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Protocol - Motivation to Quit - Multiple Item

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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

Available

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 CategoryRequired
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
StandardNameIDSource
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 Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX710502_Quit_Smoking_Concerend_Illness
PX710502010000 I WANT TO QUIT SMOKING: Because I am more
concerned that I will suffer from a serious illness if I don't quit smoking show less
N/A
PX710502_Quit_Smoking_Concerned_Shorten_Life
PX710502170000 I WANT TO QUIT SMOKING: Because I am more
concerned that smoking will shorten my life show less
N/A
PX710502_Quit_Smoking_Effect_Body
PX710502090000 I WANT TO QUIT SMOKING: Because I can more
graphically picture the effects that smoking has on my body show less
N/A
PX710502_Quit_Smoking_Family_Nagging
PX710502040000 I WANT TO QUIT SMOKING: Because my spouse, more
children, or other person I am close to will stop nagging me if I quit show less
N/A
PX710502_Quit_Smoking_Feel_Control
PX710502100000 I WANT TO QUIT SMOKING: So that I can feel more
in control of my life show less
N/A
PX710502_Quit_Smoking_Financial_Reward
PX710502200000 I WANT TO QUIT SMOKING: Because I will more
receive a financial reward for quitting (money from a friend or family member, bonus from work, etc.) show less
N/A
PX710502_Quit_Smoking_Know_Died
PX710502130000 I WANT TO QUIT SMOKING: Because I have known more
other people who have died from serious illnesses that were caused by smoking show less
N/A
PX710502_Quit_Smoking_Like_Myself_Better
PX710502060000 I WANT TO QUIT SMOKING: Because I will like more
myself better if I quit smoking show less
N/A
PX710502_Quit_Smoking_Not_Clean
PX710502190000 I WANT TO QUIT SMOKING: So that I won't have more
to clean my house or car as often show less
N/A
PX710502_Quit_Smoking_People_Close_Upset
PX710502160000 I WANT TO QUIT SMOKING: Because people I am more
close to will be upset with me if I don't quit show less
N/A
PX710502_Quit_Smoking_Physical_Symptoms
PX710502050000 I WANT TO QUIT SMOKING: Because I have more
noticed physical symptoms that smoking is hurting my health show less
N/A
PX710502_Quit_Smoking_Prove_Accomplishment
PX710502140000 I WANT TO QUIT SMOKING: Because quitting more
smoking will prove that I can accomplish other things that are important to me show less
N/A
PX710502_Quit_Smoking_Prove_Not_Addicted
PX710502180000 I WANT TO QUIT SMOKING: To prove to myself more
that I am not addicted to cigarettes show less
N/A
PX710502_Quit_Smoking_Receive_Gift
PX710502120000 I WANT TO QUIT SMOKING: Because I will more
receive a special gift if I quit show less
N/A
PX710502_Quit_Smoking_Save_Money
PX710502070000 I WANT TO QUIT SMOKING: So that I will save more
money on smoking-related costs such as dry cleaning show less
N/A
PX710502_Quit_Smoking_Save_Money_Cigarettes
PX710502150000 I WANT TO QUIT SMOKING: Because I want to more
save money that I spend on cigarettes show less
N/A
PX710502_Quit_Smoking_Show_Myself
PX710502020000 I WANT TO QUIT SMOKING: To show myself that more
I can quit smoking if I really want to show less
N/A
PX710502_Quit_Smoking_Ultimatum
PX710502080000 I WANT TO QUIT SMOKING: Because someone has more
given me an ultimatum (made a threat) to quit show less
N/A
PX710502_Quit_Smoking_Won't_Burn_Holes
PX710502110000 I WANT TO QUIT SMOKING: Because I won't burn more
holes in clothing or furniture show less
N/A
PX710502_Quit_Smoking_Won't_Smell
PX710502030000 I WANT TO QUIT SMOKING: So that my hair and more
clothes won't smell show less
N/A
Tobacco Regulatory Research - Host: Social/Cognitive
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