The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions

The Life Impact Burn Recovery Evaluation (LIBRE) Profile was developed to assess long-term social participation outcomes for adult burn survivors. Traditional clinical burn recovery outcomes focus on early physical complications and psychosocial issues, but there is a growing need for quantitative m...

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Main Authors: Colleen M. Ryan, Jeffrey C. Schneider, Pengsheng Ni, Mary D. Slavin, Amy Acton, Ananya Vasudevan, Allan Sosa-Ebert, Lewis E. Kazis
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:European Burn Journal
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Online Access:https://www.mdpi.com/2673-1991/6/2/23
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author Colleen M. Ryan
Jeffrey C. Schneider
Pengsheng Ni
Mary D. Slavin
Amy Acton
Ananya Vasudevan
Allan Sosa-Ebert
Lewis E. Kazis
author_facet Colleen M. Ryan
Jeffrey C. Schneider
Pengsheng Ni
Mary D. Slavin
Amy Acton
Ananya Vasudevan
Allan Sosa-Ebert
Lewis E. Kazis
author_sort Colleen M. Ryan
collection DOAJ
description The Life Impact Burn Recovery Evaluation (LIBRE) Profile was developed to assess long-term social participation outcomes for adult burn survivors. Traditional clinical burn recovery outcomes focus on early physical complications and psychosocial issues, but there is a growing need for quantitative measures of long-term recovery that assess experiences deemed relevant to burn survivors. The LIBRE Profile, co-produced with input from burn survivors and clinicians and grounded in the World Health Organization’s International Classification of Functioning, Disability and Health (WHO-ICF) conceptual framework, addresses the measurement gap by focusing on six domains of social participation: social interactions, social activities, family and friends, work and employment, romantic relationships, and sexual relationships. The LIBRE Profile uses Item Response Theory (IRT) and computer adaptive tests (CAT) to minimize respondent burden while maintaining accuracy. Psychometric evaluations have validated the LIBRE Profile as a reliable and clinically useful tool that can help clinicians and burn survivors monitor recovery and inform personalized care. Future work includes LIBRE Profile development for pediatric populations, further international language translations, and the development of an APP for broader personal and clinical use. This paper provides a comprehensive overview of the LIBRE Profile’s development, psychometric foundations, and future directions, advocating for its adoption in clinical practice and burn survivor communities.
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spelling doaj-art-d9bceb36ffb741188c5eaccee748564c2025-08-20T03:26:56ZengMDPI AGEuropean Burn Journal2673-19912025-05-01622310.3390/ebj6020023The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future DirectionsColleen M. Ryan0Jeffrey C. Schneider1Pengsheng Ni2Mary D. Slavin3Amy Acton4Ananya Vasudevan5Allan Sosa-Ebert6Lewis E. Kazis7Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USADepartment of Physical Medicine and Rehabilitation, Schoen Adams Research Institute, Rehabilitation Outcomes Center (ROC), Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02129, USADepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA 02118, USADepartment of Physical Medicine and Rehabilitation, Schoen Adams Research Institute, Rehabilitation Outcomes Center (ROC), Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02129, USAPhoenix Society for Burn Survivors, Kentwood, MI 49508, USADepartment of Anesthesiology, Tufts Medical Center, Boston, MA 02111, USAElmhurst Hospital Center—Internal Medicine Residency Program, Elmhurst, New York, NY 11373, USADepartment of Physical Medicine and Rehabilitation, Schoen Adams Research Institute, Rehabilitation Outcomes Center (ROC), Spaulding Rehabilitation Hospital, Harvard Medical School, Boston, MA 02129, USAThe Life Impact Burn Recovery Evaluation (LIBRE) Profile was developed to assess long-term social participation outcomes for adult burn survivors. Traditional clinical burn recovery outcomes focus on early physical complications and psychosocial issues, but there is a growing need for quantitative measures of long-term recovery that assess experiences deemed relevant to burn survivors. The LIBRE Profile, co-produced with input from burn survivors and clinicians and grounded in the World Health Organization’s International Classification of Functioning, Disability and Health (WHO-ICF) conceptual framework, addresses the measurement gap by focusing on six domains of social participation: social interactions, social activities, family and friends, work and employment, romantic relationships, and sexual relationships. The LIBRE Profile uses Item Response Theory (IRT) and computer adaptive tests (CAT) to minimize respondent burden while maintaining accuracy. Psychometric evaluations have validated the LIBRE Profile as a reliable and clinically useful tool that can help clinicians and burn survivors monitor recovery and inform personalized care. Future work includes LIBRE Profile development for pediatric populations, further international language translations, and the development of an APP for broader personal and clinical use. This paper provides a comprehensive overview of the LIBRE Profile’s development, psychometric foundations, and future directions, advocating for its adoption in clinical practice and burn survivor communities.https://www.mdpi.com/2673-1991/6/2/23burnthermal injuryPROMpatient reported outcome measureLIBRElife impact burn recovery evaluation
spellingShingle Colleen M. Ryan
Jeffrey C. Schneider
Pengsheng Ni
Mary D. Slavin
Amy Acton
Ananya Vasudevan
Allan Sosa-Ebert
Lewis E. Kazis
The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions
European Burn Journal
burn
thermal injury
PROM
patient reported outcome measure
LIBRE
life impact burn recovery evaluation
title The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions
title_full The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions
title_fullStr The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions
title_full_unstemmed The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions
title_short The Life Impact Burn Recovery Evaluation (LIBRE) Profile: Historical Overview and Future Directions
title_sort life impact burn recovery evaluation libre profile historical overview and future directions
topic burn
thermal injury
PROM
patient reported outcome measure
LIBRE
life impact burn recovery evaluation
url https://www.mdpi.com/2673-1991/6/2/23
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