The cultural adaptation and validation of a Turkish version of the satisfaction with appearance scale (SWAP-TR)

Karahan S., Demir S., TUNÇBİLEK Z., Cetintas N., ŞENEL E.

Burns, vol.49, no.4, pp.914-923, 2023 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 49 Issue: 4
  • Publication Date: 2023
  • Doi Number: 10.1016/j.burns.2022.06.011
  • Journal Name: Burns
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CAB Abstracts, CINAHL, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.914-923
  • Keywords: Body image, Burn injury, Reliability, Satisfaction with Appearance Scale, Translation, Validation
  • Hacettepe University Affiliated: Yes


© 2022 Elsevier Ltd and International Society of Burns InjuriesAim: The aim of this study was to translate, culturally adapt and validate the Satisfaction with Appearance Scale (SWAP) into Turkish to be used in the context of pediatric burn care. Method: This methodological study was conducted in two stages as Language Adaptation and Psychometric study. In the first stage, the Turkish scale was obtained after expert translations. A pilot study was conducted. After back-translation, and the scale was finalized. In the second stage, the scale was administered to 145 children with burns. Body Appreciation Scale for Children (BASC) was applied to the same group for correlation analysis with the scale. Results: A structure explaining 65.98 % of the total variance was obtained. Cronbach's alpha values in the range of 0.995–1000 were quite reliable. A statistically significant correlation was determined between the test and retest applications for all the items (0.99–1.00) in the positive direction (p < 0.001). There is a linear negative moderate correlation between BASC scores and the scores of the SWAP-TR scale (r = −0.621 p < 0.001). The dissatisfaction scores of children with face, hand and leg burns are significantly higher than the other groups. Conclusions: SWAP-TR is a reliable and valid instrument for use in a Turkish speaking children with burns. It is recommended to study the validity of this scale in other age groups with burns in Turkey.