Protocol - Motivation to Quit - Multiple Item
Description
The Reasons for Quitting (RFQ) Questionnaire is a 20-item protocol developed to assess specific motivations for smoking cessation. The RFQ is based on an intrinsic-extrinsic model of motivation for smoking cessation with 10 intrinsic items (health concerns, self-control) and 10 extrinsic items (immediate reinforcement, social pressure).
Specific Instructions
Current smoking status must be ascertained before implementing this protocol. Proceed only if the subject is a current or former smoker. This questionnaire is most appropriate for tobacco users who are in some way motivated to quit smoking. Some appropriate motivation cut-off should be decided on to determine that the questions are appropriate. However, it should be noted that researchers could also administer this questionnaire ro respondants who currently smoke cigarettes and who are not interested in quitting and use introductory text used by Curry et al. (1997): "Even though you don’t want to quit smoking now, we are interested in finding out the various reasons why people may decide to quit. Read each item and decide whether it would be true for you."
Note that an adolescent version has also been developed (Myers & MacPherson, 2008), although there are little validation data to date.
The Content Expert Panel suggests investigators consier nicotine as derived from any source, including both natural and synthetic, when administering this protocol.
The Content Expert Panel recommends investigators substitute people-first language (i.e. replace behavior-based labels such as "smoker" and "people who smoke") as outlined in Hefler, M. et al 2023, which may differ from the original protocol text.
Availability
Protocol
Self-Administered
What are your reasons for wanting to quit smoking at this time? Below is a list of reasons that smokers may have for quitting. Read each reason and decide how much it applies to you right now. Then circle ONE number for each reason. Remember, there are no "right" or "wrong" reasons for wanting to quit smoking. Any reason is a good one!
Telephone Administered
Past smokers: This section is about reasons for quitting smoking. I am going to read you a list of twenty reasons that smokers may have for quitting. Please listen to each one and decide how true it was for you at the time you decided to quit. Then tell me if it was not at all true, a little true, moderately true, quite true, or extremely true when you decided to quit smoking.
Current smokers who desire to quit: This section is about reasons for quitting smoking. I am going to read you a list of twenty reasons that smokers may have for quitting. Listen to each one and decide whether it is not at all true, a little true, moderately true, quite true, or extremely true for you right now.
Current smokers who do not wish to quit: This section is about reasons for quitting smoking. Even though you don’t want to quit smoking now, we are interested in finding out the various reasons why people may decide to quit. I’m going to read you a list of twenty reasons that smokers may have for quitting. Listen to each one and decide whether it would be: not at all true, a little true, quite true, or extremely true for you if you were to decide to quit.
I WANT TO QUIT SMOKING:
1. Because I am concerned that I will suffer from a serious illness if I don’t quit smoking
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
2. To show myself that I can quit smoking if I really want to
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
3. So that my hair and clothes won’t smell
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
4. Because my spouse, children, or other person I am close to will stop nagging me if I quit smoking
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
5. Because I have noticed physical symptoms that smoking is hurting my health
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
6. Because I will like myself better if I quit smoking
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
7. So that I will save money on smoking-related costs such as dry cleaning
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
8. Because someone has given me an ultimatum (made a threat) to quit
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
9. Because I can graphically picture the effects that smoking has on my body
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
10. So that I can feel in control of my life
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
11. Because I won’t burn holes in clothing or furniture
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
12. Because I will receive a special gift if I quit
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
13. Because I have known other people who have died from serious illnesses that were caused by smoking
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
14. Because quitting smoking will prove that I can accomplish other things that are important to me
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
15. Because I want to save money that I spend on cigarettes
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
16. Because people I am close to will be upset with me if I don’t quit
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
17. Because I am concerned that smoking will shorten my life
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
18. To prove to myself that I am not addicted to cigarettes
0[ ]Not at all true
[ ] 1A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
19. So that I won’t have to clean my house or car as often
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
20. Because I will receive a financial reward for quitting (money from a friend or family member, bonus from work, etc.)
0[ ]Not at all true
1[ ]A little true
2[ ]Moderately true
3[ ]Quite true
4[ ]Extremely true
SCORING
Dimension Items
Intrinsic, Health Concerns 1, 5, 9, 13, 17
Intrinsic, Self-Control 2, 6, 10, 14, 18
Extrinsic, Immediate Reinforcement 3, 7, 11, 15, 19
Extrinsic, Social Pressure 4, 8, 12, 16, 20
COMPUTATION
We score the scaled as average ratings across the relevant sub-dimension items. Items with missing ratings can be excluded from the denominator. For example, the health concerns score = Sum of items (1 + 5 + 9 + 13 + 17)/5
If item #9 is missing data, the calculation would be the sum of items (1 + 5 + 13 + 17)/4
Level of intrinsic relative to extrinsic motivation is calculated as a difference score with the extrinsic scale score subtracted from the intrinsic score.
Personnel and Training Required
None
Equipment Needs
None
Requirements
Requirement Category | Required |
---|---|
Major equipment | No |
Specialized training | No |
Specialized requirements for biospecimen collection | No |
Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self-administered questionnaire
Lifestage
Adult
Participants
Adult
Selection Rationale
The RFQ has good psychometrics, is multidimensional and that assesses Short-Term Consequences, Social Disapproval, and Long-Term Consequences motivations for quitting.
Language
English
Standards
Standard | Name | ID | Source |
---|---|---|---|
caDSR Form | PhenX PX710502 - Motivation To Quit Multiple Item | 6238013 | caDSR Form |
Derived Variables
None
Process and Review
The Tobacco Regulatory Research (TRR) Content Expert Panel (CEP) reviewed the measures in the Tobacco Regulatory Research collection in February 2024.
Guidance from the TRR CEP includes:
- Updated Definition, Specific Instructions, and General References
Back-compatible: no changes to Data Dictionary
Previous version in Toolkit archive (link)
Protocol Name from Source
The Reasons for Quitting (RFQ) Questionnaire
Source
Reasons for Quitting (RFQ) Questionnaire
Curry, S., Wagner, E. H., & Grothaus, L. C. (1990). Intrinsic and extrinsic motivation for smoking cessation. Journal of Consulting and Clinical Psychology, 58, 310-316.
General References
Curry, S. J., Grothaus, L. C., & McBride, C. M. (1997). Reasons for quitting: Intrinsic and extrinsic motivation for smoking cessation in a population-based sample of smokers. Addictive Behaviors, 22(6), 727-739.
Curry, S. J., McBride, C. M., Grothaus, L. C., Lando, H. A., & Pirie, P. L. (2001). Motivation for smoking cessation among pregnant women. Psychology of Addictive Behaviors, 15(2), 126-132.
Curry, S. J., McBride, C., Grothaus, L. C., Louie, D., & Wagner, E. (1995). A randomized trial of self-help materials, personalized feedback and telephone counseling with non-volunteer smokers. Journal of Consulting and Clinical Psychology, 63(6), 1005-1014.
Curry, S., Wagner, E. H., & Grothaus, L. C. (1991). Evaluation of intrinsic and extrinsic motivation interventions with a self-help smoking cessation program. Journal of Consulting and Clinical Psychology, 59(2), 318-324.
Downey, L., Rosengren, D. B., & Donovan, D. M. (2001). Sources of motivation for abstinence: A replication analysis of the Reasons for Quitting Questionnaire. Addictive Behaviors, 26, 79-89.
Hefler, M., Durkin, S.J., Cohen, J.E., Henriksen, L., OConnor, R., Barnoya, J., Hill, S.E. and Malone, R.E., 2023. New policy of people-first language to replace ‘smoker’, ‘vaper’, ‘ tobacco user’ and other behaviour-based labels. Tobacco control, 32(2), pp.133-134.
McBride, C. M., Curry, S. J., Stephens, R., Wells, E. A., Roffman, R., & Hawkins, J. D. (1994). Intrinsic and extrinsic motivation for change in cigarette smokers, marijuana smokers and cocaine users. Psychology of Addictive Behaviors, 8(4), 243-250.
Myers, M. G., & MacPherson, L. (2008). Adolescent reasons for smoking: Initial psychometric evaluation. Psychology of Addictive Behaviors, 22, 129-134.
Downey L, Rosengren DB, Donovan DM. Sources of motivation for abstinence: a replication analysis of the reasons for quitting questionnaire. Addict Behav. 2001 Jan-Feb;26(1):79-89. doi: 10.1016/s0306-4603(00)00090-3.
Protocol ID
710502
Variables
Export VariablesVariable Name | Variable ID | Variable Description | dbGaP Mapping | |
---|---|---|---|---|
PX710502_Quit_Smoking_Concerend_Illness | ||||
PX710502010000 | I WANT TO QUIT SMOKING: Because I am more | N/A | ||
PX710502_Quit_Smoking_Concerned_Shorten_Life | ||||
PX710502170000 | I WANT TO QUIT SMOKING: Because I am more | N/A | ||
PX710502_Quit_Smoking_Effect_Body | ||||
PX710502090000 | I WANT TO QUIT SMOKING: Because I can more | N/A | ||
PX710502_Quit_Smoking_Family_Nagging | ||||
PX710502040000 | I WANT TO QUIT SMOKING: Because my spouse, more | N/A | ||
PX710502_Quit_Smoking_Feel_Control | ||||
PX710502100000 | I WANT TO QUIT SMOKING: So that I can feel more | N/A | ||
PX710502_Quit_Smoking_Financial_Reward | ||||
PX710502200000 | I WANT TO QUIT SMOKING: Because I will more | N/A | ||
PX710502_Quit_Smoking_Know_Died | ||||
PX710502130000 | I WANT TO QUIT SMOKING: Because I have known more | N/A | ||
PX710502_Quit_Smoking_Like_Myself_Better | ||||
PX710502060000 | I WANT TO QUIT SMOKING: Because I will like more | N/A | ||
PX710502_Quit_Smoking_Not_Clean | ||||
PX710502190000 | I WANT TO QUIT SMOKING: So that I won't have more | N/A | ||
PX710502_Quit_Smoking_People_Close_Upset | ||||
PX710502160000 | I WANT TO QUIT SMOKING: Because people I am more | N/A | ||
PX710502_Quit_Smoking_Physical_Symptoms | ||||
PX710502050000 | I WANT TO QUIT SMOKING: Because I have more | N/A | ||
PX710502_Quit_Smoking_Prove_Accomplishment | ||||
PX710502140000 | I WANT TO QUIT SMOKING: Because quitting more | N/A | ||
PX710502_Quit_Smoking_Prove_Not_Addicted | ||||
PX710502180000 | I WANT TO QUIT SMOKING: To prove to myself more | N/A | ||
PX710502_Quit_Smoking_Receive_Gift | ||||
PX710502120000 | I WANT TO QUIT SMOKING: Because I will more | N/A | ||
PX710502_Quit_Smoking_Save_Money | ||||
PX710502070000 | I WANT TO QUIT SMOKING: So that I will save more | N/A | ||
PX710502_Quit_Smoking_Save_Money_Cigarettes | ||||
PX710502150000 | I WANT TO QUIT SMOKING: Because I want to more | N/A | ||
PX710502_Quit_Smoking_Show_Myself | ||||
PX710502020000 | I WANT TO QUIT SMOKING: To show myself that more | N/A | ||
PX710502_Quit_Smoking_Ultimatum | ||||
PX710502080000 | I WANT TO QUIT SMOKING: Because someone has more | N/A | ||
PX710502_Quit_Smoking_Won't_Burn_Holes | ||||
PX710502110000 | I WANT TO QUIT SMOKING: Because I won't burn more | N/A | ||
PX710502_Quit_Smoking_Won't_Smell | ||||
PX710502030000 | I WANT TO QUIT SMOKING: So that my hair and more | N/A |
Measure Name
Motivation to Quit
Release Date
February 20, 2015
Definition
This item provides either single or multiple item protocols as quantitative measures of a motivation to quit among people who are currently smoking cigarettes.
Purpose
These items assess the respondent's motivation to quit smoking.
Keywords
Smoking quit attempts, quitting smoking, motivation to quit smoking, Motivation, Smoking Cessation
Measure Protocols
Protocol ID | Protocol Name |
---|---|
710501 | Motivation to Quit - Single Item |
710502 | Motivation to Quit - Multiple Item |
Publications
Garcia-Cazarin, M.L., Mandal, R.J., Grana, R., Wanke, K.L., Meissner, H. (2020) Host-agent-vector-environment measures for electronic cigarette research used in NIH grants. Tobacco Control. 2020 January; 29(1). doi: 10.1136/tobaccocontrol-2017-054032