Appendix G FRS Awareness and Outcomes Survey_Wave 2_4-19-2022

[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

Formative Research Support: Awareness and Outcomes Assessment Screener
and Survey Instrument: Wave 2
PROGRAMMER: PASS THROUGH THE FOLLOWING VARIABLES FROM THE
WAVE 1 SURVEY:
•
•
•
•
•
•
•
•

P_BMONTH
P_BDAY
P_BYEAR
Y_BMONTH
Y_BDAY
Y_BYEAR
EXPOSURE
MODULE

SECTION 1: SCREENER
Thank you for your interest in this survey. To get started, we first need to know a little
more about you to see if you are eligible to take the survey.
What is your date of birth?
[Y_BMONTH2] Month: _ _ [Y_BDAY2] Day: _ _ [Y_BYEAR2] Year: _ _ _ _
[VALIDATE CORRECT FORMAT. TERMINATE IF Y_BMONTH ≠ Y_BMONTH2 OR
Y_BDAY ≠ Y_BDAY2 OR Y_BYEAR ≠ Y_BYEAR2]
Thank you for providing that information.

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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

SECTION 2: EXPERIMENT 2
STUDY PROTOCOL:
RANDOMIZE RESPONDENTS TO 1 OF 3 CONDITIONS ACCORDING TO TABLE 1
BELOW. USE LEAST FILL QUOTAS TO ACHIEVE APPROXIMATELY EQUIVALENT
DISTRIBUTION ACROSS GROUPS. GENERATE VARIABLE FOR EXPERIMENT 2
STUDY CONDITION [CONDITION_2] WITH VALUES A1, B1, ETC. ACCORDING TO
VALUES BELOW.
RANDOMIZE RESPONDENTS TO 1 OF 2 CONDITIONS ACCORDING TO TABLE 1
BELOW. USE LEAST FILL QUOTAS TO ACHIEVE APPROXIMATELY EQUIVALENT
DISTRIBUTION ACROSS GROUPS. GENERATE VARIABLE FOR EXPERIMENT 2
STUDY CONDITION [CONDITION_2] ACCORDING TO VALUES BELOW.
TABLE 1. EXPERIMENT 2 STUDY CONDITIONS
FACTOR 1:
EXPOSED VS
UNEXPOSED
[DERIVED
FROM
‘EXPOSURE’
VARIABLE
FROM WAVE 1]
A (EXPOSED)
B
(UNEXPOSED)

FACTOR 2: AD FORMAT

1
(6 SECOND)

2
(15 SECOND)

3
(COLLAGE)

A1
(N~1/6 TOTAL
SAMPLE)
B1
(N~1/6 TOTAL
SAMPLE)

A2
(N~1/6 TOTAL
SAMPLE)
B2
(N~1/6 TOTAL
SAMPLE)

A3
(N~1/6 TOTAL
SAMPLE)
B3
(N~1/6 TOTAL
SAMPLE)

EACH RESPONDENT WILL BE SHOWN 3 ADS OF THE SAME FORMAT, WITH
VARIATION IN FORMAT ACCORDING TO THE CRITERIA IN TABLE 2. LOOP
THROUGH THIS SECTION FOR EACH OF ADS 2_X_1, 2_X_2, AND 2_X_3.
TABLE 2. AD ASSIGNMENT
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

CRITERIA
CONDITION = A1 OR B1
CONDITION = A2 OR B2
CONDITION = A3 OR B3

AD
AD 2_1_1 (6 second); AD 2_1_2 (6 second); AD 2_1_3
(6 second)
AD 2_2_1 (15 second); AD 2_2_2 (15 second); AD
2_2_3 (15 second)
AD 2_3_1 (Collage); AD 2_3_2 (Collage); AD 2_3_3
(Collage)

First, we’d like to show you a few ads and ask you some questions about them.
[SHOW AD X ACCORDING TO STUDY CONDITION. RANDOMIZE ORDER OF ADS.]
[ASK ALL]
[RECALL] In the past week or so, have you seen this ad anywhere?
1. Yes
2. No
SECTION 3: OUTCOME MEASURES
Next, we’d like to ask you some questions about your thoughts on vaping nicotine.
[ADMINISTER MODULE 1 IF MODULE = 1]
OUTCOME MEASURES – MODULE 1
Please indicate how much you agree or disagree with the following statements.
[USE SCROLLING LIST. RANDOMIZE ORDER OF ITEMS WITHIN EACH “BLOCK”
OF ITEMS. FOR EXAMPLE, PERCEIVED SEVERITY: METALS IS ONE BLOCK OF
ITEMS. DO NOT RANDOMIZE ITEM BLOCKS.]
1.
2.
3.
4.
5.

Strongly disagree
Disagree
Neutral
Agree
Strongly agree
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[PERCEIVED SEVERITY: METALS]
[PS_MET_DEST] When people vape, the metals they inhale will destroy their lungs.
[PS_MET_TOX] When people vape, the metal particles they inhale will be toxic to their
bodies.
[PS_MET_DAM] The metals in vapes will cause permanent damage to one's lungs.
[PS_MET_HARM] The metal particles in vapes are extremely harmful to one’s body.
[PS_MET_ORG] The metals in vapes will cause organ damage.
[PS_MET_POIS] The metals in vapes poisons one’s body.
[PERCEIVED SEVERITY: CHEMICALS]
[PS_CHEM_HURT] When people vape, the chemicals they inhale will hurt their lungs.
[PS_CHEM_HARM] When people vape, the chemicals they inhale will harm their
bodies.
[PS_CHEM_DNA] When people vape, the chemicals they inhale will severely damage
their DNA.
[PS_CHEM_DAM] The chemicals in vapes will cause permanent damage to people’s
bodies.
[PS_CHEM_BOD] The chemicals in vapes are extremely harmful to one’s body.
[PERCEIVED SEVERITY: PHYSICAL FITNESS]
[PS_PF_HURT] Vaping will hurt one’s physical fitness.
[PS_PF_RUIN] Vaping will ruin people’s chances of achieving their fitness goals.
[PS_PF_TIRE] Vaping will make people get tired much more easily when they exercise.
[PS_PF_DIFF] Vaping will make exercising much more difficult.
[PS_PF_IMP] Vaping makes it impossible for people to perform physical activities.
[PS_PF_BRE] Vaping will make people get out of breath more easily when exercising.
[PS_PF_STR] Vaping will prevent people from being able to have strong bodies.
[PS_PF_HOLD] Vaping will hold people back from being physically in-shape.
[PERCEIVED SEVERITY: ANXIETY (WORSENING ANXIETY SYMPTOMS)]
[PS_ANX_WORS] Vaping will make anxious feelings worse.
[PS_ANX_PAN] Vaping will make anxious feelings so bad that it will lead to a panic
attack.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[PS_ANX_WORR] Vaping will make people feel worried more often.
[PS_ANX_STR] Vaping will make people feel more stressed.
[PS_ANX_NERV] Vaping will make nervous feelings stronger.
[PS_ANX_BRE] Vaping will make anxious feelings so bad that it would be hard to
breathe.
[PS_ANX_CHE] Vaping will make anxious feelings so bad that it would cause chest
tightness.
[PERCEIVED SEVERITY: ANXIETY (CAUSING MENTAL ILLNESS)]
[PS_MILL_SEVA] Vaping will give people severe anxiety.
[PS_MILL_ADIS] Vaping will cause people to have anxiety disorders.
[PS_MILL_MH] Vaping will cause people to develop a mental health condition.
[PS_MILL_PRO] Vaping will make people so stressed out that they would need help
from a professional.
[PERCEIVED SEVERITY: ANXIETY (EFFECT ON MOOD)]
[PS_MOOD_BAD] Vaping will make someone more likely to be in a bad mood.
[PS_MOOD_GRUM] Vaping will make people grumpy more often.
[PS_MOOD_CRAN] Vaping makes people cranky.
[PS_MOOD_AROU] Vaping will cause a person’s mood to become so bad that others
won’t want to be around them.
[PERCEIVED SEVERITY: ANXIETY (SOCIAL ANXIETY)]
[PS_SA_TALK] Vaping will cause people to feel nervous just talking to others.
[PS_SA_CARE] Vaping will make people feel anxious around people they care about.
[PS_SA_SOC] Vaping will make people feel scared to socialize.
[PS_SA_UNC] Vaping will make people feel more uncomfortable around others.
[ADDICTION SEVERITY]
[ASV_PRO] A vaping addiction is something people would need professional help to
deal with.
[ASV_SER] A vaping addiction is something people should take seriously.
[ASV_PROB] A vaping addiction could cause major problems for people.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[ASV_CRV] A vaping addiction would make the person crave their vape all the time.
[ASV_NORM] A vaping addiction would mean a person has to keep vaping more just to
feel normal.
[ASV_ANX] A vaping addiction would mean people would get anxious if they can’t vape
when they want to.
[ASV_MORE] A vaping addiction means a person always wants to vape more.
If you were to vape every day, how likely is it that you personally would…
[USE SCROLLING LIST. RANDOMIZE ORDER OF ITEMS WITHIN EACH “BLOCK”
OF ITEMS. FOR EXAMPLE, PERCEIVED SUSCEPTIBILITY: METALS IS ONE BLOCK
OF ITEMS. DO NOT RANDOMIZE ITEM BLOCKS.]
1.
2.
3.
4.
5.

Not at all likely
A little likely
Somewhat likely
Very likely
Extremely likely

[PERCEIVED SUSCEPTIBILITY: METALS]
[PSU_MET_POIS] …poison your body from inhaling metals in vapes.
[PSU_MET_DEST] …have your lungs destroyed from inhaling metal particles.
[PSU_MET_TOX] …inhale metals that are toxic to your body.
[PSU_MET_DAM] …permanently damage your lungs by inhaling metal particles.
[PSU_MET_BOD] …expose your body to extremely harmful metal particles.
[PSU_MET_ORG] …inhale metals that will cause you organ damage.
[PERCEIVED SUSCEPTIBILITY: CHEMICALS]
[PSU_CHEM_HURT] …inhale chemicals that hurt your lungs.
[PSU_CHEM_HARM] …inhale chemicals that harm your body.
[PSU_CHEM_DNA] …inhale chemicals that will severely damage your DNA.
[PSU_CHEM_DAM] …inhale chemicals that will cause permanent damage to your
body.
[PSU_CHEM_BOD] …inhale chemicals that cause extreme damage to your body.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[PERCEIVED SUSCEPTIBILITY: PHYSICAL FITNESS]
[PSU_PF_HURT] …hurt your physical fitness.
[PSU_PF_RUIN] …ruin your chances of achieving your fitness goals.
[PSU_PF_TIRE] …get tired more quickly when exercising.
[PSU_PF_EX] …have a hard time exercising.
[PSU_PF_PA] …have a hard time performing physical activities.
[PSU_PF_BRE] …have a hard time breathing when exercising.
[PSU_PF_RUN] …run out of breath more easily when exercising.
[PSU_PF_STR] …be prevented from having a strong body.
[PSU_PF_SHA] …be prevented from getting physically in-shape.
[PERCEIVED SUSCEPTIBILITY: ANXIETY (WORSENING ANXIETY SYMPTOMS)]
[PSU_ANX_WORS] …have worse feelings of anxiety.
[PSU_ANX_PAN] …have anxious feelings that are so bad you get panic attacks.
[PSU_ANX_WOR] …feel more worried.
[PSU_ANX_BRE] …have anxious feelings that are so bad it is hard to breathe.
[PSU_ANX_CHE] …have anxious feelings that are so bad your chest feels tight.
[PSU_ANX_NERV] …have stronger feelings of nervousness.
[PSU_ANX_STR] …feel more stressed.
[PERCEIVED SUSCEPTIBILITY: ANXIETY (CAUSING MENTAL ILLNESS)]
[PSU_MILL_SEVA] …get severe anxiety.
[PSU_MILL_ANX] …get an anxiety disorder you did not have before.
[PSU_MILL_MH] …develop a mental health condition.
[PSU_MILL_PRO]…get so stressed out that you need to get help from a professional.
[PERCEIVED SUSCEPTIBILITY: ANXIETY (EFFECT ON MOOD)]
[PSU_MOOD_BAD] …be in a bad mood more often.
[PSU_MOOD_AROU] …be in such a bad mood that others don’t want to be around
you.
[PSU_MOOD_GRUM] …feel grumpy for no good reason more often.
[PSU_MOOD_CRAN] …feel cranky more often.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[PERCEIVED SUSCEPTIBILITY: ANXIETY (SOCIAL ANXIETY)]
[PSU_SA_NERV] …feel nervous just talking to others.
[PSU_SA_ANX] …feel anxious around people you care about.
[PSU_SA_SOC] …feel scared to socialize.
[PSU_SA_UNC] …feel uncomfortable around others.
[ADDICTION SUSCEPTIBILITY]
[ASU_MORE] …want to vape more often to get the same effect.
[ASU_CRV] …crave vaping all the time.
[ASU_NOT] …not be able to stop vaping even if you wanted to.
[ASU_NORM] …feel like you need to vape just to feel normal.
[ASU_ANX] …feel anxious if you can’t vape when you want to.
[ASU_PRO] …need professional help to stop vaping.
[ASU_HOOK] …get hooked on vaping.
[ASU_ADD] …get addicted to vaping.
[ANTICIPATORY SOCIALIZATION]
Please indicate how much you agree or disagree with the following statements.
[USE SCROLLING LIST. RANDOMIZE ORDER OF ITEMS.]
1.
2.
3.
4.
5.

Strongly disagree
Disagree
Neutral
Agree
Strongly agree

[AS_FIT] Vaping will help me fit in.
[AS_FRND] Vaping will help me make friends.
[AS_POP] Vaping will make me more popular.
[AS_SOC] Vaping will help me feel more comfortable in social situations.
[AS_AROU] Vaping will make others want to be around me.
[AS_POS] Vaping will make my peers think more positively of me.
[AS_IMP] To me, vaping is an important part of being with friends.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[AS_MFR] I think vaping allows people my age to make friends.
[AS_TEEN] I think vaping is part of the teenage experience.
[AS_ISOC] To me, vaping is an important part of one's social life.
[ADMINISTER MODULE 2 IF MODULE = 2]
OUTCOME MEASURES – MODULE 2
Please indicate how much you agree or disagree with the following statements.
[USE SCROLLING LIST. RANDOMIZE ORDER OF ITEMS WITHIN EACH “BLOCK”
OF ITEMS. FOR EXAMPLE, OUGHT SELF-DISCREPANCY: FAMILY IS ONE BLOCK
OF ITEMS. DO NOT RANDOMIZE ITEM BLOCKS.]
1.
2.
3.
4.
5.

Strongly disagree
Disagree
Neutral
Agree
Strongly agree

[OUGHT SELF-DISCREPANCY: FAMILY]
[OSD_FAM_DOWN] If I vape, I will let my family down.
[OSD_FAM_POOR] If I vape, I will treat my family poorly.
[OSD_FAM_HURT] If I vape, I will do things that hurt my family.
[OSD_FAM_DIS] If I vape, my family will be disappointed.
[OSD_FAM_REL] If I vape, I will do things that harm my relationship with my family.
[OSD_FAM_TRU] If I vape, I will do things that break my family’s trust.
[OSD_FAM_FAIL] If I vape, I will fail to live up to the person my family thinks I should
be.
[OSD_FAM_EXP] If I vape, I will be unable to live up to my family’s expectations.
[OUGHT SELF-DISCREPANCY: FRIENDS/PEERS]
[OSD_FRND_DOWN] If I vape, I will let my friends down when they are counting on
me.
[OSD_FRND_DIS] If I vape, my friends will be disappointed.
[OSD_FRND_EXP] If I vape, I will fail to live up to my friends’ expectations.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[OSD_FRND_FAIL] If I vape, I will fail to live up to the person my friends think I should
be.
[OSD_FRND_REL] If I vape, I will do things that negatively affect my friendships.
[OSD_FRND_NEG] If I vape, my friends will look at me negatively.
[OSD_FRND_SUPP] If I vape, it could get in the way of me supporting my friends.
[IDEAL SELF-DISCREPANCY]
[ISD_BEC] If I vape, I will become someone I don’t want to be.
[ISD_GIVE] If I vape, I will give up things that are important to me.
[ISD_BEST] If I vape, I can’t be my best self.
[ISD_UND] If I vape, I will underperform at things that are important to me.
[ISD_IDEA] If I vape, I can’t be who I would ideally like to be.
[ISD_POT] If I vape, I can’t live up to my potential.
[ISD_FALL] If I vape, I will fall behind on my goals.
[ISD_MISS] If I vape, I will miss out on important opportunities.
[ISD_DOWN] If I vape, I’ll be letting myself down.
[ANTICIPATED GUILT (SCALE)]
If I vape, I will feel...
[AG_BAD] …bad about it.
[AG_TENS] …tension about it.
[AG_REGR] …regretful.
[AG_WRON] …like I did something wrong.
[AG_SHLD] …like I did something that I shouldn’t have.
[AG_WORR] …worried about hurting myself
[AG_RESP] …responsible if anything bad happens.
[AG_IMP] …like I am being improper.
[AG_RECK] …like I am acting recklessly.
[AG_INA] …like I am doing something inappropriate.
[ANTICIPATED GUILT (SINGLE ITEM)]
[AG_GUIL] If I vape, I will feel guilty.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[ANTICIPATED SHAME (EXTERNAL SHAME)]
If I vape, I feel that…
[ASH_EX_STAN] …others will see me as not being up to their standards.
[ASH_EX_UND] …others will not understand me.
[ASH_EX_JUDG] …others will judge me.
[ASH_EX_CRIT] …others will criticize me.
[ASH_EX_UNIN] …other people will see me as uninteresting.
[ASH_EX_MESS] …other people will think I messed up. [NEW ITEM]
[ASH_EX_GOOD] …other people will think I am not good enough. [NEW ITEM]
[ASH_EX_DIS] …other people will be disappointed in me.
[ASH_EX_GRO] …other people will think I am gross.
[ASH_EX_NEG] …other people will see me negatively.
[ANTICIPATED SHAME (INTERNAL SHAME - SCALE)]
If I vape, I feel that …
[ASH_INT_IS] …I will be isolated.
[ASH_INT_INF] …I will be inferior to others.
[ASH_INT_UNW] …I will be unworthy as a person.
[ASH_INT_JUDG] …I will be judgmental of myself.
[ASH_INT_CRIT] …I will criticize myself.
[ASH_INT_CRIN] …I will cringe when I think of what I did. [NEW ITEM]
[ASH_INT_DIS] …I will be disappointed in myself. [NEW ITEM]
[ASH_INT_GRO] …I will feel gross about myself. [NEW ITEM]
[ASH_INT_EMB] …I will be embarrassed.
[ASH_INT_HYP] …I will feel like a hypocrite.
[ASH_INT_FOOL] …I will feel foolish.
[ASH_INT_HELP] …I will feel helpless.
[ASH_INT_SILL] …I will feel silly.
[ANTICIPATED SHAME (INTERNAL SHAME – SINGLE ITEM)]
[AS_INT_ASH] If I vape, I will feel ashamed.
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[PROTOCOL TITLE: Formative Research Support: Outcomes and Awareness Measurement Research
RTI PRINCIPAL INVESTIGATOR: Matthew Eggers
Version 03-24-22]
OMB# 0910-0810
EXP: 12/31/2024

[ANTICIPATED REGRET]
If I vape I will...
[AR_SBV] …experience self-blame about deciding to vape.
[AR_SORR] …feel sorry.
[AR_SB] …experience self-blame.
[AR_GUIL] …feel guilty.
[AR_CONF] …feel conflicted
[AR_KICK] …feel like kicking myself.
[AR_BETT] …think things would have gone better if I had decided not to vape.
[AR_DEC] …wish I had decided not to vape.
[AR_TDEC] …think I should have decided not to vape.
[AR_TBET] …think it would have been better off had I decided not to vape.
[AR_TCHO] …think I should have chosen not to vape.
[AR_REG] …feel a sense of regret.
[AR_UPS] …feel upset with myself.
END
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information on how to quit, please visit https://smokefree.gov/.
OMB No: 0910-0810

Expiration Date:12/31/2024

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