Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

Quantitative Study of Tobacco Facts Designed to Inform Youth Tobacco Prevention Messaging

RIHSC No. 18-049CTP

OMB No. 0910-0810

Exp. Date: 10/31/2021

Attachment B5: The Real Cost: Smokeless Survey Instrument

Intro Text

Thank you for agreeing to participate in this study today. We would like to learn more about youth like you and your thoughts about tobacco. There are no right or wrong answers, we only want to know what you think. If you do not wish to answer any question, you can skip it and move on. Also, you might notice some questions throughout the survey to make sure people who are taking the survey are reading the questions carefully.

A. Risk Perceptions and Attitudinal Beliefs

A1. How much do you agree or disagree with the following statements? [RANDOMIZE ORDER]

A1_a. If I smoke cigarettes I will…

		1 Strongly agree	2 Agree	3 Neither agree nor disagree	4 Disagree	5 Strongly disagree	6 Don’t know	9 Prefer not to answer
A1_a1	Become addicted	1	2	3	4	5	6	9
A1_a2	Develop a tobacco-related disease	1	2	3	4	5	6	9
A1_a3	Inhale dangerous chemicals	1	2	3	4	5	6	9
A1_a4	Shorten my life	1	2	3	4	5	6	9
A1_a5	Be less attractive to others	1	2	3	4	5	6	9

The next set of questions asks specifically about smokeless tobacco.

A1_b. If I use smokeless tobacco I will…

		1 Strongly agree	2 Agree	3 Neither agree nor disagree	4 Disagree	5 Strongly disagree	6 Don’t know	9 Prefer not to answer
A1_b1	Be exposed to dangerous chemicals	1	2	3	4	5	6	9
A1_b2	Become addicted	1	2	3	4	5	6	9
A1_b3	Develop a tobacco-related disease	1	2	3	4	5	6	9
A1_b4	Cause less harm to my body compared to smoking cigarettes	1	2	3	4	5	6	9

Social Norms

Now, we would like to ask you some questions about your peers.

B2. People often hang out in different groups at school. For example, a lot of schools have a group of “jocks.” Some students gave the following list of groups. Please indicate how much you identify with (or, in other words, fit in or hang out with) each group by dragging the bar across the screen. Dragging the bar to 100 means you identify with this group very much and dragging the bar to 0 means you do not identify with this group at all.

[RANDOMIZE Programming note: Please have slider from 0–100 for each group]

		0——————100	9 Prefer not to answer
B2_a	Hipsters	0——————100	9
B2_b	Skaters	0——————100	9
B2_c	Jocks	0——————100	9
B2_d	Athletes	0——————100	9
B2_e	Rockers	0——————100	9
B2_f	Goth	0——————100	9
B2_g	Emo	0——————100	9
B2_h	Gangster	0——————100	9
B2_i	Partyers	0——————100	9
B2_j	Hip-hop	0——————100	9
B2_k	Country	0——————100	9
B2_l	Popular	0——————100	9
B2_m	Mainstream	0——————100	9
B2_n	Alternative	0——————100	9

B3. Out of every 10 students in your grade at school, how many do you think use smokeless tobacco?

__________ [MIN 0 MAX 10]

₉₉ Prefer not to answer

B4. How many of your four closest friends…

		0	1	2	3	4	Prefer not to answer
B4_a	Smoke cigarettes?	0	1	2	3	4	9
B4_b	Use e-cigarettes, vapes, vape pens, or hookah pens, such as JUUL, ENJOY, Fin, Blu, e-Go, or Vuse?	0	1	2	3	4	9
B4_c	Use smokeless tobacco, such as, dip, spit, chewing tobacco, snus pouches, or moist snuff?	0	1	2	3	4	9

Next, you are going to see 15 facts about smokeless tobacco products, such as, dip, spit, chewing tobacco, snus pouches, or moist snuff. From now on, we’ll be referring to these products as smokeless tobacco. Some of these facts may be used in advertisements to keep young people from using smokeless tobacco.

We will show you one fact at a time. After each fact is shown, we’d like to know what you think about each of them. Please answer with just yourself in mind, not what you think other teens would say.

[Programming note: Repeat C1–C5d for each fact]

Fact [X] out of 15:

C1. This fact about smokeless tobacco is:

[RANDOMIZE ORDER]

		Strongly agree	Agree	Neither agree nor disagree	Disagree	Strongly disagree	Prefer not to answer
C1_a	Telling me something new	1	2	3	4	5	6
C1_b	Attention grabbing	1	2	3	4	5	6
C1_c	Worth remembering	1	2	3	4	5	6
C1_d	Interesting	1	2	3	4	5	6
C1_e	Important	1	2	3	4	5	6
C1_f	Informative	1	2	3	4	5	6
C1_g	Convincing	1	2	3	4	5	6
C1_h	Believable	1	2	3	4	5	6
C1_i	Clear	1	2	3	4	5	6
C1_j	Relevant to me	1	2	3	4	5	6

C2. How much do you trust this fact about smokeless tobacco?

₁ Very much

₂ Quite a bit

₃ Somewhat

₄ A little

₅ Not at all

₉ Prefer not to answer

C3. How likely are you to share this fact about smokeless tobacco with somebody you know?

₁ Very likely

₂ Quite likely

₃ Somewhat likely

₄ A little likely

₅ Not at all

₉ Prefer not to answer

C4. How confident are you that you understood this fact about smokeless tobacco?

₁ Very confident

₂ Quite confident

₃ Somewhat confident

₄ A little confident

₅ Not at all confident

₉ Prefer not to answer

The fact you just saw suggests that something could happen if a person uses smokeless tobacco. Think about this potential outcome.

C5_a. How good or bad would you say this outcome is?

₁ Very good

₂ Somewhat good

₃ Neutral

₄ Somewhat bad

₅ Very bad

₉ Prefer not to answer

C5_b. How desirable or undesirable would you say this outcome is?

₁ Very desirable

₂ Somewhat desirable

₃ Neutral

₄ Somewhat undesirable

₅ Very undesirable

₉ Prefer not to answer

C5_c. How likely or unlikely is it that this will happen if a person uses smokeless tobacco?

₁ Very likely

₂ Somewhat likely

₃ Neutral

₄ Somewhat unlikely

₅ Very unlikely

₉ Prefer not to answer

C5_d. How possible or impossible is it that this will happen if a person uses smokeless tobacco?

₁ Very possible

₂ Somewhat possible

₃ Neutral

₄ Somewhat impossible

₅ Very impossible

₉ Prefer not to answer

[Programming note: Show question C6 only after Fact 1]

C6. How do you feel about youth your age using smokeless tobacco at this moment?

₁ Very positive

₂ Somewhat positive

₃ Neutral

₄ Somewhat negative

₅ Very negative

₉ Prefer not to answer

[Programming note: Ask attention check question (Check1) after Fact 5]

Check1. Sometimes we ask a somewhat different question to make sure people who take the survey are reading the questions carefully. To let us know that you are, please select “Friday” from the response options below.

1. Monday

2. Tuesday

3. Wednesday

4. Thursday

5. Friday

6. Saturday

7. Sunday

99. Prefer not to answer

D. Tobacco Intentions

Thinking about the future…

		Yes, definitely	Yes, probably	Maybe	No, probably not	No, definitely not	Prefer not to answer
D1_a	Do you think you will use smokeless tobacco in the next year?	1	2	3	4	5	9
D1_b	If one of your friends were to offer you smokeless tobacco, would you use it?	1	2	3	4	5	9

E. Sensation Seeking and Self-Reported Skills

Now, we would like to ask you some questions about your behaviors and preferences.

E1. How much do you agree or disagree with the following statements?

		1 Strongly agree	2 Agree	3 Neither agree nor disagree	4 Disagree	5 Strongly disagree	9 Prefer not to answer
E1_a	You like to explore strange places.	1	2	3	4	5	9
E1_b	You like to do frightening things.	1	2	3	4	5	9
E1_c	You like new and exciting experiences, even if you have to break the rules.	1	2	3	4	5	9
E1_d	You prefer friends who are exciting and/or unpredictable.	1	2	3	4	5	9

The next question asks about a specific skill.

E2. How much do you agree or disagree with the following statement? I am good at math.

₁ Strongly agree

₂ Agree

₃ Neither agree nor disagree

₄ Disagree

₅ Strongly disagree

₉ Prefer not to answer

Check2. Sometimes we ask a somewhat different question to make sure people who take the survey are reading the questions carefully. To let us know that you are, please select “Basketball” from the response options below.

1. Soccer

2. Baseball

3. Swimming

4. Softball

5. Basketball

99. Prefer not to answer

F. Demographics and Environment

Now, we would like to ask you some questions about yourself.

F1. Are you male or female?

₁ Female

₂ Male

₉ Prefer not to answer

F2. Are you Hispanic, Latino/Latina, or of Spanish origin?

₁ Yes

₂ No

₉ Prefer not to answer

F3. What race or races do you consider yourself to be? Select all that apply.

₁ American Indian or Alaska Native

₂ Asian

₃ Black or African American

₄ Native Hawaiian or Other Pacific Islander

₅ White

₅ Other

₉ Prefer not to answer

F4. How old are you?

₁ 13

₂ 14

₃ 15

₄ 16

₅ 17

₆ Other

F5. What is the 5-digit zip code where you currently live?

_ _ _ _ _

F6. As things stand now, how far in school do you think you will go?   

₁ I don’t plan to go to school anymore

₂ 9th grade

₃ 10th grade

₄ 11th grade

₅ 12th grade or GED

₆ Some college or technical school but no degree

₇ Technical school degree

₈ College degree

₉ Graduate school, medical school, or law school

₉₉ Prefer not to answer

Your feedback has been very helpful. Thank you for your participation!

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