• Anne-Sophie Robillard, Claire Gane, Claudia Royea, Laurence Lacasse, Valérie Calva, Ana de Oliveira, and Bernadette Nedelec.
• School of Physical and Occupational Therapy, McGill University.
• Burns. 2021 Sep 1; 47 (6): 1429-1441.

BackgroundThe Burnt Hand Outcome Tool (BHOT) is a comprehensive tool assessing the multiple impacts of hand burn injuries which makes it essential to burn care practice, but is currently only available in English.ObjectivesTo create a French-Canadian cross-cultural adaptation of the BHOT and to assess its content and construct convergent validity.MethodsThe BHOT was translated and culturally adapted according to evidence-based principles for patient-reported outcome measures. The steps included translation to French (BHOT-F), backward translation, expert committee review, and cognitive debriefing with 5 adult participants. A pre-final version of the BHOT-F was then administered to 39 adult participants with hand burn injuries to assess construct convergent validity using the shortened Disabilities of the Arm, Shoulder and Hand questionnaire (QuickDASH). Content validity was evaluated based on comments from the expert committee and participant burn survivors.ResultsThe BHOT-F was modified during the adaption process to ensure its clarity. The Cronbach's alpha value of 0.935 demonstrates the excellent internal consistency of the BHOT-F. The BHOT-F and the QuickDASH were strongly correlated (p < 0.01). Content validity was deemed satisfactory and recommendations are reported for future research.ConclusionsThe BHOT-F demonstrates adequate clinimetric properties to be used in clinical practice.Copyright © 2021 Elsevier Ltd and ISBI. All rights reserved.

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