Cross cultural adaptation and validation of the Latin American Spanish version of the Burn Specific Health Scale-Brief (BHSH-BE) questionnaire.

Publication date: Aug 01, 2025

The Burn-Specific Health Scale-Brief (BSHS-B) questionnaire is a widely validated tool for assessing health-related quality of life (HRQoL) in patients with burns. There is no version appropriate for low- and middle-income Spanish-speaking countries. This study aimed to translate, culturally adapt, and psychometrically validate a version in Latin American Spanish (BSHS-BE). First, we translated and culturally adapted the BSHS-B into Latin American Spanish. Then, the questionnaire underwent psychometric validation and reliability evaluation using the Short-Form 36 Health Survey and the Patient Health Questionnaire-2. The BSHS-BE assessed the clinical relevance of each item in terms of content validity. The BSHS-BE demonstrated good discriminatory ability in patients with hand or face burns, TBSA > 15 %, required surgical intervention, and those at risk of depressive disorder. The relationship between the BSHS-BE and SF-36 was analyzed by estimating the correlation coefficients using Spearman’s rank. An exploratory factor analysis (EFC) was conducted using a seven-domain model, extracting factors using the Velicer Partial Mean Averages test, and analyzing with a maximum likelihood factor extraction with oblimin rotation to compute the factor structure of items of the BSHS-BE, explaining 71 % of variability. Internal consistency was determined for the BSHS-BE using Cronbach’s alpha for each domain and the total score. The BSHS-BE is a valid, reliable, and culturally adapted tool for assessing the HRQoL of patients with burns, which supports multidisciplinary management, thereby improving quality of life.

Concepts Keywords
Latin Adult
Reliable Aged
Spanish Burns
Spearman Burns
Surgical Cross-Cultural Comparison
Facial Injuries
Factor Analysis, Statistical
Female
Hand Injuries
Humans
Latin America
Latin America
Male
Middle Aged
Multidisciplinary management
Psychometrics
Quality of Life
Reproducibility of Results
Scale validation
Surveys and Questionnaires
Translations
Young Adult

Semantics

Type Source Name
disease MESH clinical relevance
disease MESH depressive disorder

Original Article

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