Activities-specific balance confidence scale for predicting future falls in Indian older adults

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, Vallabh...

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Autores principales:	Moiz JA, Bansal V, Noohu MM, Gaur SN, Hussain ME, Anwer S, Alghadir A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	activity-specific balance confidence scale predicting falls fear of fall Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/0c314b9f66c9429ebed2cd15d764a31d
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spelling	oai:doaj.org-article:0c314b9f66c9429ebed2cd15d764a31d2021-12-02T00:36:42ZActivities-specific balance confidence scale for predicting future falls in Indian older adults1178-1998https://doaj.org/article/0c314b9f66c9429ebed2cd15d764a31d2017-04-01T00:00:00Zhttps://www.dovepress.com/activities-specific-balance-confidence-scale-for-predicting-future-fal-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jamal 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 adaptationMoiz JABansal VNoohu MMGaur SNHussain MEAnwer SAlghadir ADove Medical Pressarticleactivity-specific balance confidence scalepredicting fallsfear of fallGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 645-651 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	activity-specific balance confidence scale predicting falls fear of fall Geriatrics RC952-954.6
spellingShingle	activity-specific balance confidence scale predicting falls fear of fall Geriatrics RC952-954.6 Moiz JA Bansal V Noohu MM Gaur SN Hussain ME Anwer S Alghadir A Activities-specific balance confidence scale for predicting future falls in Indian older adults
description	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
format	article
author	Moiz JA Bansal V Noohu MM Gaur SN Hussain ME Anwer S Alghadir A
author_facet	Moiz JA Bansal V Noohu MM Gaur SN Hussain ME Anwer S Alghadir A
author_sort	Moiz JA
title	Activities-specific balance confidence scale for predicting future falls in Indian older adults
title_short	Activities-specific balance confidence scale for predicting future falls in Indian older adults
title_full	Activities-specific balance confidence scale for predicting future falls in Indian older adults
title_fullStr	Activities-specific balance confidence scale for predicting future falls in Indian older adults
title_full_unstemmed	Activities-specific balance confidence scale for predicting future falls in Indian older adults
title_sort	activities-specific balance confidence scale for predicting future falls in indian older adults
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/0c314b9f66c9429ebed2cd15d764a31d
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Activities-specific balance confidence scale for predicting future falls in Indian older adults

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