ArticleFrontiers in public health2026
Cross-cultural adaptation and validation of a Moroccan Arabic version of the Hooked on Nicotine Checklist.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Early identification of nicotine dependence symptoms is essential for tobacco control and prevention strategies. The Hooked On Nicotine Checklist (HONC) is widely used to assess early symptoms of nicotine dependence. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of a Moroccan Arabic version of the HONC. Methods: A cross sectional study was conducted among a sample of 234 Moroccan smokers. The HONC was translated and adapted following established guidelines. Descriptive statistics and item-total correlations were examined. Internal consistency was assessed using Cronbach's alpha and McDonald's omega. Dimensionality was evaluated using confirmatory factor analysis (CFA) with the WLSMV estimator. IRT analyses were conducted using a two-parameter logistic (2PL) model. Assumptions of unidimensionality, monotonicity, and local independence were systematically tested. Item discrimination and difficulty parameters, item characteristic curves, and test information functions were estimated. Results: Item-total correlations were moderate-to-high (range: 0.45-0.77). Internal consistency was excellent (Cronbach's Conclusion: The Moroccan Arabic HONC is a reliable and valid measure of early nicotine dependence. It can be confidently used for research, screening, and tobacco control interventions.
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