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The instrument is intended to gather meaningful insight on five areas relevant to TNP use: Perceived health risks (long and short term) Perceived addiction risks Perceived harm to others Practical risk Social risk The instrument has been developed and validated using concept elicitation and cognitive debriefing interviews with TNP users and modern psychometric techniques in cross-cultural studies

Directions Step 1: Make the dip base In a small bowl, use a hand mixer or stand mixer to beat the cream cheese, brown sugar and vanilla extract until well combined, airy and smooth

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Mao L, Qiu Y, Kusano C, Xu X