Turkish Adaptation and Validation of the Burnt Hand Outcome Tool (BHOT)

Turkish Adaptation of the Burnt Hand Outcome Tool (BHOT): A Validity and Reliability Study in Adult Patients With Hand Burns

The goal of this observational study is to evaluate the validity and reliability of the Turkish adaptation of the Burnt Hand Outcome Tool (BHOT) in adults with a history of hand burns. The participant population will include adults aged 18 years and older who have experienced unilateral or bilateral hand burns and can read and understand Turkish.The main questions this study aims to answer are:

Does the Turkish version of the BHOT demonstrate high internal consistency, test-retest reliability, and construct validity? How strongly are BHOT scores associated with objective hand function measures such as grip strength and sensory evaluation? Participants will not be assigned to comparison groups, as this is a methodological validation study.

Participants will: Complete a sociodemographic information form. Complete the Turkish version of the BHOT and the QuickDASH questionnaire. Undergo objective assessments including hand grip strength using a dynamometer and sensory evaluation using Semmes-Weinstein monofilaments. Participate in repeated assessments at baseline, 1 month, 3 months and 6 months for reliability analyses.

Study Overview

• Status: Recruiting
• Conditions: Burn Injuries; Hand Injuries; Hand Burn
• Intervention / Treatment: Other: Burnt Hand Outcome Tool (BHOT) - Turkish Version

• Study Type: Observational
• Enrollment (Estimated): 100

Contacts and Locations

• Study Contact: Name: Pariya Puriyamanesh; Phone Number: +905538304970; Email: fzt.pariya@gmail.com

Study Locations

• Turkey (Türkiye)
  • Meram
    • Konya, Meram, Turkey (Türkiye)
      • Recruiting
      • Konya City Hospital (Konya Şehir Hastanesi)
      • Contact: Pariya Pouriyamanesh; Phone Number: +905538304970; Email: fzt.pariya@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Adult patients aged 18 years and older with a history of second-degree or higher burn injury in one or both hands who are receiving outpatient or inpatient care at the burn unit. All participants are able to read and understand Turkish and provide informed consent.

Description

Inclusion Criteria:

• Age 18 years or older
• History of second-degree or higher burn injury in one or both hands
• Ability to read and understand Turkish
• Willingness to participate and provision of written informed consent

Exclusion Criteria:

• History of trauma, surgery, or rheumatologic disease affecting hand function prior to the burn injury
• Age under 18 years
• Cognitive impairment or psychiatric disorder preventing completion of the questionnaires
• Refusal to participate or withdrawal from the study at any time

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Reliability of the Turkish Version of the Burnt Hand Outcome Tool (BHOT)	Total score of the Turkish version of the Burnt Hand Outcome Tool (BHOT-T), a patient-reported outcome measure assessing functional, aesthetic, sensory, and psychosocial outcomes in adults with hand burns. The BHOT-T consists of 20 items, each scored on a Likert scale. Total scores range from 0 to 80, with higher scores indicating worse outcomes / greater negative impact of hand burns on hand function and quality of life.	Baseline , 1 month, 3 months, and 6 months
Construct Validity of Burnt Hand Outcome Tool-Turkish	Construct validity will be assessed using confirmatory factor analysis (CFA) to evaluate the factor structure of the Turkish version of Burnt Hand Outcome Tool.	baseline, 1 month, 3 months, and 6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Convergent Validity With QuickDASH	Total score of the Quick Disabilities of the Arm, Shoulder and Hand questionnaire (Quick DASH), a patient reported outcome measure assessing upper extremity disability. Scores are reported as units on a scale from 0 to 100, with higher scores indicating greater disability.	Baseline, 1 month, 3 months, and 6 months
Hand Grip Strength	Hand grip strength measured in kilograms (kg) using a hand dynamometer in adults with hand burns.	Baseline
Sensory Function Assessment	Sensory function of the hand assessed using the Semmes-Weinstein Monofilament Test, reported as monofilament level indicating cutaneous sensory threshold.	Baseline
Discriminant Validity by Clinical Characteristics	Discriminant validity will be evaluated by comparing total scores of the Turkish version of the Burnt Hand Outcome Tool (Burnt Hand Outcome Tool - Turkish version, BHOT-T) across predefined clinical subgroups, including burn severity, history of skin grafting, and working status.	Baseline

Collaborators and Investigators

• Sponsor: Necmettin Erbakan University
• Collaborators: Konya City Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 17, 2025
• Primary Completion (Estimated): April 1, 2026
• Study Completion (Estimated): November 1, 2026

Study Registration Dates

• First Submitted: November 29, 2025
• First Submitted That Met QC Criteria: December 26, 2025
• First Posted (Estimated): January 9, 2026

Study Record Updates

• Last Update Posted (Actual): January 13, 2026
• Last Update Submitted That Met QC Criteria: January 11, 2026
• Last Verified: January 1, 2026

More Information

Terms related to this study

• Keywords: Reproducibility of Results; Validation Study; Hand Burns; Burnt Hand Outcome Tool (BHOT); Burn Injuries
• Additional Relevant MeSH Terms: Wounds and Injuries; Burns; Hand Injuries
• Other Study ID Numbers: NecmettinEU-FTR-PP-01

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No