The goal of this observational study is to evaluate the validity and reliability of the Turkish adaptation of the Burnt Hand Outcome Tool (BHOT) in adults with a history of hand burns. The participant population will include adults aged 18 years and older who have experienced unilateral or bilateral hand burns and can read and understand Turkish.The main questions this study aims to answer are: Does the Turkish version of the BHOT demonstrate high internal consistency, test-retest reliability, and construct validity? How strongly are BHOT scores associated with objective hand function measures such as grip strength and sensory evaluation? Participants will not be assigned to comparison groups, as this is a methodological validation study. Participants will: Complete a sociodemographic information form. Complete the Turkish version of the BHOT and the QuickDASH questionnaire. Undergo objective assessments including hand grip strength using a dynamometer and sensory evaluation using Semmes-Weinstein monofilaments. Participate in repeated assessments at baseline, 1 month, 3 months and 6 months for reliability analyses.
Study Type
OBSERVATIONAL
Enrollment
100
Assessment using the Turkish version of the Burnt Hand Outcome Tool (BHOT) for validity and reliability evaluation; no treatment is applied.
Konya City Hospital (Konya Şehir Hastanesi)
Konya, Meram, Turkey (Türkiye)
RECRUITINGReliability of the Turkish Version of the Burnt Hand Outcome Tool (BHOT)
Total score of the Turkish version of the Burnt Hand Outcome Tool (BHOT-T), a patient-reported outcome measure assessing functional, aesthetic, sensory, and psychosocial outcomes in adults with hand burns. The BHOT-T consists of 20 items, each scored on a Likert scale. Total scores range from 0 to 80, with higher scores indicating worse outcomes / greater negative impact of hand burns on hand function and quality of life.
Time frame: Baseline , 1 month, 3 months, and 6 months
Construct Validity of Burnt Hand Outcome Tool-Turkish
Construct validity will be assessed using confirmatory factor analysis (CFA) to evaluate the factor structure of the Turkish version of Burnt Hand Outcome Tool.
Time frame: baseline, 1 month, 3 months, and 6 months
Convergent Validity With QuickDASH
Total score of the Quick Disabilities of the Arm, Shoulder and Hand questionnaire (Quick DASH), a patient reported outcome measure assessing upper extremity disability. Scores are reported as units on a scale from 0 to 100, with higher scores indicating greater disability.
Time frame: Baseline, 1 month, 3 months, and 6 months
Hand Grip Strength
Hand grip strength measured in kilograms (kg) using a hand dynamometer in adults with hand burns.
Time frame: Baseline
Sensory Function Assessment
Sensory function of the hand assessed using the Semmes-Weinstein Monofilament Test, reported as monofilament level indicating cutaneous sensory threshold.
Time frame: Baseline
Discriminant Validity by Clinical Characteristics
Discriminant validity will be evaluated by comparing total scores of the Turkish version of the Burnt Hand Outcome Tool (Burnt Hand Outcome Tool - Turkish version, BHOT-T) across predefined clinical subgroups, including burn severity, history of skin grafting, and working status.
Time frame: Baseline
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