Cross-cultural adaptation into French and validation of the SCAR-Q questionnaire

Radulesco, Thomas; Mancini, Julien; Penicaud, Martin; Grob, Jean‐Jacques; Richard, M.‐A.; Dessi, P.; Malissen, Nausicaa; Michel, J.

doi:10.1007/s11136-020-02719-8

Cited by 10 publications

(9 citation statements)

References 21 publications

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“…One study suggested that SCAR‐Q is the first and only validated scar assessment for all scar types 2 . Two studies validated the SCAR‐Q questionnaire in French and Arabic as well 49,50 …”

Section: Resultsmentioning

confidence: 99%

Evaluating skin colour diversity in the validation of scar assessment tools

Garg,

Williams,

Taritsa

et al. 2023

Wound Repair Regeneration

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Across scar studies, there is a lack of dark‐skinned individuals, who have a predisposition for keloid formation, altered pigmentation, and poorer quality‐of‐life. There is a need for patients‐of‐color to be included in scar scale development and validation. In this study, we evaluate the racial diversity of patients included in the validation of scar assessment scales. A systematic review was conducted for articles reporting on the validation of a scar assessment tool. Racial, ethnic, and Fitzpatrick skin type(FST) data was extracted. Fifteen scar scale validation studies were included. Nine of the studies did not mention FST, race, or ethnicity of the patients. Two of the studies that reported FST or race information only included White patients or included no FST V/VI patients: MAPS and UNC4P. Only four studies included non‐white patients or dark‐skinned patients in the validation of their scar scale: the modified Vancouver Scar Scale, Modified POSAS, Acne QOL, and SCAR‐Q scales. The patients included in the modified VSS validation were 7 and 13% FST V/VI, 14% African in the modified POSAS, and 4.5% FST V/VI in the SCAR‐Q. We highlight the severe lack of diversity in scar scale validation, with only 4 out of 15 studies including dark‐skinned patients. Given the susceptibility of darker‐skinned individuals to have poorer scarring outcomes, it is critical to include patients‐of‐color in the very assessment tools that determine their scar prognosis. Inclusion of patients‐of‐color in scar scale development will improve scar assessment and clinical decision‐making.This article is protected by copyright. All rights reserved.

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Section: Resultsmentioning

confidence: 99%

Evaluating skin colour diversity in the validation of scar assessment tools

Garg,

Williams,

Taritsa

et al. 2023

Wound Repair Regeneration

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“…Scar quality assessment is an integral part of the outcome of all surgical procedures, especially in the field of plastic and reconstructive surgery [ 9 ]. Our translation methodology has been previously implemented by many authors [ 7 , 10 ]. After following all the steps recommended by WHO and ISPOR, we developed the Arabic version of the SCAR-Q that is linguistically validated and culturally fitting, similar to the production of the Danish translation of this PROM [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…During the interviews, only two out of the six patients had comments on one statement, which indicates a clear and culturally sensitive translation. Possible limitations of our translation include a relatively small number of debriefing interviews, which does not allow the use of statistical tests that can assess the internal validity of the questionnaire in Arabic, as performed by previous authors [ 10 ]. Furthermore, the forward and backward translations were not performed by a professional translator.…”

Section: Discussionmentioning

confidence: 99%

Arabic Translation and Linguistic Validation of the SCAR-Q Scale Module

Braizat¹,

Jafarian²,

Al-Saigel³

et al. 2021

Cureus

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Scars are a fairly common complaint in the clinical setting; they can arise from trauma, burns, or after surgical procedures. They can have a detrimental impact on the quality of life of patients. A well-established method of quantifying such an impact is through patient-reported outcome measures (PROM). SCAR-Q is a relatively new and robust questionnaire that was developed and validated by McMaster University. Our study aims to translate SCAR-Q to Arabic. SCAR-Q has a holistic approach to scars and does not target scars of a specific etiology. It has three main components: scar appearance, psychological impact, and symptoms associated with the scar. This translation will enable data collection, analysis, and interpretation from a previously untouched demographic. This article explains the steps taken to develop an accurate and validated Arabic SCAR-Q questionnaire based on World Health Organization (WHO) and The Professional Society for Health Economics and Outcomes Research (ISPOR) guidelines. We were able to methodically produce a validated translation of the SCAR-Q into Arabic that should potentially allow data collection and feedback from a very large segment of the world population regarding the impact of scars on their quality of life.

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“…The SCAR-Q contains an appearance scale with 12 questions, symptoms scale with 12 questions, and psychosocial impact scale with five questions. 9 , 12 , 13 All three scales were given to patients, and a standardized Rasch score out of 100 was calculated for each scale. A higher Rasch score indicated a better scar perception.…”

Section: Methodsmentioning

confidence: 99%

Scar Perception: A Comparison of African American and White Self-identified Patients

Garg

Hassan

Koko

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Scars can have significant morbidity and negatively impact psychological, functional, and cosmetic outcomes as well as the overall quality-of-life, especially among ethnic minorities. The objective of this study was to evaluate African American and White patients' perception of their scars' impact on symptoms, appearance, psychosocial health, career, and sexual well-being, using validated assessment tools. Method: A total of 675 abdominoplasty and breast surgery patients from four providers completed the SCAR-Q, and Career/Sexual Well-Being scales via phone or email. A higher score on both assessments indicates a more positive patient perception. Results: Of the 675 respondents, 77.0% were White, and 23.0% were African American. White patients scored significantly higher on the SCAR-Q (232 ± 79 versus 203 ± 116), appearance (66 ± 26 versus 55 ± 29), and Career/Sexual Well-Being (16 ± 2 versus 15 ± 5) scales than African American patients (P < 0.001, P < 0.001, P < 0.001, respectively). There was no significant correlation between duration after surgery and symptoms or appearance scores for African American patients (P = 0.11, P = 0.37). There was no significant correlation between patient age and SCAR-Q score or time after surgery and psychosocial scores. Conclusions: African American patients are more likely to have lower perceptions of their scarring appearance, symptoms, psychosocial impact, career impact, and sexual well-being impact than White patients. Scar appearance and symptoms are less likely to improve over time for African American patients. This study highlights the need to address patient ethnicity when considering further follow-up, counseling, or other measures to enhance scar perception.

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Cross-cultural adaptation into French and validation of the SCAR-Q questionnaire

Cited by 10 publications

References 21 publications

Evaluating skin colour diversity in the validation of scar assessment tools

Evaluating skin colour diversity in the validation of scar assessment tools

Arabic Translation and Linguistic Validation of the SCAR-Q Scale Module

Scar Perception: A Comparison of African American and White Self-identified Patients

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