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Resources for the Comprehensive Geriatric Assessment based
Proactive and Personalised Primary Care of the Elderly

The Fagerstrom Test for Nicotine Dependence

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The Fagerstrom Test

for Nicotine Dependence (Adult)

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The Fagerstrom Test

for Nicotine Dependence - online  (Adult)

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The Fagerstrom Test

for Nicotine Dependence (Adolescent)

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The Fagerstrom Test

for Nicotine Dependence (E-Cigarettes)

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The Fagerstrom Test

for Nicotine Dependence (Smokeless Tobacco)

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:

  •  Short and easy to use (Heatherton TF, 1991)

  • Closely related to biochemical indices of heaviness of smoking (Heatherton TF, 1991)

Disadvantages: 

  • ​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)

smoker's hand

This Tool is used in the assessment of Smoking in Late life

Back To : Smoking in Late Life

Thorny Issues

Back To : Thorny Issues

This is one of several topics presented in the Thorny Issues sector of this toolkit

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