Efficacy of Social Interaction Skills Training (SIST) Post Burn Injury: A Prospective Randomized Intervention Study
The goal of the SiST program is to assist burn survivors with preparing for social situations upon their discharge from the hospital. Consenting individuals will be randomly assigned to one of two groups. Randomization will be decided using a computerized random number generator, namely the GraphPad Software [Quote]QuickCalcs online Calculators for Scientists[Quote]. http://www.graphpad.com/quickcalcs/index.cfm. once subjects have consented, data collectors will contact the research coordinator for group assignment. Subjects will be assigned to either the experimental group (who will participate in the 2-hour SiST program following discharge) or the control group (who will not participate in the 2-hour SiST program, but may receive similar information in their daily interaction with the burn center staff). Both groups will be assessed for body image dissatisfaction, social phobia and social interaction anxiety at the time of their discharge from the hospital
The training will be offered twice weekly to coincide with the burn outpatient clinic schedules and the participants in the intervention group will have their training scheduled to coincide with their out-patient clinic follow-up appointment. although the training is scheduled on clinic days for the convenience of patients with a clinic appointment, participants do not have to attend the clinic to participate in the training on any scheduled day. The training program will allow interested family members to accompany the participants. each participating subject will be required to attend only one 2-hour session. Participants of both groups will be reassessed for social phobia, social interaction anxiety and body image dissatisfaction; the intervention group at 2, 6 and 12 months post SiST training and the non-intervention group at 2, 6 and 12 months after consent.
The program will use a standardized curriculum developed by Changing Faces, a charity organization founded in 1992 by James Partridge, oBe, DSc., who sustained severe burns is a car fire at the age of 18 years. [Quote]Changing Faces has pioneered a unique program of disfigurement life-skills for children, young people, adults and families to support people in developing their self-confidence and self-esteem http://www.changingfaces.co.uk.[Quote] The training program will be developed utilizing the following materials, a copy of the syllabus will be distributed to patients who participate in the training:
* [Quote]ReaCH ouT[Quote], an acronym for Reassurance, effort, assertiveness, Courage, Humour, over There! (distraction), understanding, and Try again, a 30-minute video presentation. Based on ideas that Changing Faces developed specifically for people with a facial disfigurement this video shows communication skills that can help people cope with self consciousness and other people's reactions to their appearance
* [Quote]3-2-1 Go![Quote] strategy where the participants will be taught techniques to manage unwanted staring by others
* [Quote]Looking Different, Feeling Good[Quote] focusing on the importance of thinking, acting, and talking positive
* Various publications developed by Changing Faces to serve as guides for health and social care professionals.
* Age 18 years and above
* Sustained a major burn injury and are admitted to Parkland Regional Burn Center. (A major burn injury, based on ABA definition of major burn, is defined as > 20% TBSA burns in adults 18-59 years of age and > 10% TBSA burns in adults > 60 years of age; Regardless of age, > 5% TBSA full-thickness burns that require skin grafting /or significant burns to major joints, face, and hands.)
* Sign an informed written consent to participate in the study irrespective of group assignment
* English speaking