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Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults

Halitosis is a common condition with a significant impact on individuals’ quality of life. The Halitosis Associated Life-Quality Test (HALT) is a reliable instrument for measuring this impact. This study aimed to introduce and validate the Romanian translation of the HALT questionnaire (R-HALT). We...

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Autores principales: Briceag, Raluca, Caraiane, Aureliana, Raftu, Gheorghe, Bratu, Melania Lavinia, Buzatu, Roxana, Dehelean, Liana, Bondrescu, Mariana, Bratosin, Felix, Bumbu, Bogdan Andrei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572815/
https://www.ncbi.nlm.nih.gov/pubmed/37830697
http://dx.doi.org/10.3390/healthcare11192660
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author Briceag, Raluca
Caraiane, Aureliana
Raftu, Gheorghe
Bratu, Melania Lavinia
Buzatu, Roxana
Dehelean, Liana
Bondrescu, Mariana
Bratosin, Felix
Bumbu, Bogdan Andrei
author_facet Briceag, Raluca
Caraiane, Aureliana
Raftu, Gheorghe
Bratu, Melania Lavinia
Buzatu, Roxana
Dehelean, Liana
Bondrescu, Mariana
Bratosin, Felix
Bumbu, Bogdan Andrei
author_sort Briceag, Raluca
collection PubMed
description Halitosis is a common condition with a significant impact on individuals’ quality of life. The Halitosis Associated Life-Quality Test (HALT) is a reliable instrument for measuring this impact. This study aimed to introduce and validate the Romanian translation of the HALT questionnaire (R-HALT). We hypothesized that the R-HALT would demonstrate good reliability and validity in measuring the impact of halitosis on quality of life among Romanian teenagers and young adults. Our objectives were to translate and adapt the HALT, validate it among a cross-sectional group, and evaluate the extent of halitosis in this population. A multicentric cross-sectional design followed, which was approved by the Ethics Research Committee in Romania. The translation process involved independent translations, retro-translations, expert review, and pre-testing. The psychometric properties were evaluated among 150 patients (mean age 23.6 ± 1.8; 51% males) at dental clinics, including reliability, convergent, and discriminant validity, using accepted statistical measures such as Cronbach’s alpha and Intraclass Correlation Coefficient (ICC). The R-HALT revealed strong internal consistency with Cronbach’s alpha values ranging from 0.93 to 0.96, and an ICC value of 0.87 (95% CI = 0.70–0.99), demonstrating excellent test–retest reliability. Mean scores of individual items ranged from 0.82 ± 0.94 (Q3) to 3.23 ± 1.15 (Q11). The corrected item–total correlation ranged from 0.30 (Q2) to 0.90 (Q19). Organoleptic test scores diagnosed 41% (62 patients) with a score of 2, with increasing severity in 9% (13 patients) with a score of 5. The R-HALT exhibited robust reliability and validity in assessing the impact of halitosis among Romanian teenagers and young adults. The questionnaire is a strong tool for understanding, diagnosing, and managing halitosis in Romania, ultimately aiming to improve the quality of life of affected individuals. Further studies with diverse populations could enhance the applicability of the R-HALT.
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spelling pubmed-105728152023-10-14 Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults Briceag, Raluca Caraiane, Aureliana Raftu, Gheorghe Bratu, Melania Lavinia Buzatu, Roxana Dehelean, Liana Bondrescu, Mariana Bratosin, Felix Bumbu, Bogdan Andrei Healthcare (Basel) Article Halitosis is a common condition with a significant impact on individuals’ quality of life. The Halitosis Associated Life-Quality Test (HALT) is a reliable instrument for measuring this impact. This study aimed to introduce and validate the Romanian translation of the HALT questionnaire (R-HALT). We hypothesized that the R-HALT would demonstrate good reliability and validity in measuring the impact of halitosis on quality of life among Romanian teenagers and young adults. Our objectives were to translate and adapt the HALT, validate it among a cross-sectional group, and evaluate the extent of halitosis in this population. A multicentric cross-sectional design followed, which was approved by the Ethics Research Committee in Romania. The translation process involved independent translations, retro-translations, expert review, and pre-testing. The psychometric properties were evaluated among 150 patients (mean age 23.6 ± 1.8; 51% males) at dental clinics, including reliability, convergent, and discriminant validity, using accepted statistical measures such as Cronbach’s alpha and Intraclass Correlation Coefficient (ICC). The R-HALT revealed strong internal consistency with Cronbach’s alpha values ranging from 0.93 to 0.96, and an ICC value of 0.87 (95% CI = 0.70–0.99), demonstrating excellent test–retest reliability. Mean scores of individual items ranged from 0.82 ± 0.94 (Q3) to 3.23 ± 1.15 (Q11). The corrected item–total correlation ranged from 0.30 (Q2) to 0.90 (Q19). Organoleptic test scores diagnosed 41% (62 patients) with a score of 2, with increasing severity in 9% (13 patients) with a score of 5. The R-HALT exhibited robust reliability and validity in assessing the impact of halitosis among Romanian teenagers and young adults. The questionnaire is a strong tool for understanding, diagnosing, and managing halitosis in Romania, ultimately aiming to improve the quality of life of affected individuals. Further studies with diverse populations could enhance the applicability of the R-HALT. MDPI 2023-09-30 /pmc/articles/PMC10572815/ /pubmed/37830697 http://dx.doi.org/10.3390/healthcare11192660 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Briceag, Raluca
Caraiane, Aureliana
Raftu, Gheorghe
Bratu, Melania Lavinia
Buzatu, Roxana
Dehelean, Liana
Bondrescu, Mariana
Bratosin, Felix
Bumbu, Bogdan Andrei
Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults
title Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults
title_full Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults
title_fullStr Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults
title_full_unstemmed Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults
title_short Validation of the Romanian Version of the Halitosis Associated Life-Quality Test (HALT) in a Cross-Sectional Study among Young Adults
title_sort validation of the romanian version of the halitosis associated life-quality test (halt) in a cross-sectional study among young adults
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10572815/
https://www.ncbi.nlm.nih.gov/pubmed/37830697
http://dx.doi.org/10.3390/healthcare11192660
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