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

Raluca Briceag1, Aureliana Caraiane2, Gheorghe Raftu1

  • 1Faculty of Dental Medicine, Ovidius University of Constanta, 7 Ilarie Voronca Street, 900684 Constanta, Romania.

Healthcare (Basel, Switzerland)
|October 13, 2023
PubMed

Insights

The Romanian Halitosis Associated Life-Quality Test (R-HALT) is a reliable tool for assessing halitosis impact on quality of life in young Romanians. Validation confirmed its strong psychometric properties for clinical use.

Area of Science:

  • Oral Health
  • Psychometrics
  • Quality of Life Research

Background:

  • Halitosis significantly affects individuals' quality of life.
  • The Halitosis Associated Life-Quality Test (HALT) is an established measure.
  • A validated Romanian version is needed for local populations.

Purpose of the Study:

  • To translate and culturally adapt the HALT questionnaire into Romanian (R-HALT).
  • To validate the R-HALT's psychometric properties in Romanian teenagers and young adults.
  • To assess the prevalence and impact of halitosis in this demographic.

Main Methods:

  • Multicenter cross-sectional study involving 150 participants.
  • Translation and back-translation process for the HALT questionnaire.
  • Psychometric evaluation including reliability (Cronbach's alpha, ICC) and validity analyses.

Main Results:

  • The R-HALT demonstrated excellent internal consistency (Cronbach's alpha 0.93-0.96) and test-retest reliability (ICC 0.87).
  • Convergent and discriminant validity were supported by item-total correlations.
  • Organoleptic testing identified halitosis in 41% of participants, with 9% showing severe cases.

Conclusions:

  • The R-HALT is a reliable and valid instrument for measuring the impact of halitosis on quality of life in Romanian young adults.
  • This validated questionnaire can aid in understanding, diagnosing, and managing halitosis in Romania.
  • The R-HALT is expected to improve patient care and quality of life for individuals affected by halitosis.

Keywords:
halitosisoral healthquality of life

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