García Couceiro, NuriaKim-Harris, SionGómez Salgado, PatriciaIsorna Folgar, ManuelRial Boubeta, Antonio2024-05-142024-05-142024Archivos de Bronconeumología Volume 60, Issue 5, May 2024, Pages 279-2840300-2896http://hdl.handle.net/10347/33830Introduction 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.engAttribution-NonCommercial-NoDerivatives 4.0 Internacional© 2024 The Authors. Published by Elsevier España, S.L.U. on behalf of SEPAR. This is an open access article under the CC BY-NC-ND licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/HONCTobaccoAdolescentsEarly detectionTobacco usejournal article10.1016/j.arbres.2024.03.020open access