Abstract
Objective: To examine differences in long-term social reintegration outcomes for burn survivors with and without peer support attendance. Design: Cross-sectional survey. Setting: Community-dwelling burn survivors. Participants: Burn survivors (N=601) aged ≥18 years with injuries to ≥5% total body surface area (TBSA) or burns to critical areas (hands, feet, face, or genitals). Interventions: Not applicable. Main Outcome Measures: The Life Impact Burn Recovery Evaluation Profile was used to examine the following previously validated 6 scale scores of social participation: Family and Friends, Social Interactions, Social Activities, Work and Employment, Romantic Relationships, and Sexual Relationships. Results: Burn support group attendance was reported by 330 (55%) of 596 respondents who responded to this item. Attendees had larger burn size (43.4%±23.6% vs 36.8%±23.4% TBSA burned, P<.01) and were more likely to be >10 years from injury (50% vs 42.5%, P<.01). Survivors who attended at least 1 support group scored significantly higher on 3 of the scales: Social Interactions (P=.01), Social Activities (P=.04), and Work and Employment (P=.05). In adjusted analyses, peer support attendance was associated with increased scores on the Social Interactions scale, increasing scores by 17% of an SD (95% confidence interval, 1%–33%; P=.04). Conclusions: Burn survivors who reported peer support attendance had better social interaction scores than those who did not. This is the first reported association between peer support group attendance and improvements in community reintegration in burn survivors. This cross-sectional study prompts further exploration into the potential benefits of peer support groups on burn recovery with future intervention studies.
| Original language | English |
|---|---|
| Pages (from-to) | S92-S98 |
| Journal | Archives of Physical Medicine and Rehabilitation |
| Volume | 101 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 2020 |
Bibliographical note
Publisher Copyright:© 2017 American Congress of Rehabilitation Medicine
Funding
LIBRE Advisory Board Members, Karen Badger, PhD, MSW, University of Kentucky, KY, Leopoldo C. Cancio, MD, University of Texas Health Science Center, TX, Gretchen Carrougher, RN, University of Washington Medicine Regional Burn Center, WA, Joshua Carson, MD, University of Florida, Damien Carter, MD, Maine Medical Center, ME, Philip H. Chang, MD, Shriners Hospitals for Children Cincinnati, OH, Lindsay Deeter, MD, Western States Burn Center, CO, Frederick Edorf, MD, Hennepin County Medical Center, MN, Ali Fagin, MD, University of Arkansas for Medical Sciences, Nicholas Faoro, RN, Brigham & Women's Hospital, MA, Lee Faucher, MD, University of Wisconsin School of Medicine and Public Health, WI, James A. Fauerbach, MD, John Hopkins School of Medicine: Johns Hopkins Burn Center, MD, Philip Fidler, MD, Swedish Medical Center, CO, Kevin Foster, MD, MBA, FACS, Arizona Burn Center, AZ, Jonathan Friedstat, MD, Massachusetts General Hospital, Harvard Medical School, Shriners Hospitals for Children–Boston, MA, Nicole Gibran, MD, University of Washington Medicine Regional Burn Center, WA, Jeremy Goverman, MD, Massachusetts General Hospital, Harvard Medical School, Shriners Hospitals for Children–Boston, MA, David Harrington, MD, Rhode Island Hospital, RI, David Herndon, MD, Shriners Hospitals for Children, Galveston, TX, William Hickerson, MD, University of Tennessee Health Science Center, TN, Radha Holavanahalli, PhD, University of Texas, Southwestern Medical Center, TX, Abraham Houng, MD, Weill Cornell Medical Center, NY, James Hwang, MD, North Carolina Jaycee Burn Center, NC, James Jeng, MD, Mt. Sinai Beth Israel Center, NY, Victor Joe, MD, University of California Irvine, CA, Nicole Kopari, MD, Regions Hospital, MN, Karen Kowalske, MD, University of Texas, Southwestern Medical Center, TX, Robin Lee, MD, Saint Barnabas Medical Center, NJ, Benjamin Levi, MD, University of Michigan Health Systems, MI, Yuk Liu, MD, University of Iowa Hospital/Clinics, IA, Tina Palmieri, MD, Shriners Hospital for Children Northern California, Sacramento, CA and the University of California Davis, Bohdan Pomahač, MD, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, Debra Reilly, MD, FACS, The Nebraska Medical Center, NE, Kathleen Romanowski, MD, Shriners Hospital for Children Northern California, Sacramento, CA and the University of California Davis, John T. Schulz, III, MD, Massachusetts General Hospital, Harvard Medical School, Shriners Hospitals for Children–Boston, MA, Robert Leo Sheridan, MD, Massachusetts General Hospital, Harvard Medical School, Shriners Hospitals for Children–Boston, MA, Jeffrey W. Shupp, MD, Medstar Washington Hospital Center, Washington, DC, Indranil Sinha, MD, Brigham & Women's Hospital, Harvard Medical School, Boston, MA, Taryn Travis, MD, Washington Hospital Center, Washington, DC, Lucy Wibbenmeyer, MD, University of Iowa Hospital/Clinics, IA
| Funders | Funder number |
|---|---|
| Arizona Burn Center | |
| John Hopkins School of Medicine: Johns Hopkins Burn Center | |
| John T. Schulz, III | |
| Nebraska Medical Center | |
| Shriners Hospital for Children Northern California | |
| Shriners Hospitals for Children Cincinnati | |
| University of Iowa Hospital/Clinics | |
| University of Washington Medicine Regional Burn Center | |
| Massachusetts General Hospital | |
| Harvard Medical School | |
| University of Tennessee Health Science Center | |
| University of Kentucky | |
| University of California Davis | |
| School of Medicine and Public Health, University of Wisconsin-Madison | |
| Shriners Hospitals for Children Cincinnati | |
| Rhode Island Hospital |
Keywords
- Burns
- Community integration
- Rehabilitation
- Social support
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation