Lim Kuang Hock, Yun Yah Xin, Cheong Yoon Ling, Sulaiman Norharlina, Mahadzir Mas Eliana, Lim Jia Hui, Hashim Mohd Hazilas Mat, Lim Hui Li
Institute for Medical Research, National Institutes of Health, Kuala Lumpur, Malaysia.
Selangor Pharmacy Enforcement Branch, Selangor State Health Department, Selangor, Malaysia.
Tob Induc Dis. 2023 Mar 8;21:36. doi: 10.18332/tid/159624. eCollection 2023.
The Fagerström test for nicotine dependence (FTND) was forward-backwards translated into the Malay language (FTND-M) and administered to 152 daily smokers who sought treatment for smoking cessation in government health clinics in Selangor state, Malaysia.
Using confirmatory factor analysis (CFA), four measurement models with the best relative fit were compared, one uni-dimensional model, and three different two-domain (morning and daytime smoking) models.
The findings indicate that the best model of the FTND-M was a two-domain model, wherein domain one represented morning smoking (time to first cigarette of the day, smoking more in the morning, and which cigarette would you hate to give up) and domain two represented daytime smoking (cigarettes per day, difficulty refraining from smoking, and smoking when ill) which showed good model fit [χ/df=1.932, goodness of fit (GFI) of 0.967, comparative fix index (CFI) of 0.945, incremental fit index (IFI) of 0.98, Tucker-Lewis index (TLI) of 0.95 and a real mean square end of approximation (RMSEA) of 0.079, and substantial reliability >0.70].
This study indicates that the FTND-M can be used to assess these two dimensions of nicotine addiction among daily smokers in a clinical setting.
尼古丁依赖的法格斯特龙测试(FTND)被前后翻译为马来语(FTND-M),并应用于152名在马来西亚雪兰莪州政府健康诊所寻求戒烟治疗的每日吸烟者。
使用验证性因素分析(CFA),比较了四个具有最佳相对拟合度的测量模型,一个单维模型和三个不同的双领域(早晨和白天吸烟)模型。
研究结果表明,FTND-M的最佳模型是双领域模型,其中领域一代表早晨吸烟(一天中第一支烟的时间、早晨吸烟更多以及最不想戒掉的香烟),领域二代表白天吸烟(每天吸烟支数、难以克制吸烟以及生病时吸烟),该模型显示出良好的拟合度[χ/df = 1.932,拟合优度(GFI)为0.967,比较拟合指数(CFI)为0.945,增量拟合指数(IFI)为0.98,塔克-刘易斯指数(TLI)为0.95,近似均方根误差(RMSEA)为0.079,且信度大于0.70]。
本研究表明,FTND-M可用于在临床环境中评估每日吸烟者尼古丁成瘾的这两个维度。