Development and validation of the Burnt Hand Outcome Tool (BHOT): A patient-led questionnaire for adults with hand burns

• Published in: Burns 2018-12, Vol.44 (8), p.2087-2098
• Main Authors: Bache, Sarah E., Fitzgerald O’Connor, Edmund, Drake, Paul J.H., Philp, Bruce, Dziewulski, Peter
• Format: Article
• Language: English
• Subjects: Assessment; Hand burns; Outcome; PROM; Questionnaire; Rehabilitation; Upper extremity; Validation
• ISSN: 0305-4179; 1879-1409
• DOI: 10.1016/j.burns.2018.07.014

•The Burnt Hand Outcome Tool (BHOT) has been developed as a patient-led questionnaire for adult patients with hand burns.•The BHOT has been validated for use in the adult burns population.•The BHOT has excellent reliability, construct and criterion validity and responsiveness. Hand burns are unique in their functional, aesthetic and emotional impact on patients. Measuring the progress of a patient’s ability to carry out essential and desired tasks, their emotional state, interaction with society as well as scar, pain and itch as their burn heals, has until now relied on the use of a combination of several different tools. We have developed a questionnaire specifically to address the multiple different aspects of the impact of a hand burn on a patient. This has been validated in a study of adult patients with hand burns in a UK unit, by a variety of psychometric tests. Ninety-four patients entered the study and questionnaires were completed over the course of a year at five time points. The total BHOT and DASH questionnaires completed at each time point was as follows: 86 before; 52 healed; 29 at 3 months; 31 at 6 months; 28 at 1 year, i.e. 226 DASH and 226 BHOT questionnaires in total. The questionnaire has been shown to have excellent reliability, criterion validity, construct validity, and responsiveness. The result is the Burnt Hand Outcome Tool (BHOT), a patient reported, quick and easy to use yet comprehensive questionnaire specifically for adult patients with burns to the hand.