Turkish Adaptation and Validation of the Burnt Hand Outcome Tool (BHOT)

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorNecmettin Erbakan University

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 years or older

History of second-degree or higher burn injury in one or both hands

Ability to read and understand Turkish

Willingness to participate and provision of written informed consent

Disqualifiers

History of trauma, surgery, or rheumatologic disease affecting hand function prior to the burn injury

Age under 18 years

Cognitive impairment or psychiatric disorder preventing completion of the questionnaires

Refusal to participate or withdrawal from the study at any time

Trial population

Adult patients aged 18 years and older with a history of second-degree or higher burn injury in one or both hands who are receiving outpatient or inpatient care at the burn unit. All participants are able to read and understand Turkish and provide informed consent.

Trial design

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

  • Burnt Hand Outcome Tool (BHOT) - Turkish Version

    Other intervention

    Assessment using the Turkish version of the Burnt Hand Outcome Tool (BHOT) for validity and reliability evaluation; no treatment is applied.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Reliability 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
2

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

Secondary outcomes

1

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
2

Hand Grip Strength

Hand grip strength measured in kilograms (kg) using a hand dynamometer in adults with hand burns.

Time frame
Baseline
3

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
4

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

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Necmettin Erbakan University

Lead sponsor

Konya City Hospital

Collaborator