RT Journal Article T1 Adaptation and Validation of the Hooked on Nicotine Checklist (HONC) with Spanish Adolescents A1 García Couceiro, Nuria A1 Kim-Harris, Sion A1 Gómez Salgado, Patricia A1 Isorna Folgar, Manuel A1 Rial Boubeta, Antonio K1 HONC K1 Tobacco K1 Adolescents K1 Early detection K1 Tobacco use AB IntroductionThe 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.MethodsThe 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).ResultsThe 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.ConclusionThis study makes the Spanish version of the HONC available to researchers and clinicians, so that it can be used with sufficient psychometric guarantees. PB Elsevier SN 0300-2896 YR 2024 FD 2024 LK http://hdl.handle.net/10347/33830 UL http://hdl.handle.net/10347/33830 LA eng NO Archivos de Bronconeumología Volume 60, Issue 5, May 2024, Pages 279-284 DS Minerva RD 28 abr 2026