Relevance of the Activities-Specific Balance Confidence (ABC) Scale to Urban Community-Dwelling Adults With Diagnosed Vestibular Dysfunction

Oh, Samuel; Huang, Jeff; Hujsak, Bryan D.; Campo, Marc; Schwam, Zachary G.; Cosetti, Maura K.; Gurley, James M; Kelly, Jennifer L.

doi:10.1016/j.apmr.2022.09.009

Cited by 2 publications

(1 citation statement)

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“…The 16-item ABC scale, developed by Powell and Myers ( 1995 ), is a reliable and valid (Botner et al, 2005 ; Huang & Wang, 2005; Salbach et al, 2006 ) measure widely used across multiple professions to identify older adults who may be at risk of falling by quantifying their self-perceived level of balance confidence in executing activities of daily living without falling or becoming unsteady (Sakakibara et al, 2011 ; Van Rie et al, 2022 ). In addition to use with community-dwelling elderly, the ABC scale is suitable for use with, among others, individuals with stroke (Botner et al, 2005 ; Seamon et al, 2019 ), vestibular disorders (Oh et al, 2023 ), persons with dystonia (Boyce et al, 2017 ) and Parkinson’s disease (Franchignoni et al, 2014 ). This scale is quick to administer and correlates highly with the TUG, a functional mobility test, demonstrating the relationship between balance confidence and functional mobility (Hatch et al, 2003 ).…”

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confidence: 99%

Cultural adaptation and Sepedi translation of the Activities-specific Balance Confidence scale

Prinsloo,

Joubert

2024

South African Journal of Communication Disorders

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Background: The Activities-specific Balance Confidence (ABC) scale is a widely used measure to identify older adults with balance difficulties. However, its applicability in the diverse South African context is hindered by cross-cultural and linguistic differences. Limited research exists on the use of the ABC scale in native South African languages.Objectives: This study aimed to translate and culturally adapt the ABC scale into Sepedi, evaluate its reliability and determine self-perceived balance confidence among elderly individuals in a rural community.Method: The ABC scale was translated and culturally adapted into Sepedi. Two trained raters administered the Sepedi version of the ABC (ABC-S) scale to 32 individuals aged between 60 and 88 years. Test-retest reliability and inter-rater reliability were determined, with one rater re-administering the scale 2 weeks later.Results: Ten items from the original ABC scale were modified because of cultural, semantic or contextual inappropriateness. The ABC-S scale demonstrated very good intra- and inter-rater reproducibility, with an average intraclass correlation coefficient (ICC) of 0.85 and 0.81, respectively. The self-perceived balance confidence among elderly Sepedi individuals, as evaluated by the ABC-S scale, was high, with an average score of 81.3 and a range of 58.1 to 95.9.Conclusion: The ABC-S scale is a reliable measurement tool to investigate balance confidence in Sepedi-speaking older adults.Contribution: The ABC-S scale is a valuable screening tool for the identification of balance difficulties in Sepedi-speaking older adults as well as research settings.

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