help from a website such as Smokefree.gov?

  10. Get help froma doctor or other health professional?

This item is included to provide additional context on recent quitters’ methods of quitting and will give insights on whether the Tips campaign motivated recent quitters to utilize specific methods over others.

B5

N/A

Addition

B5. When you last tried to quit smoking, did any of the following motivate you to try to quit?


  1. A family member or friend encouraged me to try to quit

  2. Television commercials, radio ads, or other types of advertisements that talk about the health consequences of smoking

  3. My doctor or other health professional advised me to quit smoking

  4. Workplace restrictions on smoking

  5. Other, specify_______

This item provides additional information on recent quitters’ motivations for attempting to quit. This will enable us to more accurately assess whether the Tips campaign (i.e., TV commercials) were a specific motivation for quitting

B6

N/A

Addition

B6. During the past [FILL MONTHS SINCE MARCH 4, 2013]months, that is since March 4, 2013, did any doctor, nurse or health professional ask if you smoke?


  1. Yes

  2. No

CDC has recently added new taglines to the Tips campaign ads. These taglines read “Talk With Your Doctor” and are aimed at encouraging patient-doctor conversations about quitting. New items C6 and C7 are included to evaluate this new campaign component.

B6a

N/A

Addition

B6a. During the past [FILL MONTHS SINCE MARCH 4, 2013] months, that is since March 4, 2013, have you talked with your doctor or health care professional about quitting smoking?


    1. Yes

    2. No

CDC has recently added new taglines to the Tips campaign ads. These taglines read “Talk With Your Doctor” and are aimed at encouraging patient-doctor conversations about quitting. New items C6 and C7 are included to evaluate this new campaign component.

B7

N/A

Addition

B7. During the past 6 months, that is since March 4, 2013, has a doctor, nurse or other health professional advised you to quit smoking?


  1. Yes

  2. No

CDC has recently added new taglines to the Tips campaign ads. These taglines read “Talk With Your Doctor” and are aimed at encouraging patient-doctor conversations about quitting. New items C6 and C7 are included to evaluate this new campaign component.

C1a

C1a. Do you believe cigar, cigarillo, or little cigar smoking is related to:

Rationale: Beliefs about cigar smoking and harmful to health. Source: Adapted from NHIS (changed from cigarette to cigar question).


  1. Lung Cancer

  2. Cancer of the mouth or throat

  3. Heart Disease

  4. Diabetes

  5. Emphysema

  6. Stroke

  7. Hole in throat (stoma or tracheotomy)

  8. Buerger’s Disease

  9. Amputations (removal of limbs);

  10. Asthma

  11. Gallstones

  12. Chronic bronchitis

Deletion

N/A

Deleted to accommodate other additions noted above.

C1b.

C1b. Do you believe cigars, cigarillos, or little cigars smoking is:


  1. Healthier than smoking cigarettes

  2. About the same health effects as smoking cigarettes

  3. Less healthier than smoking cigarettes

Deletion

N/A

Deleted to accommodate other additions noted above.

C5

C5. How likely would you be to ask a stranger not to smoke around you if you couldn’t move away from their smoke?


  1. Extremely likely

  2. Very likely

  3. Somewhat likely

  4. Very unlikely

  5. Extremely unlikely

Deletion

N/A

Previous waves of survey data indicate most nonsmokers answered “Extremely likely” or “Very likely” to this question. Given ceiling effects, this variable is less useful to the analysis and is being deleted.

C6_1.

C6_1. Cigarette smoking has no serious effects on non-smokers


  1. Strongly disagree

  2. Disagree

  3. Agree

  4. Strongly agree

Deletion

N/A

Data from previous survey waves show that high proportions of individuals disagreed with C6_1. Given ceiling effects on these items, they are less useful for analysis and are being deleted.

C6_2

C6_2. Parents who live with their children should not be allowed to smoke in their homes


  1. Strongly disagree

  2. Disagree

  3. Agree

  4. Strongly agree

Deletion

N/A

Data from previous survey waves show that high proportions of individuals agreed with C6_2. Given ceiling effects on these items, they are less useful for analysis and are being deleted.

C6_3

C6_3. Adults should not smoke around other people in their home.


  1. Strongly disagree

  2. Disagree

  3. Agree

  4. Strongly agree

Deletion

N/A

Data from previous survey waves show that high proportions of individuals agreed with C6_3. Given ceiling effects on these items, they are less useful for analysis and are being deleted.

C6_4

C6_4. I protect all other household members from any harm related to smoking


  1. Strongly disagree

  2. Disagree

  3. Agree

  4. Strongly agree

Deletion

N/A

Data from previous survey waves show that high proportions of individuals agreed with C6_4. Given ceiling effects on these items, they are less useful for analysis and are being deleted.

D2

D2. 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?


________ # Days

Deletion

N/A

Current Phase 2 campaign messages do not focus on adopting home rules against secondhand smoke. Hence, this variable is not a key outcome and is being dropped.

D3.

D3. Not counting decks, porches, or garages, inside your home, is smoking….


  1. Always allowed

  2. Allowed only at some times or in some places

  3. Never allowed

Deletion

N/A

Current Phase 2 campaign messages do not focus on adopting home rules against secondhand smoke. Hence, this variable is not a key outcome and is being dropped.

D4

D4. Not Counting motorcycles, in the vehicles that you and your family members who live with you own or lease, is smoking…


  1. Always allowed in all vehicles

  2. Sometimes allowed in at least one vehicle

  3. Never allowed in any vehicle

  4. My family does not own or lease a vehicle

Deletion

N/A

Current Phase 2 campaign messages do not focus on adopting rules against secondhand smoke in vehicles. Hence, this variable is not a key outcome and is being dropped.

D4a

N/A

Addition

D4a. During the past [FILL MONTHS SINCE MARCH 4, 2013] months, that is since March 4, 2013, have you talked to any family members or friends about the dangers of smoking?


  1. Yes

  2. No

This item is similar to previously approved item on family/friend communication but has been updated to include specific timeframe for the Phase 2 Tips campaign

D5

D5. Since [FILL DATE OF CAMPAIGN LAUNCH], have you talked to any family members or friends about the dangers of smoking?


  1. Yes

  2. No

Revision

D5. Thinking about your more recent past, during the past 3 months, have you talked to any family members or friends about the dangers of smoking?


  1. Yes

  2. No

This item has been updated to include the phrase “Thinking about your more recent past” at the beginning of the question. This was necessary to clarify the time reference given the addition of D4a above. The 3-month variable is being kept to enable comparisons to previous survey waves.

D5aa

N/A

Addition

D5aa. During the past [FILL MONTHS SINCE MARCH 4, 2013] months, that is since March 4, 2013, did you encourage a friend or family member to quit smoking?


  1. Yes

  2. No

This item is similar to previously approved item on family/friend recommendations to quit but has been updated to include specific timeframe for the Phase 2 Tips campaign

D5a

D5a. Since [FILL DATE OF CAMPAIGN LAUNCH], did you encourage a friend or family member to quit smoking?

Revision

D5a. Thinking about your more recent past, during the past 3 months, did you encourage a friend or family member to quit smoking?


  1. Yes

  2. No

This item has been updated to include the phrase “Thinking about your more recent past” at the beginning of the question. This was necessary to clarify the time reference given the addition of D5aa above. The 3-month variable is being kept to enable comparisons to previous survey waves.

D8

D8. How many of your family members have quit smoking or are currently quitting smoking?

  1. None

  2. Only a few

  3. Some

  4. Most

  5. All


Deletion

N/A

Item is no longer useful for analysis

D9

D9. How many of your friends have quit smoking or are currently quitting smoking?

  1. None

  2. Only a few

  3. Some

  4. Most

  5. All

Deletion

N/A

Item is no longer useful for analysis

E3a

E3a. 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?


  1. Mostly on cell phone

  2. Mostly on something else

  3. Both equally

  4. Depends

  5. Don’t know

  6. Refused

Deletion

N/A

Item is no longer useful for analysis

E4a

E4a. Since [FILL DATE OF CAMPAIGN LAUNCH], when you were using the Internet or your smartphone, how many times did you see information about…


  1. Cigarettes and other tobacco products

  2. Ways to quit smoking

  3. Secondhand smoke

  4. The health effects of smoking

  5. Electronic cigarettes

  6. Warning labels on cigarette packages

  7. Banning menthol cigarettes

  8. Coupons or discounts for buying cigarettes or other tobacco products online

  9. Antismoking ads

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

E4b

E4b. Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever seen information about any of these topics when using the following platforms?


  1. Cigarettes and other tobacco products

  2. Coupons or discounts for buying cigarettes

  3. Ways to quit smoking

  4. Advertisements for e-cigarettes

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

E4c

E4c. Since [FILL DATE OF CAMPAIGN LAUNCH], when you were using the Internet or your smartphone, how many times did you search for information about….?


  1. Cigarettes and other tobacco products

  2. Ways to quit smoking

  3. Secondhand smoke

  4. The health effects of smoking

  5. Electronic cigarettes

  6. Warning labels on cigarette packages

  7. Banning menthol cigarettes

  8. Coupons or discounts for buying cigarettes or other tobacco products online

  9. Antismoking ads

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

E4d

E4d. Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever searched for information about any of these topics when using the following platforms?


  1. Cigarettes and other tobacco products

  2. Coupons or discounts for buying cigarettes

  3. Ways to quit smoking

  4. Advertisements for e-cigarettes

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

E4e

E4e. 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?


  1. Cigarettes and other tobacco products

  2. Ways to quit smoking

  3. Secondhand smoke

  4. The health effects of smoking

  5. Electronic cigarettes

  6. Warning labels on cigarette packages

  7. Banning menthol cigarettes

  8. Coupons or discounts for buying cigarettes or other tobacco products online

  9. Antismoking ads

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

E4f

E4f. Since [FILL DATE OF CAMPAIGN LAUNCH], have you ever shared information about any of these topics when using the following platforms?


  1. Cigarettes and other tobacco products

  2. Coupons or discounts for buying cigarettes

  3. Ways to quit smoking

  4. Advertisements for e-cigarettes

Deletion

N/A

This item is being replaced by a similar item with more accurate categories on use of mobile devices.

E5

E5. In the past 3 months, about how often have you seen ads against smoking on television?


  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

E6

E6. In the past 3 months, how often have you heard ads against smoking on the radio?

  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

E7

E7. In the past 3 months, how often have you seen ads against smoking in newspapers or magazines?


  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

E8

E8. In the past 3 months, how often have you seen ads against smoking in videos, or websites online?


  1. Almost every time I was online

  2. Frequently when I was online

  3. Occasionally when I am online

  4. Never/Not that I remember

  5. I rarely or never go online or use the internet

Deletion

N/A

Variable is not required for analysis and is being deleted to accommodate other additions to the survey.

E9aa

N/A

Addition

E9aa. In the past [MONTHS SINCE MARCH 4, 2013] months, that is since March 4, 2013, have you recommended any family members or friends that smoke to call a telephone quitline?


  1. Yes

  2. No

This question is similar to previously approved items on nonsmoker recommendations to family/friends call a quitline. This new version includes a reference to the specific timeframe of the Phase 2 Tips campaign.

E9a

E9a. Since [FILL DATE OF CAMPAIGN LAUNCH], have you recommended any family members or friends that smoke to call a telephone quitline?


  1. Yes

  2. No

Revision

E9a. Thinking about your more recent past, in the past 3 months, have you recommended any family members or friends that smoke to call a telephone quitline?


  1. Yes

  2. No

This item has been updated to include the phrase “Thinking about your more recent past” at the beginning of the question. This was necessary to clarify the time reference given the addition of E9aa above. The 3-month variable is being kept to enable comparisons to previous survey waves.

E10aa

N/A

Addition

E10aa. In the past [MONTHS SINCE MARCH 4, 2013], that is since March 4, 2013, have you recommended any family members or friends that smoke to call 1-800-QUIT-NOW?


  1. Yes

  2. No

This question is similar to previously approved items on nonsmoker recommendations to family/friends call 1-800-QUIT-NOW. This new version includes a reference to the specific timeframe of the Phase 2 Tips campaign.

E10a

E10a. Since [FILL DATE OF CAMPAIGN LAUNCH], have you recommended any family members or friends that smoke to call 1-800-QUIT-NOW?


  1. Yes

  2. No

Revision

E10a. Thinking about your more recent past, in the past 3 months, have you recommended any family members or friends that smoke to call 1-800-QUIT-NOW?


  1. Yes

  2. No

This item has been updated to include the phrase “Thinking about your more recent past” at the beginning of the question. This was necessary to clarify the time reference given the addition of E10aa above. The 3-month variable is being kept to enable comparisons to previous survey waves.

E10b

E10b. 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?


  1. Yes

  2. No

Revision

E10b. In the past [FILL MONTHS], that is since March 4, 2013, have you recommended any family members or friends that smoke to talk with their doctor or health care professional about quitting smoking?


  1. Yes

  2. No

This item has been revised to include a more specific time reference for the Phase 2 campaign schedule

E12.

N/A

Addition

E12. Have you visited any quit smoking websites online in the past [FILL MONTHS SINCE MARCH 4, 2013], since March 4, 2013?


  1. Yes

  2. No

This question is similar to previously approved items on nonsmoker use of quit smoking websites. This new version includes a reference to the specific timeframe of the Phase 2 Tips campaign.

E13

E13. Since [FILL DATE OF CAMPAIGN LAUNCH], have you visited any quit smoking websites online in the past 3 months?


  1. Yes

  2. No

Revision

E13. Thinking about your more recent past, have you visited any quit smoking websites online in the past 3 months?


  1. Yes

  2. No

This item has been updated to include the phrase “Thinking about your more recent past” at the beginning of the question. This was necessary to clarify the time reference given the addition of E12 above. The 3-month variable is being kept to enable comparisons to previous survey waves.

E14

E14. Have you ever heard of the Website [insert final campaign url]


1. Yes

2. No

Deletion

N/A

This item is being replaced by a new item with final Tips campaign website information (see item E16c).

E16

E16. Since [FILL DATE OF CAMPAIGN LAUNCH], have you visited [insert final campaign url]?


1. Yes

2. No

Deletion

N/A

This item is being replaced by a new item with final Tips campaign website information (see item E16d).

E16a

E16a. Since [FILL DATE OF CAMPAIGN LAUNCH], have you recommended any family members or friends that smoke to [insert final campaign url]?


  1. Yes

  2. No

Deletion

N/A

This item is being replaced by a new item with final Tips campaign website information (see item E164).

E16c

N/A

Addition

E16c. Have you heard of the Website www.cdc.gov/Tips?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items E16c-E16g assesses awareness of and use of the new campaign website.

E16d

N/A

Addition

E16d. Have you visited www.cdc.gov/Tips in the past [FILL MONTHS SINCE MARCH 4, 2013] months, since March 4, 2013?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items E16c-E16g assesses awareness of and use of the new campaign website.

E16e

N/A

Addition

E16e. Thinking about your more recent past, have you visited www.cdc.gov/Tips in the past 3 months?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items E16c-E16g assesses awareness of and use of the new campaign website.

E16f

N/A

Addition

E16f. In the past [FILL MONTHS SINCE MARCH 4, 2013] months, that is since March 4, 2013, have you recommended any family members or friends that smoke to visit www.cdc.gov/Tips?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items E16c-E16g assesses awareness of and use of the new campaign website.

E16g

N/A

Addition

E16g. Thinking about your more recent past, in the past 3 months, have you recommended any family members or friends that smoke to visit www.cdc.gov/Tips?


  1. Yes

  2. No

The Phase 2 campaign promotes a new campaign-specific website www.cdc.gov/Tips. Items E16c-E16g assesses awareness of and use of the new campaign website.

E17

E17. In the past 3 months, have you seen or heard advertisements for products to help people quit smoking, such as nicotine patches or gums?


  1. Never

  2. Rarely

  3. Sometimes

  4. Often

  5. Always

Deletion

N/A

Deleted to accommodate other additions

E18

F18. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen or heard of any ads on television or radio with the following themes or slogans?


  1. Tips from a former smoker

  2. Truth

  3. Become an Ex

  4. Every Cigarette is Doing You Damage

  5. Tobacco Free Living

Revision

E18. In the past [FILL MONTHS], that is since March 4, 2013, have you seen or heard of any ads on television or radio with the following themes or slogans?


  1. Tips from a former smoker

  2. Truth

  3. Become an Ex

  4. Every Cigarette is Doing You Damage

  5. Tobacco Free Living

This item has been updated to reference the specific timeframe of the Phase 2 Tips campaign. This revision will increase accuracy of respondents’ recall

E19a

E19a. Have you heard of the Website [insert final campaign url]?


  1. Yes

  2. No

Deletion

N/A

The Phase 2 campaign now promotes a different website. Questions E19a and E19b are no longer needed.

E19b

E19b. Since [FILL DATE OF CAMPAIGN LAUNCH] have you visited [insert final campaign url]?


  1. Yes

  2. No

Deletion

N/A

The Phase 2 campaign now promotes a different website. Questions E19a and E19b are no longer needed.

E25

E25. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad on television in the past 3 months?


  1. Yes

  2. No

Revision

E25. Have you seen this ad on television in the past [FILL MONTHS], since March 4, 2013?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

E26

E26. Since [FILL DATE OF CAMPAIGN LAUNCH] , how frequently have you seen this ad on television?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

Revision

E26. In the past [FILL MONTHS], how frequently have you seen this ad on television?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

E26a

E26a. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen this ad online?


    1. Yes

    2. No

Revision

E26a. Have you seen this ad online in the past [FILL MONTHS], since March 4, 2013?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

E26b

E26b. Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you seen this ad online?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often


Revision

E26b. In the past [FILL MONTHS], how frequently have you seen this ad online?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

E29a

E29a. Do you think these ads would be relevant for people who smoke cigars, cigarillos or very small cigars that look like cigarettes?


  1. Strongly disagree

  2. Disagree

  3. Neither agree nor disagree

  4. Agree

  5. Strongly agree

Deletion

N/A

This item is being deleted to accommodate other additions.

E29b

E29b. Do you think these ads would be relevant for people who smoke brown cigarettes?


  1. Strongly disagree

  2. Disagree

  3. Neither agree nor disagree

  4. Agree

  5. Strongly agree

Deletion

N/A

This item is being deleted to accommodate other additions.

E36

E36. Since [FILL DATE OF CAMPAIGN LAUNCH], have you heard this ad on the radio in the past 3 months?


  1. Yes

  2. No

Revision

E36. Have you heard this ad on the radio in the past [FILL MONTHS], since March 4, 2013?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

E37

E37. Since [FILL DATE OF CAMPAIGN LAUNCH], how frequently have you heard this ad on the radio?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

Revision

E37. In the past [FILL MONTHS SINCE MARCH 4, 2013], how frequently have you heard this ad on the radio?


  1. Rarely

  2. Sometimes

  3. Often

  4. Very Often

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

E38

E38. Since [FILL DATE OF CAMPAIGN LAUNCH], have you seen any of these ads in magazines, on Websites, or in public places outside your home?


  1. Yes

  2. No

Revision

E38. In the past [FILL MONTHS], since March 4, 2013, have you seen any of these ads in magazines, on Websites, or in public places outside your home?


  1. Yes

  2. No

This item has been updated to include reference to the specific timeframe of the Phase 2 Tips campaign.

G

G. In what zip code do you live?

Deletion

N/A

This item is being replaced by a new item that matches KP panel profile item wording.

G15

N/A

Addition

G15. Have you been diagnosed by a physician or other qualified medical professional with any of the following medical conditions?


  1. Acid reflux disease

  2. ADHD or ADD

  3. Anxiety disorder

  4. Asthma, chronic bronchitis, or COPD

  5. Cancer (any type except skin cancer)

  6. Chronic pain (such as low back pain, neck pain, or Fibromyalgia)

  7. Depression

  8. Diabetes

  9. Heart attack

  10. Heart disease

  11. High blood pressure

  12. High cholesterol

  13. HIV/AIDS

  14. Kidney disease

  15. Mental health condition

  16. Multiple sclerosis

  17. Osteoporosis or osteopenia

  18. Rheumatoid arthritis

  19. Seasonal allergies

  20. Skin cancer

  21. Sleep disorders such as sleep apnea or insomnia

  22. Stroke

  23. Something else

This item was previously approved in the original ICR as part of the baseline survey. We are reintroducing it in the current survey to reassess presence of chronic conditions. This is used as a control variable in analysis of the effects of the Tips campaign on smoking-related outcomes.




2


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleWe are requesting a nonsubstantive change to the previously approved data collection entitled Survey of Primary Care Physicians’
Authoringrid hall
File Modified0000-00-00
File Created2021-01-29

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