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The CARe Burn Scale—Adult Form: Translation and linguistic validation into Finnish

Lahdenperä, Noora-Ilona; Repo, Jussi P.; Aartolahti, Eeva; Tollow, Philippa; Griffiths, Catrin; Harcourt, Diana; Vuola, Jyrki; Lindford, Andrew


Noora-Ilona Lahdenperä

Jussi P. Repo

Eeva Aartolahti

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Dr Pippa Howard
Research Fellow in Burns PROMS Research

Jyrki Vuola

Andrew Lindford


Background: Burn injury can dramatically deteriorate health-related quality of life. Effective burn care may minimize the impact of the burn injury and ensure optimal functional outcome. This requires continuous improvement in burn care and assessment of treatment results. The aim of this study was to translate, culturally adapt and linguistically validate the CARe Burn Scale—Adult Form, a burn-specific patient-reported outcome measure, into Finnish. Methods: The translation process followed the International Society for Pharmacoeconomics and Outcomes Research guidelines consisting of forward and backward translations, pilot-testing and cognitive debriefing interviews of five burn patients, and proofreading before finalizing. The process involved expert panel meetings and continuous discussion between the developers of the Scale and the research group. Results: In the forward translation 10 amendments were required. After the backward translation, 12 items were reworded. Cognitive debriefing interviews led to three alterations enhancing the comprehensiveness and accuracy of the translation. The translation was reviewed by burn occupational therapists for practicality, resulting in 12 modifications. Minor grammatical changes were made after proofreading. Conclusion: The Finnish version is the first foreign translation of the CARe Burn Scale. It is equivalent to the original Scale and ready for psychometric validation with burn patients in Finland.


Lahdenperä, N., Repo, J. P., Aartolahti, E., Tollow, P., Griffiths, C., Harcourt, D., …Lindford, A. (in press). The CARe Burn Scale—Adult Form: Translation and linguistic validation into Finnish. Burns,

Journal Article Type Article
Acceptance Date Feb 22, 2021
Online Publication Date Feb 27, 2021
Deposit Date Apr 22, 2021
Publicly Available Date Feb 28, 2022
Journal Burns
Print ISSN 0305-4179
Electronic ISSN 1879-1409
Publisher Elsevier
Peer Reviewed Peer Reviewed
Keywords Surgery; Critical Care and Intensive Care Medicine; Emergency Medicine; General Medicine
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