Abstract
BackgroundBurns are a global health problem affecting the survivors and disrupting many aspects of their lives. It is the second most common injury in rural Nepal accounting 5% of disabilities. Burn Specific Health Scale (BSHS) is a valid and most commonly used tool to measure Health Related Quality of Life (HRQoL) of the patient with Burns. BSHS- B (Brief) has been translated, culturally adapted and validated in multiple languages but not in Nepali. Therefore we aim to translate, culturally adapt and validate the BSHS-B in Nepali language (BSHS-B-Np).MethodsStandard guideline was followed to translate the scale into Nepali language. One hundred eleven participants were evaluated to establish the psychometric properties of BSHS-B-Np. Internal consistency, test retest, content validity, discriminant validity and construct validity were assessed using Cronbach’s alpha, Interclass correlation coefficient, Factor analysis, Spearman rank test, and Mann- Whitney U test respectively.ResultsThe Cronbach’s alpha for BSHS-B-Np was 0.93. Test retest inter-class correlation coefficient was between 0.92 and 0.98. The principal component factor analysis with varimax rotation resulted in separation of nine factors explaining 75.19% of total variance. BSHS-B-Np showed good discriminant validity in 35 out of 36 domain correlations confirming the construct of the scale. Furthermore, the scale was able to discriminate between face, upper limb and lower limb injury (p < 0.05).ConclusionsBSHS-B-Np is a reliable and valid scale for Nepali burns survivors to assess their health related quality of life.
Highlights
Burns are a global health problem affecting the survivors and disrupting many aspects of their lives
The majority of the estimated 180,000 deaths due to burns occur in low- and middle- income countries
In Nepal based on extrapolation, 557,032 people have suffered a burn injury with potentially 113,470 unable to receive appropriate surgical care [4]
Summary
Burns are a global health problem affecting the survivors and disrupting many aspects of their lives. It is the second most common injury in rural Nepal accounting 5% of disabilities. BSHS- B (Brief) has been translated, culturally adapted and validated in multiple languages but not in Nepali. We aim to translate, culturally adapt and validate the BSHS-B in Nepali language (BSHS-B-Np). Burns are a global health problem affecting the survivors long after the injury and disrupting many aspects of patients’ lives [1, 2]. The majority of the estimated 180,000 deaths due to burns occur in low- and middle- income countries It is the second most common injury in rural Nepal accounting 5% of disabilities [3].
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