Assessing college students' autonomy over smoking with the Hooked On Nicotine Checklist

Journal of American College Health : J of ACH
Robert J WellmanJoseph R DiFranza

Abstract

In this study, the authors explored the psychometric properties of the Hooked on Nicotine Checklist (HONC) among 300 college students who were current smokers. The HONC is a 10-item survey instrument designed to measure diminished autonomy over smoking, a key aspect of dependence. Autonomy is diminished when symptoms present a barrier to cessation. Internal consistency was high (alpha = .89), as was concurrent validity. Students who began smoking earlier and heavier smokers reported more symptoms than did those who started later and smoked less. After controlling for smoking frequency, the HONC was predictive of the likelihood of a failed cessation attempt, with each additional symptom doubling that likelihood. College health professionals could use the HONC to help new smokers recognize their symptoms of diminished autonomy. The HONC may serve as a recruiting tool for cessation programs, which could benefit such early-phase smokers.

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Citations

Apr 5, 2012·Addictive Behaviors·Joseph R DifranzaRobert J Wellman
May 1, 2012·Revue des maladies respiratoires·M UndernerG Peiffer
Sep 1, 2009·Addictive Behaviors·W W Sanouri A Ursprung, Joseph R DiFranza
Jun 13, 2008·Addictive Behaviors·Joseph R DiFranza, W W Sanouri A Ursprung
Jan 15, 2015·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Neal DoranMark G Myers
Jul 19, 2015·Paediatric Respiratory Reviews·Susan TownsSmita Shah
Apr 27, 2016·Tobacco Control·Raed BahelahWasim Maziak
Apr 12, 2017·Journal of Paediatrics and Child Health·Leigh HaysomCatherine Stapylton
May 24, 2017·Medical Teacher·Ken Masters
Sep 3, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Melinda L Ashe, Stephen J Wilson

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