Att I-1 Primary & Secondary Outcomes and Survey Items

Attachment I-1. Primary and Secondary Outcomes, Survey Questions, and Expected Timeframe for Outcome Change

Type of Outcome	Expected Timeframe for Impact	Survey Question	Instrument Item Numbers
			Smokers Survey - Baseline	Smokers Survey - Follow Up	Nonsmokers Survey - Baseline	Nonsmokers Survey - Follow Up
Primary Outcome: Campaign Awareness and Receptivity	Within 3 months	Have you ever seen or heard of any ads against tobacco on television or radio with the following themes or slogans?	F14		E18	-
	Within 3 months	In the past 3 months, have you seen or heard of any ads on television or radio with the following themes or slogans?	-	F17	-	E18
	Within 3 months	Where have you seen or heard about the TIPS Campaign?	-	F18	-	E19
	Within 3 months	Have you seen the following logo?	-	F19	-	E20
	Within 3 months	Have you seen this ad on television in the past 3 months?	-	F24	-	E25
	Within 3 months	In the past 3 months, how frequently have you seen this ad on television?	-	F24A	-	E26
	Within 3 months	Have you heard this ad on the radio in the past 3 months?	-	F35	-	E36
	Within 3 months	In the past 3 months, how frequently have you heard this ad on the radio?	-	F35A	-	E37
	Within 3 months	In the past 3 months, how often have you seen ads against smoking on television?	F5	F5	E5	E5
	Within 3 months	In the past 3 months, how often have you heard ads against smoking on the radio?	F6	F6	E6	E6
	Within 3 months	In the past 3 months, how often have you seen ads against smoking in newspapers or magazines?	F7	F7	E7	E7
	Within 3 months	In the past 3 months , how often have you seen ads against smoking in videos, or websites online?	F8	F8	E8	E8
	Within 3 months	The TIPS campaign is on social networking sites including Facebook, MySpace, and Twitter. Have you ever seen the TIPS campaign on these sites?	-	F20	-	E21
	Within 3 months	Please tell us if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements. This ad is…..	-	F25_1 - F25_9	-	E27_1 - E28_9
	Within 3 months	On scale of 1 to 5, where 1 means “not at all” and 5 means “very”, please indicate how much this ad made you feel…	-	F26_1 - F26_9	-	E28_1 - E28_9
	Within 3 months	Would this ad make you want to encourage someone you care about to quit smoking?	-	F27	-	E29
	Within 3 months	Would this ad it make you want to quit smoking?	-	F28	-	-
	Within 3 months	Did seeing these ads on television make you want to encourage someone you care about to quit smoking?	-	F29	-	E30
	Within 3 months	Did you talk to anyone about any of these ads ?	-	F30	-	E31
	Within 3 months	When you talked about the ads, did you talk about any of the following topics? Please select all that apply.	-	F31_1 - F31_5	-	F32_1 - F32_5
Primary Outcome: Awareness of Cessation Services	Within 3 months	A telephone quitline is a free telephone-based service that connects people who smoke cigarettes with someone who can help them quit. Are you aware of any telephone quitline services that are available to help you quit smoking?	C18	C18	-	-
	Within 3 months	Have you heard of 1-800-QUIT-NOW?	C20	C20	E10	E10
	Within 3 months	Have you heard of the Website www.smokefree.gov?	F11	F11	E14	E14
Primary Outcome: Behavior - Cessation-Related Information-seeking	Within 3 months	Have you called 1-800 QUIT-NOW or any other telephone quitline in the past 3 months?	C22	C22	-	-
	Within 3 months	Have you visited any quit smoking websites online in the past 3 months?	F10A	F10A	E13	E13
	Within 3 months	Have you visited www.smokefree.gov in the past 3 months?	F12A	F12A	E16	E16
	Within 3 months	If you decided to quit smoking in the future, would gather information or support for quitting from…a telephone quitline, etc..	C19_1 - C19_4	C19_1 - C19_4	-	-
	Within 3 months
Secondary Outcome: Cessation-Related Communication with Smokers	Possibly within 3 months	In the past 3 months, have you recommended any family members or friends that smoke to call a telephone quitline?	-	-	E9A	E9A
	Possibly within 3 months	In the past 3 months, have you recommended any family members or friends that smoke to visit www.smokefree.gov?	-	-	E16A	E16A
	Possibly within 3 months	In the past 3 months, have you recommended any family members or friends that smoke to call 1-800-QUIT-NOW?	-	-	E10A	E10A
	Possibly within 3 months	During the past 3 months, have you talked to any family members or friends about the dangers of smoking?	-	-	D5	D5
	Possibly within 3 months	During the past 3 months, did you encourage a friend or family member to quit smoking?	-	-	D5A	D5A
Secondary Outcome: Smoking and Cessation-Related Knowledge, Attitudes, and Policies	Possibly within 3 months	Do you want to quit smoking cigarettes for good?	C6	C6	-	-
	Possibly within 3 months	How much do you want to quit smoking? Would you say…	C7	C7	-	-
	Possibly within 3 months	Do you have a time frame in mind for quitting?	C8	C8	-	-
	Possibly within 3 months	Do you plan to quit smoking for good….	C9	C9	-	-
	Possibly within 3 months	If you decided to give up smoking altogether in the next 12 months, how likely do you think you would be to succeed? Would you say…	C10	C10	-	-
	Possibly within 3 months	How much do you think your health would improve if you were to quit smoking?	C11	C11	-	-
	Possibly within 3 months	How worried are you that smoking will damage your health in the future?	C12	C12	-	-
	Possibly within 3 months	Smoking cigarettes is pleasurable.	D1	D1	-	-
	Possibly within 3 months	Smoking cigarettes relieves tension.	D2	D2	-	-
	Possibly within 3 months	Smoking helps me concentrate and do better work.	D3	D3	-	-
	Possibly within 3 months	I would be more energetic right now if I didn’t smoke.	D4	D4	-	-
	Possibly within 3 months	I’m embarrassed that I have to smoke.	D5	D5	-	-
	Possibly within 3 months	Smoking is hazardous to my health.	D6	D6	-	-
	Possibly within 3 months	I have been thinking a lot about quitting smoking recently.	D7	D7	-	-
	Possibly within 3 months	I am eager for a life without smoking.	D8	D8	-	-
	Possibly within 3 months	I am not prepared to make changes in my life in order to quit smoking.	D9	D9	-	-
	Possibly within 3 months	I get upset when I think about my smoking.	D10	D10	-	-
	Possibly within 3 months	I am disappointed in myself because I smoke.	D11	D11	-	C2
	Possibly within 3 months	I get upset when I hear or read about illnesses caused by smoking.	D12	D12	-	-
	Possibly within 3 months	Warnings about the health risks of smoking upset me.	D13	D13	-	C1_1 - C1_11
	Possibly within 3 months	Smoking will severely lower my quality of life in the future.	D14	D14	-	C7
	Possibly within 3 months	I will not become a burden to others in the future because of my smoking.	D15	D15	-	C8
	Possibly within 3 months	Smokers should take warnings about cigarette smoking and lung cancer seriously.	D16	D16	-	C9
	Possibly within 3 months	On a scale from 1 to 5 with 1 being the “lowest” and 5 being the “highest,” how would you rate quitting smoking as a priority in your life?	D17	D17	-	C5
	Possibly within 3 months	Smoking can cause immediate damage to your body.	D18	D18	-	D2
	Possibly within 3 months	How likely do you think a smoker is to develop a smoking-related disease as a result of smoking?	D19	D19	C2	D3
	Possibly within 3 months	How likely do you think you are to develop a smoking-related disease as a result of smoking?	D20	D20	-	D4
	Possibly within 3 months	Do you believe cigarette smoking is related to:	D21_1 - D21_11	D21_1 - D21_11	C1_1 - C1_11	C6_1
	Possibly within 3 months	Thinking about all the health problems in your community, how important is addressing the problem of tobacco use? Would you say it is…	D22	D22	C7	C6_2
	Possibly within 3 months	In general, how do the adults you spend time with feel about cigarette smoking by adults? Do they feel it is…	D23	D23	C8	C6_3
	Possibly within 3 months	How do the adults you spend time with feel about someone smoking if children are present? Do they feel it is…	D24	D24	C9	C6_4
	Possibly within 3 months	How likely would you be to ask a stranger not to smoke around you if you couldn’t move away from their smoke—…?	-	-	C5	C3
	Possibly within 3 months	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?	E3	E3	D2	C4
	Possibly within 3 months	Not counting decks, porches, or garages, inside your home, is smoking …?	E4	E4	D3	-
	Possibly within 3 months	Not counting motorcycles, in the vehicles that you and your family members who live with you own or lease, is smoking …	E5	E5	D4	-
	Possibly within 3 months	Cigarette smoking has no serious effects on non-smokers.	E6_1	E6_1	C6_1	B4_1
	Possibly within 3 months	Parents who live with their children should not be allowed to smoke in their homes.	E6_2	E6_2	C6_2	B4_2
	Possibly within 3 months	Adults should not smoke around other people in their home.	E6_3	E6_3	C6_3	B4_3
	Possibly within 3 months	I protect all other household members from any harm related to smoking.	E6_4	E6_4	C6_4	-
	Possibly within 3 months	Do you think that breathing smoke from other people’s cigarettes or from other tobacco products is …?	E7	E7	C3	-
	Possibly within 3 months	How likely do you think it is that regularly breathing secondhand smoke from cigarettes would cause children to have asthma or breathing problems?	E8	E8	C4	-
	Possibly within 3 months	Are you seriously considering increasing restrictions on smoking in your household?	E9	E9	-	-
Secondary Outcome: Cessation-related Intentions and Behaviors	Unknown likelihood within 3 months	About how long has it been since you last smoked cigarettes -- even a puff?	-	-	B3	-
	Unknown likelihood within 3 months	Do you think you will try a cigarette soon?	-	-	B4_1	-
	Unknown likelihood within 3 months	If you started smoking regularly, do you think you could stop smoking anytime you wanted?	-	-	B4_2	-
	Unknown likelihood within 3 months	Do you think you will smoke a cigarette anytime during the next year?	-	-	B4_3	-
	Unknown likelihood within 3 months	During the past 3 months, that is, since [DATE FILL], how many times have you tried to quit smoking cigarettes for good, but stopped for less than a day?	C4	C4	-	-
	Unknown likelihood within 3 months	Have you stopped smoking for one day or longer since January 1, 2012 because of a New Year’s resolution to stop smoking?	C5		-	-
	Unknown likelihood within 3 months	About how often do you smoke when you are in the company of children?	E2	E2	-	-