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. 2013 Mar 15;8(1):7. doi: 10.1186/1940-0640-8-7

Table 3.

Patient measures and assessment schedule

Measures BL 2m 6m
Sociodemographics
X
 
 
Current and historical smoking behavior
X
X
X
Readiness to quit
X
X
X
Quitting self-efficacy and motivation
X
X
X
Medication assessment: Current use, contraindications to NRT or Bupropion
X
 
 
Use of prior smoking cessation treatment
X
X
X
Nicotine dependence
X
X
X
Alcohol and substance abuse
X
X
X
Smoking environment: Social support for quitting, household smokers, household smoking rules, employer smoker rules
X
 
 
Attitudes about smoking
X
 
 
Mental health symptoms (BASIS-24)
X
X
X
Health literacy
X
 
 
Impulsivity
X
 
 
Patient satisfaction with the program
 
X
X
Patient assessment of treatment fidelity/counseling content   X X

BL = baseline; 2m = two months after enrollment; 6m = six months after enrollment.