Interpreting life impact burn recovery evaluation profile scores for use by clinicians, burn survivors, and researchers

Model System:

Burn

Reference Type:

Journal article

Accession No.:

J86045

Journal:

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

Year, Volume, Issue, Page(s):

2021 , 42, 1, 23-31

Publication Website:

Abstract:

Study identified numeric score cut-points that define different levels of social participation ability and described each level for the Impact Burn Recovery Evaluation (LIBRE) Profile, a patient-reported outcome measure developed to assess social participation in adult burn survivors. An expert panel identified numeric score cut-points that distinguish different levels of social participation for the six LIBRE Profile domains. Methods employed an iterative, modified-Delphi approach, and bookmarking to review calibrated item banks. Analyses (using calibration sample data and repeated in a validation sample) examined means, standard deviations, and sample distributions for each level. Analyses of variance examined score differences between levels. The panel developed descriptions for each established level. Initial cut-points resulted in four levels for five domains (Social Activities, Social Interactions, Romantic Relationships, Sexual Relationships, and Work and Employment) and five levels for the sixth domain (Relationships with Family and Friends). Comparisons demonstrated significant differences between level mean scores for all domains except Relationships with Family and Friends. Based on follow-up surveys, Relationships with Family and Friends score cut-points were adjusted to identify four levels with significant score differences between all levels. Panelists reached consensus for level descriptions. Score cut-points and descriptions identify different levels of social participation, providing a relevant context for interpreting LIBRE Profile numeric scores. LIBRE Profile Social Participation levels will help clinicians and people with burn injury interpret LIBRE Profile numeric scores and promote use of this important new assessment.

Author(s):