Department of Psychiatry, Radiology, Public Health, Nursing and Medicine, University of Santiago de Compostela, Galicia, Spain; Nursing, Management and Care Research Group (AC23), Institute for Health Research (IDIS), University Clinical Hospital of Santiago (SERGAS), Galicia, Spain.
Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Harvard Medical School, Boston, USA.
Arch Bronconeumol. 2024 May;60(5):279-284. doi: 10.1016/j.arbres.2024.03.020. Epub 2024 Mar 25.
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.
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).
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.
This study makes the Spanish version of the HONC available to researchers and clinicians, so that it can be used with sufficient psychometric guarantees.
新的烟草消费形式和电子蒸气产品的扩张有可能逆转近几十年来年轻人吸烟率下降的趋势。卫生部门的早期发现需要在我们的背景下进行适应和验证的筛选工具。本研究旨在翻译、文化适应、试点和实证验证西班牙青少年的尼古丁成瘾检查表（HONC）。
翻译和文化适应过程包括以下阶段：直接翻译、翻译合成、回译、专家委员会的整合和预测试，以及认知访谈，作为试点测试。实证验证是在 1027 名年龄在 12 至 18 岁之间的青少年（M=15.40；SD=1.638）样本中进行的。
获得的结果证实，HONC 是一个简短、清晰和易于理解的工具，具有适当的心理计量学特性。获得了 0.90 的克朗巴赫α值。灵敏度、特异性、PPV 和 NPV 指数分别达到 0.56、0.94、0.79 和 0.83。最佳平衡点为 1 分。验证性因素分析显示，模型整体拟合良好。
本研究为研究人员和临床医生提供了西班牙语版的 HONC，以便在具有足够心理计量学保证的情况下使用。
