Building bridges using the Shriners hospitals for children/American burn association burn outcome questionnaires to follow teenagers and young adults across the age spans

Model System:

Burn

Reference Type:

Journal article

Accession No.:

J79361

Journal:

Journal of Burn Care And Research (formerly Journal of Burn Care & Rehabilitation)

Year, Volume, Issue, Page(s):

2018 , 39, 1, 30-39

Publication Website:

Abstract:

Study was conducted to build bridges across the self-reported adolescent (ages 11 to 18 years) and young adult (ages 19 to 30 years) versions of the Shriners Hospitals for Children/American Burn Association Burn Outcomes Questionnaires (BOQs). Data were available on 353 unique adolescents and 148 young adults from the Multi-Center Benchmarking Study Group. The comparable subscales from the adolescent (BOQ11-18) and the young adult (YABOQ) forms were bridged using item response theory co-calibration. The item response theory scale scores were then transformed into an expected raw score on the alternative form, from which normative scores are available. A sensitivity analysis using up to three time points, as opposed to one randomly selected occasion, was also conducted to ensure robust results. The comparable subscales were successfully bridged across forms (adolescent reliability from 0.67 to 0.85; young adult from 0.69 to 0.88). Compared with adolescents, young adults on average reported more pain and itch, less symptom and role satisfaction, and poorer work/school reintegration (Cohen's d = 0.39-0.77). Physical functioning, appearance, and family/parental concern were comparable across ages (d = -0.01 to 0.09). Family functioning was better for young adults than adolescents (d = -0.25). This study demonstrated that BOQ11-18 scores can be mapped from adolescence into young adulthood and that physical and psychosocial outcomes change across the lifespan. Bridges provide a useful approach to track changes across this part of the lifespan.

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