Adaptation and Validation of the Hooked on Nicotine Checklist (HONC) with Spanish Adolescents

Nuria García Couceiro; Sion Kim Harris; Patricia Gómez; Manuel Isorna; Antonio Rial

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Adaptation and Validation of the Hooked on Nicotine Checklist (HONC) with Spanish Adolescents

Nuria García Couceiro ^[1] ; Sion Kim Harris ^[2] ; Patricia Gómez ^[4] ; Manuel Isorna ^[3] ; Antonio Rial ^[1]
1. [1] Universidade de Santiago de Compostela
  
  Universidade de Santiago de Compostela
  
  Santiago de Compostela, España
2. [2] Harvard Medical School
  
  Harvard Medical School
  
  City of Boston, Estados Unidos
3. [3] Universidade de Vigo
  
  Universidade de Vigo
  
  Vigo, España
4. [4] Scientific and Technical Advice Unit (Avalia-t) of the Galician Agency for Health Knowledge Management (ACIS), Galicia, Spain
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Localización: Archivos de bronconeumología: Organo oficial de la Sociedad Española de Neumología y Cirugía Torácica SEPAR y la Asociación Latinoamericana de Tórax ( ALAT ), ISSN 0300-2896, Vol. 60, Nº. 5, 2024, págs. 279-284
Idioma: inglés
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Resumen
- Introduction The expansion of new tobacco consumption formats and electronic vapor products threatens to reverse the trend of declining smoking rates that had been observed among younger people in recent decades. Early detection in the health sector requires screening tools that have been adapted and validated in our context. This study aims to translate, culturally adapt, pilot and empirically validate the Hooked on Nicotine Checklist (HONC) with Spanish adolescents.
  
  Methods The process of translation and cultural adaptation included the following stages: direct translation, synthesis of translations, back translation, consolidation with a committee of experts and pre-test, along with a cognitive interview, which served as pilot testing. Empirical validation was conducted with a sample of 1027 adolescents aged between 12 and 18 (M=15.40; SD=1.638).
  
  Results The results obtained confirm that the HONC is a brief, clear and easy-to-understand tool, with appropriate psychometric properties. A Cronbach's alpha value of 0.90 was obtained. Sensitivity, specificity, PPV and NPV indices reached values of 0.56, 0.94, 0.79 and 0.83, respectively. Cut-off point 1 is the one reaching the best balance between the two values. CFA showed a model good overall fit.
  
  Conclusion This study makes the Spanish version of the HONC available to researchers and clinicians, so that it can be used with sufficient psychometric guarantees.