Activities-specific balance confidence scale for predicting future falls in Indian older adults
Received 31 January 2017
Accepted for publication 15 March 2017
Published 10 April 2017 Volume 2017:12 Pages 645—651
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Amy Norman
Peer reviewer comments 2
Editor who approved publication: Dr Richard Walker
Jamal Ali Moiz,1 Vishal Bansal,2 Majumi M Noohu,1 Shailendra Nath Gaur,3 Mohammad Ejaz Hussain,1 Shahnawaz Anwer,4,5 Ahmad Alghadir4
1Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia, New Delhi, India; 2Department of Physiology, 3Department of Respiratory Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, Delhi, India; 4Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia; 5Department of Musculoskeletal Science, Dr D.Y. Patil College of Physiotherapy, Dr D.Y. Patil Vidyapeeth, Pune, India
Background: Activities-specific balance confidence (ABC) scale is a subjective measure of confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness.
Objective: This study aimed to examine the ability of the Hindi version of the ABC scale (ABC-H scale) to discriminate between fallers and non-fallers and to examine its predictive validity for prospective falls.
Design: This was a prospective cohort study.
Materials and methods: A total of 125 community-dwelling older adults (88 were men) completed the ABC-H scale. The occurrence of falls over the follow-up period of 12 months was recorded. Discriminative validity was analyzed by comparing the total ABC-H scale scores between the faller and non-faller groups. A receiver operating characteristic curve analysis and a logistic regression analysis were used to examine the predictive accuracy of the ABC-H scale.
Results: The mean ABC-H scale score of the faller group was significantly lower than that of the non-faller group (52.6±8.1 vs 73.1±12.2; P<0.001). The optimal cutoff value for distinguishing faller and non-faller adults was ≤58.13. The sensitivity, specificity, area under the curve, and positive and negative likelihood ratios of the cutoff score were 86.3%, 87.3%, 0.91 (P<0.001), 6.84, and 0.16, respectively. The percentage test accuracy and false-positive and false-negative rates were 86.87%, 12.2%, and 13.6%, respectively. A dichotomized total ABC-H scale score of ≤58.13% (adjusted odds ratio =0.032, 95% confidence interval =0.004–0.25, P=0.001) was significantly related with future falls.
Conclusion: The ABC-H scores were significantly and independently related with future falls in the community-dwelling Indian older adults. The ability of the ABC-H scale to predict future falls was adequate with high sensitivity and specificity values.
Keywords: aged, balance, cross-cultural adaptation
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