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Riobueno-Naylor A, Williamson H, Canenguez K, Kogosov A, Drexler A, Sadeq F, DePamphilis M, Holcomb JM, Stoddard FJ, Lydon M, Murphy JM, Sheridan RL. Appearance Concerns, Psychosocial Outcomes, and the Feasibility of Implementing an Online Intervention for Adolescents Receiving Outpatient Burn Care. J Burn Care Res 2021; 42:32-40. [PMID: 32594128 DOI: 10.1093/jbcr/iraa108] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
The current study assessed the prevalence of appearance concerns, psychosocial difficulty, and use of an appearance-focused social and psychological support resource (Young Person's Face IT; YPF) within a population of teens (12-17 year-olds) receiving outpatient burn care with the goal to assess the feasibility of routine use of the resource in outpatient burn care. The study sample included 78 patients ages 12 to 17 receiving outpatient care for burns at one hospital. Appearance concerns were measured via the Burn Outcomes Questionnaire Appearance Subscale, the Appearance Subscale of the Body Esteem Scale for Adolescents, and a 2-part question which asked participants directly about appearance concerns related to the burn injury. A large majority (70.0%) of study participants reported appearance concerns on at least one appearance measure and girls reported more burn-related appearance concerns compared with boys. Psychosocial difficulty was measured via the Pediatric Symptom Checklist-17 (PSC-17) and measures of social functioning were collected and compared within the sample by burn size, burn location, sex, and appearance concerns. Internalizing symptoms were prevalent on the PSC-17 (18.6% risk) and decreased self-worth and increased social anxiety symptoms were significantly associated with having appearance concerns. Although interest in YPF was high (78.3%), actual use of the resource among those who signed up to pilot it (n = 46 participants) was low (19.4% use). Results indicate that there is a need for and interest in appearance-focused social anxiety resources for adolescents with burn injuries such as YPF, but more research is needed to understand its feasibility in clinical practice.
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Affiliation(s)
- Alexa Riobueno-Naylor
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts.,Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Heidi Williamson
- Department of Health and Social Sciences, University of the West England, Bristol, UK
| | - Katia Canenguez
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts.,Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| | - Ann Kogosov
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts
| | - Alana Drexler
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts
| | - Farzin Sadeq
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts
| | - Matthew DePamphilis
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts
| | - Juliana M Holcomb
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Frederick J Stoddard
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.,Department of Psychiatry, Shriners Hospitals for Children-Boston, Boston, Massachusetts
| | - Martha Lydon
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts
| | - J Michael Murphy
- Department of Clinical Research, Shriners Hospitals for Children-Boston, Boston, Massachusetts.,Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
| | - Robert L Sheridan
- Department of Surgery, Shriners Hospitals for Children-Boston, Boston, Massachusetts.,Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.,Department of Surgery, Harvard Medical School, Boston, Massachusetts
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Cleary M, Kornhaber R, Thapa DK, West S, Visentin D. A quantitative systematic review assessing the impact of burn injuries on body image. Body Image 2020; 33:47-65. [PMID: 32109831 DOI: 10.1016/j.bodyim.2020.02.008] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 02/17/2020] [Accepted: 02/17/2020] [Indexed: 10/24/2022]
Abstract
This study systematically reviewed the quantitative evidence for the impact of burn injuries on body image. Primary research assessing body image using standardized scales published in peer-reviewed journals were systematically searched using the electronic databases PubMed, Scopus, CINHAL, and PsycINFO in January 2020. Studies reporting relationships between characteristics related to burn injury and body image outcomes were included. Quality was assessed using the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Included studies varied in comparison methods and body image measures, with most reporting cross-sectional relationships. Among the 33 included studies, 12 reported a negative association between burn severity and body image, 14 reported no significant association, six showed mixed (negative and null) results across the burn injury measures, and one reported more positive body image among burn survivors compared to those without burns. This review identified evidence supporting the association between burn severity and lower satisfaction with body image. Individuals with body image concerns, particularly those with higher burn severity and women, may benefit most from interventions that address self-acceptance and coping mechanisms. Further cross-sectional studies with representative control groups and longitudinal studies with longer follow-up periods are required.
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Affiliation(s)
- Michelle Cleary
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia.
| | - Rachel Kornhaber
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia; National Burns Center, Sheba Medical Center, Tel Hashomer, Israel
| | | | - Sancia West
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
| | - Denis Visentin
- College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia
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Riobueno-Naylor A, Romo S, Kazis L, Wang S, Lydon M, Nelson J, Fowler L, Drexler A, Kogosov A, Haile H, Ryan CM, Chang P, Warner P, Palmieri TL, Lee AF, Stoddard F, Murphy JM, Sheridan RL. Usefulness of a Novel System for Feedback of Patient-Reported Outcome Measures in Children Recovering From Burns. J Burn Care Res 2019; 40:776-784. [PMID: 31102446 DOI: 10.1093/jbcr/irz082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The Burn Outcomes Questionnaire for children ages 5-18 years (BOQ5-18) is a widely used, reliable, and valid parent-reported outcome measure designed to assess children's recovery from burn injuries in 12 physical and psychosocial domains. This study evaluated the feasibility, acceptability, and usefulness of a feedback system that delivered BOQ and Pediatric Symptom Checklist (PSC-17; a widely used measure of psychosocial functioning) results to burn care clinicians prior to an outpatient appointment or a postoperative surgical encounter. The BOQ and the PSC-17 were administered to the parents of 147 children receiving outpatient or surgical care in two pediatric burn hospitals. Clinician and parent perceptions of the feedback system were evaluated using debriefing questionnaires. Over half of all patients were at-risk on at least one BOQ subscale, and risk on three or more BOQ domains was significantly associated with a higher likelihood of poor psychological scores on the PSC-17 (P < .001). Significant differences in BOQ scores were found between the two hospital sites on four BOQ subscales, three related to physical ability and one to psychosocial well-being. Parent ratings of the feedback system were positive, with 90% of parents in both settings agreeing that the BOQ tablet experience was easy and helpful. Clinician attitudes differed across the two settings with more positive clinician ratings of the system in the outpatient setting (P < .001). Clinician interviews revealed that the data was especially useful in bringing to light psychosocial aspects of functioning relevant to long-term recovery from burn injuries.
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Affiliation(s)
- Alexa Riobueno-Naylor
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts.,Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Stephanie Romo
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts
| | - Lewis Kazis
- Department of Health Law, Policy, and Management, Boston University School of Public Health, Massachusetts
| | - Shirley Wang
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts
| | - Martha Lydon
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts
| | - Judith Nelson
- Department of Clinical Research, Shriners Hospitals for Children - Cincinnati, Ohio
| | - Laura Fowler
- Department of Clinical Research, Shriners Hospitals for Children - Cincinnati, Ohio
| | - Alana Drexler
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts
| | - Ann Kogosov
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts
| | - Haregnesh Haile
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts
| | - Colleen M Ryan
- Department of Surgery, Shriners Hospitals for Children - Boston, Massachusetts.,Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
| | - Philip Chang
- Department of Surgery, Shriners Hospitals for Children - Cincinnati, Ohio
| | - Petra Warner
- Department of Surgery, Shriners Hospitals for Children - Cincinnati, Ohio
| | - Tina L Palmieri
- Department of Surgery, Shriners Hospitals for Children - Northern California, Sacramento, California.,Department of Surgery, University of California Davis, Sacramento, California
| | - Austin F Lee
- Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts
| | - Frederick Stoddard
- Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts.,Department of Psychiatry, Shriners Hospitals for Children - Boston, Massachusetts
| | - J Michael Murphy
- Department of Clinical Research, Shriners Hospitals for Children - Boston, Massachusetts.,Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
| | - Robert L Sheridan
- Department of Surgery, Shriners Hospitals for Children - Boston, Massachusetts.,Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts.,Harvard Medical School, Boston, Massachusetts
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