Testing the responsiveness of and defining MID (minimal important difference) values for the CARe Burn Scales: Patient-reported outcome measures (PROMs) to assess quality of life for children and young people affected by burn injuries, and their parents/caregivers

Griffiths, Catrin; Tollow, Pippa; Cox, Danielle; White, Paul; Pickles, Timothy; Harcourt, Diana

Abstract

Background: The CARe Burn Scales are a portfolio of burn-specific PROMs for people affected by burns, including a Child Form (for children < 8 years (Parent-proxy)), a Young Person Form (for young people aged 8 -17 years), an Adult Form, and a Parent Form (for parents/carers of children aged 0-17 years). This study aimed to determine the responsiveness and minimal important difference (MID) values of the 3 scales developed for use in paediatric burn services and research.

Methods. Participants were recruited by 15 UK Burn Services. Participants completed the appropriate CARe Burn Scale and a set of appropriate comparison validated measures, at three time points: 4 weeks (T1), 3 months (T2) and 6 months (T3) post burn injury. Spearman’s correlation analysis and effect sizes based on Cohen’s d thresholds were reported and MID values were calculated.

Results. At baseline, 250 participants completed the Child Form, 69 completed the Young Person Form, 320 completed the Parent Form. 85%-92% of participants were retained at follow up. The tested CARe Burn Scales were all responsive to change over time. MID values were created for all subscales and ranged from 2-11 for the Child Form, 3-14 for the Young Person Form and 3-10 for the Parent Form.

Conclusion. The CARe Burn Scales for children, young people and parents are responsive to change over time. The scales are freely available for clinical and research use.

• Journal Article Type: Article
• Acceptance Date: Oct 28, 2021
• Online Publication Date: Nov 11, 2021
• Publication Date: Nov 11, 2021
• Deposit Date: Nov 5, 2021
• Journal: European Burn Journal
• Electronic ISSN: 2673-1991
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 2
• Issue: 4
• Pages: 249-280
• Keywords: Burns, PROMS, CARe Burn Scale, children
• Public URL: https://uwe-repository.worktribe.com/output/8050281
• Publisher URL: https://www.mdpi.com/journal/ebj