B-18 Youth Hookah Module

Population Assessment of Tobacco and Health (PATH) Study

Wave 4 Cognitive Testing Protocol

Youth Hookah Module

Youth Hookah Module

Purchasing

research question

Test further for Wave 4. Determine if there should be separate items asking about price paid for a session at a hookah bar versus price paid for shisha purchased for at-home use.

R03_YH1118

existing path item adapted for cognitive testing

1. In the past 12 months, how did you usually get your own shisha or hookah tobacco?

• I gave someone else money to buy it for me  GO TO q4

• I bought it myself from a store (including a hookah bar or café)

• I asked someone to give me some  GO TO q6

• Someone offered it to me  GO TO q6

• I bought it from another person  GO TO q6

• I took it from a store or another person  GO TO q6

• I got cigarettes some other way  GO TO q6

SPECIFY __________________________

Tell me about your answer.

R03_YH1030_selfbuy

existing path item adapted for cognitive testing

2. How do you usually buy your shisha or hookah tobacco? 

• In person (such as at a store or hookah bar)

• From the internet

• By telephone

R03_YH1034_selfbuy

existing path item adapted for cognitive testing

3. Think about the last time you bought shisha or hookah tobacco. How much did you pay for it?

­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ $ ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­______________________  GO TO q6

Tell me how you came up with your answer. PROBE ON WHETHER THERE WAS ANY DIFFICULTY COMING UP WITH COST.

How easy or difficult was it to answer these questions? What made it easy/difficult?

FOR THOSE WHO PURCHASE AT HOOKAH BAR, What is included in that price? Does it include the shisha only, or is it a set cost for the entire session?

R03_YH1030_otherbuy

existing path item adapted for cognitive testing

4. When you give money to someone else, how do they usually buy your shisha or hookah tobacco? 

• In person (such as at a store or hookah bar)

• From the internet

• By telephone

R03_YH1034_otherbuy

existing path item adapted for cognitive testing

5. Think about the last time you gave money to someone else to buy you shisha or hookah tobacco. How much did you pay for it?

­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ $ ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­______________________

Tell me how you came up with your answer. PROBE ON WHETHER THERE WAS ANY DIFFICULTY COMING UP WITH COST.

How easy or difficult was it to answer these questions? What made it easy/difficult?

FOR THOSE WHO PURCHASE AT HOOKAH BAR, What is included in that price? Does it include the shisha only, or is it a set cost for the entire session?

Shisha

research question

Previous testing revealed that some respondents were confused by this question because they thought shisha was in fact tobacco. Test further to see if this confusion is widespread.

R03_yh9108

existing path item adapted for cognitive testing

6. Does the brand of shisha you usually smoke contain tobacco?

• Yes

• No

• I don’t know

In your own words, what is this question asking?
NOTE ANY CONFUSION ARISING BECAUSE RESPONDENT IS UNAWARE (1) THAT THERE IS SHISHA WITHOUT TOBACCO OR (2) THAT SHISHA CAN CONTAIN TOBACCO.

How do you know if the shisha contains tobacco or not?

research question

YH9040 is a new item for PATH Wave 3. (Studies have shown that even “herbal” or “tobacco-free” hookah use is toxic.) Confirm that respondents are not thinking of marijuana (particularly in light of preceding question, YH9031).

R03_yH9031

existing path item

7. Have you ever smoked marijuana in a hookah?

• Yes

• No

R03_yH9040

existing path item

8. Have you ever smoked herbal or tobacco-free shisha in a hookah?

• Yes

• No

What reaction, if any, did you have to this question?

In your own words, what is “herbal or tobacco-free shisha”?
IF NEEDED, Are you familiar with herbal or tobacco-free shisha?

IF YES, Tell me about the shisha you smoked.
IF NEEDED, Were you thinking of marijuana when you answered?

research question

Confirm that this item adequately captures use of non-water liquids in a hookah.

R03_YH9042

existing path item

9. Have you ever used another liquid besides water in the bowl of the hookah?

• Yes

• No

In your own words, what is this question asking?

IF YES, What types of liquids have you used?

IF NO, Are you familiar with people using liquid other than water in a hookah? What types of liquids?