Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly
The Fagerstrom Test for Nicotine Dependence
Purpose :
The Fagerström Test for Nicotine Dependence - Adult version helps family physicians document the severity of nicotine dependence, and indications for prescribing medication for nicotine withdrawal.
The Fagerström Test for Nicotine Dependence - Adolescent version helps family physicians document the severity of nicotine dependence, and indications for prescribing medication for nicotine withdrawal in adolescents aged 14-20.
The Fagerström Test for Nicotine Dependence - Vaping version helps family physicians document the severity of nicotine dependence, and indications for prescribing medication for nicotine withdrawal in users of e-cigarettes.
The Fagerström Test for Nicotine Dependence - Smokeless Tobacco version helps family physicians document the severity of nicotine dependence, and indications for prescribing medication for nicotine withdrawal in users of smokeless (chewing) tobacco.
Admin time : 5-10 min
User Friendly : High
Administered by : GP or nurse
Content : 6 questions that are pertaining to : Quantity of cigarettes consumed, urge to use, and dependence.
Author :
Original Fagerström Test : Fagerström K.O. Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment. Addictive Behaviors, 1978. 3(3-4): 235-241.
Revised Fagerström Test : Heatherton, T.F., Kozlowski, L.T., Frecker, R.C., Fagerstrom, K.O. (1991). The Fagerstrom Test for Nicotine Dependence: A revision of the Fagerstrom Tolerance Questionnaire.
Adolescent Fagerström Test : Prokhorov, A.V., Pallonen, U.E., Fava, J.L., Ding, L., & Niaura, R. (1996). Measuring nicotine dependence among high-risk adolescent smokers. Addictive Behaviors, 21(1), 117-127.
Vaping, e-cigarette Fagerström Test : Piper, M.E., Baker, T.B., Benowitz, N.L., Smith, S.S., & Jorenby, D.E. (2020). E-cigarette dependence measures in dual users: reliability and relations with dependence criteria and e-cigarette cessation. Nicotine and Tobacco Research, 22(5), 756-763.
Vaping, e-cigarette Fagerström Scoring : Johnson, J. M., Muilenburg, J. L., Rathbun, S. L., Yu, X., Naeher, L. P., & Wang, J. S. (2018). Elevated Nicotine Dependence Scores among Electronic Cigarette Users at an Electronic Cigarette Convention. Journal of community health, 43(1), 164–174
Smokeless Tobacco Fagerström Test : Ebbert JO, Patten CA, Schroeder DR. The Fagerström Test for Nicotine Dependence-Smokeless Tobacco (FTND-ST). Addict Behav. 2006 Sep;31(9):1716-21.
Copyright : Public Domain. May be downloaded and used with appropriate acknowledgement.
The Revised Fagerström Test for Nicotine Dependence
Advantages:
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Short and easy to use (Heatherton TF, 1991)
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Closely related to biochemical indices of heaviness of smoking (Heatherton TF, 1991)
Disadvantages:
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Correlates with psychological aspects of dependency rather than physical aspects (Lombardo TW, 1988)
Accuracy :
sensitivity 75% and specificity between 85% (de Meneses-Gaya IC, 2009)
This Tool is used in the assessment of Smoking in Late life
Back To : Smoking in Late Life
Back To : Thorny Issues
This is one of several topics presented in the Thorny Issues sector of this toolkit