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Biomedical subjects

B J Bunker

Publications and source records attributed to B J Bunker.

4 recordsLinked to original sources

Measuring health status among survivors of burn injury: revisions of the Burn Specific Health Scale.

This study examined the reliability of a revised version of the Burn Specific Health Scale (BSHS). Two hundred fifty-four former patients recruited from eight burn centers in the southeastern United States participated in the study. Data were collected via chart review and mailed questionnaire. Factor analyses were used to identify seven subscales containing a total of 31 items. Subsequent analyses provided strong support for the reliability and validity of the revised measure. Each subscale exhibited a high level of reliability (Cronbach's alpha ranged from 0.82 to 0.94). Each subscale also correlated in a predictable manner with measures used for validation. The revised measure should improve the ability of both researchers and clinicians to assess the impact of non-fatal burn injury accurately and comprehensively.

Adult↗

The impact of burn injury: a preliminary investigation.

Thirty-eight individuals who had been previously hospitalized for burn injuries were interviewed about the problems that they had experienced as a result of their injuries, their rehabilitation goals, and factors that they believed had influenced either the rate or extent of their recovery. The problems that were most frequently mentioned by participants were compared with problem areas that are covered by the Burn-Specific Health scale, which is a standardized measure designed to assess the impact of burn injury. Our findings suggest that although many problem areas are well covered by the Burn-Specific Health scale, other areas are covered less well. Thus more work is needed to refine the scale to capture more fully the wide variety of problems that are experienced by survivors of burn injuries. In general, patients' rehabilitation goals reflected the types of problems they experienced. Support from health care providers was the most frequently mentioned facilitator to recovery, which emphasizes the importance of the patient-provider relationship.

Adult↗

Psychological distress among survivors of burn injury: the role of outcome expectations and perceptions of importance.

This study examined factors associated with psychologic distress among survivors of burn injury. The study tested hypotheses derived from Scheier and Carver's model of behavioral self-regulation and focused on two primary predictor variables: expectations concerning rehabilitative outcomes and the importance attached to those outcomes. The study used a cross-sectional research design. Two hundred sixteen people who had sustained major or moderate thermal burn injuries within 2 years of study entry served as subjects. Data were collected via mailed questionnaire and chart review. Consistent with study hypotheses, we found that participants who had low expectations for further improvement but who attached high importance to the need for improvement exhibited the most psychologic distress. Study findings lend support to Scheier and Carver's model and suggest that application of this model within the context of burn rehabilitation may increase our understanding of the rehabilitation process. Directions for future theory-based research are discussed.

Adaptation, Psychological↗