Burn Specific Health Scale -Brief (BSHS-B)
Original Editor - Joseph Ayotunde Aderonmu
Top Contributors - Joseph Ayotunde Aderonmu
The Burns Specific Health Scale-Brief (BSHS-B) questionnaire is an appropriate measurement tool for the assessment of general, physical, mental, and social health aspects of the burn survivor.  It is commonly used to quantify the recovery of quality of life (QoL) after a burn. In response to the lack of a specific instrument to assess the health of patients with burns, Blades et al. in 1979 recorded the first 114-item version of BSHS-Abbreviated (BSHS-A) instrument; and after its construction, modified versions of BSHS-Reviewed (BSHS-R) and a short version of BSHS-B were created. 
To measure burn specific health outcomes in survivors of burn injury, 
The instrument measures psychosocial difficulties and physical difficulties using nine domains (Table 1). The participant is asked to choose from a 5-point scale of severity, where “0” is extreme and “4” is none at all. It has a total obtainable score of 40. 
|Physical(8)||Burn specific (10)||Social and emotional (22)|
|Hand function(5)||Heat specificity (5)||Affect (7)|
|Simple abilities (3)||Treatment regimens (5)||Work (4)|
|Interpersonal relationship (4)|
|Body image (4)|
The 40-item questionnaire, aims to assess QOL specific to postburn topics, requires about 15 minutes to complete. Higher BSHS-B score indicates fewer problems and, accordingly, a higher QoL.
Reliability and validity
Internal consistency of the BSHS-B has been shown to be excellent with a Cronbach's factor alphas ranging between 0.75-0.93. There is evidence of concurrent validity for the BSHS-B when compared with the abbreviated and revised versions. It is claimed that the BSHS-B exhibits construct validity in its association with a variety of aspects of burn-related health.
The BSHS-B has been used to establish criterion validity for the QuickDASH in an Australian sample with upper limb burns and it was found that while mean scores improved over the period of the study for both measures, the effect sizes were greater for the QuickDASH. When used in conjunction with the SF-36, the BSHS-B was found to provide more useful information regarding fear-avoidance and post-traumatic stress disorder in relation to return to work.
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