title: The multicenter benchmarking study of burn injury: A content analysis of the outcome measures using the international classification of functioning, disability and health.
abstract: OBJECTIVE
  To link, classify and describe the content of the Multicenter Benchmarking Study Burn Outcomes Questionnaires (BOQ) using the International Classification of Functioning, Disability and Health (ICF) to determine if the information garnered provides researchers with the data necessary to develop a comprehensive understanding of life after burns.
  
  
  METHODS
  Two ICF linking experts used a standardized linking technique endorsed by the World Health Organization to link all BOQ concepts to the ICF. Linking results were analyzed to determine the comprehensiveness of each of the five measures.
  
  
  RESULTS
  The activities and participation component was most frequently addressed followed by the body functions component. Environmental factors are not extensively covered and body structures are not addressed. ICF chapter and category distribution were skewed and varied between assessments. The majority of BOQ items are of the health status perspective.
  
  
  CONCLUSIONS
  BOQ item composition could be improved with a more even distribution of pertinent ICF topics. Assessment authors may consider addressing the impact of environmental factors on participation. Including body structure concepts would allow investigators to track structural deformation and/or developmental delay. Generally speaking, this data should not be used to examine quality of life outcomes.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA; Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA. Electronic address: candice.osborne@utsouthwestern.edu.
authors.forename: Candice L
authors.initials: CL
authors.lastname: Osborne
authors.affiliation: School of Health Sciences, Research School of Health and Welfare at Jonkoping University, 551 11 Jonkoping, Sweden; CHILD (Children, Health, Intervention, Learning and Development) Research Group, Jonkoping University, 551 11 Jonkoping, Sweden.
authors.forename: Christina
authors.initials: C
authors.lastname: Petersson
authors.affiliation: Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA.
authors.forename: James E
authors.initials: JE
authors.lastname: Graham
authors.affiliation: Shriners Hospital for Children, Shriners Burn Hospital, Galveston, TX 77555, USA; Department of Surgery, School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA; Department of Psychiatry and Behavioral Science, School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA.
authors.forename: Walter J
authors.initials: WJ
authors.lastname: Meyer
authors.affiliation: School of Education & FPG Child Development Institute, University of North Carolina, Chapel Hill, NC 27599, USA.
authors.forename: Rune J
authors.initials: RJ
authors.lastname: Simeonsson
authors.affiliation: Shriners Hospital for Children, Shriners Burn Hospital, Galveston, TX 77555, USA; Department of Surgery, School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA.
authors.forename: Oscar E
authors.initials: OE
authors.lastname: Suman
authors.affiliation: Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX 77555, USA.
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ottenbacher
mesh_terms: D000203:Activities of Daily Living; D019985:Benchmarking; D002056:Burns / Q000628:therapy*; D004185:Disability Evaluation; D006304:Health Status; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D007398:Interpersonal Relations; D051346:Mobility Limitation; D017063:Outcome Assessment, Health Care; D011788:Quality of Life; D015203:Reproducibility of Results; D058992:Social Participation; D011795:Surveys and Questionnaires
keywords: Burn Outcomes Questionnaire; Burn rehabilitation; Burns; ICF linking; Multicenter Benchmarking Study