Development of quality of life scale in Chinese burn patients: cross-cultural adaptation process of burn-specific health scale - brief.
OBJECTIVE
This study was designed to develop and test a Chinese burn patient-specific quality of life (QOL) scale based on the burn-specific health scale - brief (BSHS - B) to provide an effective assessment tool to measure quality of life in Chinese burn patients.


METHODS
Delphi method was used after the translation, back translation and pre-commissioning tests of BSHS - B, to amend the description of the items for cultural adaptation. The adapted Chinese version (ACV) of the BSHS - B was tested for internal consistency and validity of construct on a group of 271 burn patients from three major burn units in China.


RESULTS
Thirty-eight items within six domains of ACV BSHS-B were developed with scoring '0-4' in each item. The mean total score for our study group was 98.36 (standard deviation (S.D.)=37.86), ranging from 13 to 150. The total Cronbach's alpha value was 0.97 and total split-half reliability was 0.98, demonstrating that the internal consistency of the ACV was very high. Pearson correlations among the six domains of ACV BSHS - B were statistically significant. Exploratory factor analysis results showed that the six-factor function explained 78.30% of total variance; each entry in the corresponding domain had a factor-loading value higher than 0.4, indicating that the scale has a good validity.


CONCLUSIONS
The ACV of the BSHS - B showed good reliability and validity, and can be used as a tool for assessing the QOL in Chinese burn patients.
Nursing Department, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China.
Zhang
Z
Ling-Juan
Cao
C
Jie
Lu
L
Jian
Lu
L
Xiao-Ying
Feng
F
Ping
Xia
X
Zhao-Fan
Hao
H
Jian-Ling
Huang
H
Juan
Zhu
Z
Feng
Lv
L
Tao
D000293:Adolescent; D000328:Adult; D000368:Aged; D002056:Burns / Q000523:psychology / Q000534:rehabilitation*; D002681:China; D003431:Cross-Cultural Comparison; D005163:Factor Analysis, Statistical; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D055815:Young Adult