A comparison of the psychometric properties of the hooked on nicotine checklist and the modified Fagerström tolerance questionnaire

Addict Behav. 2006 Mar;31(3):486-95. doi: 10.1016/j.addbeh.2005.05.031. Epub 2005 Jun 29.


We compared the psychometric properties of the Hooked on Nicotine Checklist (HONC) and the Modified Fagerström Tolerance Questionnaire (MFTQ). Adolescent current smokers (n = 215) completed both instruments three times, at baseline and 6- and 12-month follow-up. Internal consistency of the HONC was high (alpha = 0.92), as was its stability over the follow-up interval (intraclass correlation (ICC) = 0.93 over 6 months and 0.91 over 1 year). Internal consistency of the MFTQ was acceptable (alpha = 0.83), and its stability over the follow-up interval was similar to that reported previously (ICC = 0.79 at 6 months and 0.76 at 1 year). The HONC predicted smoking at both follow-up points, while the MFTQ did so only at 6 months. The HONC compared favorably with the MFTQ in all respects. The most important advantage of the HONC is that it is measuring a clearly defined concept, diminished autonomy over tobacco, which begins when the sequelae of tobacco use present a barrier to quitting.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Adult
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Personal Autonomy
  • Prospective Studies
  • Psychometrics*
  • Reproducibility of Results
  • Smoking / psychology*
  • Smoking Cessation / psychology*
  • Surveys and Questionnaires / standards*