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J Burn Care Res. 2018 Aug 17;39(5):771-779. doi: 10.1093/jbcr/irx043.

The Development and Validity of the Adult Burn Outcome Questionnaire Short Form.

Author information

1
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston.
2
Shriners Hospitals for Children - Boston, Massachusetts.
3
Department of Health Law, Policy and Management, Boston University School of Public Health, Massachusetts.
4
School of Insurance and Economics, University of International Business and Economics, Beijing, China.
5
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, Massachusetts.
6
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Qu├ębec, Canada.
7
Brigham and Women's Hospital, Boston, Massachusetts.

Abstract

Patient Reported Outcome Measures (PROMs) are useful for understanding the health needs and outcomes of the general public. We aim to develop a burn-specific metric-Adult Burn Outcome Questionnaire (ABOQ)-that is brief and can be administered electronically to all burn survivors over the age of 18. The 14-item ABOQ was developed from the already validated Young Adult Burn Outcome Questionnaire (YABOQ) long form. The ABOQ questionnaire, along with Patient-Reported Outcomes Measurement System-10 (PROMIS-10), was administered to 120 outpatient burn survivors at three hospitals. Clinical validity of the ABOQ was measured by testing associations between ABOQ items and burn size, the PROMIS-10 generic items and composite scales using correlational analysis including multivariate canonical analysis. Nine out of 14 ABOQ items were significantly correlated with burn size (correlations ranging from -0.25 to -0.46, P < .01). The canonical correlation between ABOQ and burn size was 0.68 (P = .0002). The overall canonical correlation between two instruments was also significant (P < .0001). At the item level, at least 25% of the variation in each of the five ABOQ items could be explained by PROMIS-10 items and composite scores, while six other items could only be accounted for by less than 15% of the variation. ABOQ short form assessment can be used to efficiently measure burn outcomes across a range of relevant clinical domains with credible validity. A large proportion of the variation in ABOQ scores was not accounted for by PROMIS-10, suggesting that ABOQ provided additional health-related information specifically for the burn population beyond the generic instrument.

PMID:
29931275
DOI:
10.1093/jbcr/irx043

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