Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people

Michal Elboim–Gabyzon,1 Maayan Agmon,2 Faisal Azaiza31Physical Therapy Department, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 2Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 3School of Social...

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Autores principales: Elboim–Gabyzon M, Agmon M, Azaiza F
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:b65cea18241846a5b5269197a9c05d022021-12-02T07:43:26ZPsychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people1178-1998https://doaj.org/article/b65cea18241846a5b5269197a9c05d022019-06-01T00:00:00Zhttps://www.dovepress.com/psychometric-properties-of-the-arabic-version-of-the-activities-specif-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Michal Elboim–Gabyzon,1 Maayan Agmon,2 Faisal Azaiza31Physical Therapy Department, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 2Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 3School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, IsraelBackground: Fear of falling (FOF) is common among elderly individuals and can appear independently of a previous fall. FOF can start a vicious cycle by leading to a sedentary lifestyle and further FOF, with negative physical and mental consequences. The Activities-Specific Balance Confidence (ABC) scale is a popular, theoretically based, reliable and valid tool designed to assess FOF in ambulatory, community-dwelling, elderly people. A balance confidence measurement tool for Arabic-speaking ambulatory, community-dwelling, elderly individuals is lacking. The objective of the present study was to translate and culturally adapt the ABC to Arabic and to determine its psychometric properties in ambulatory, community-dwelling elderly people.Materials and methods: This two-stage exploratory study included a forward and backward translation process and the administration of the Arabic ABC (A-ABC) via face-to-face interviews. In addition, performance-based clinical measures of balance were assessed, and two self-report physical function and disability questionnaires were administered. The study included 60 volunteers (34 women), with a mean age of 74.1±6.23 years, recruited from the Arab population of northern Israel. To determined test–retest reliability, the questionnaire was re-administered to 40 of the 60 participants twice at a 6–8-day interval.Results: One of the 16 A-ABC scale items was modified to adjust for local climate. The main results included high internal consistency (Cronbach’s α=0.97), good to excellent structural coherence (corrected item-total correlation: 0.77–0.92); excellent test–retest reliability (ICC=0.98, confidence interval =0.08−3.05); low standard error of measure and low smallest real difference (3.5% and 9.64%, respectively); strong-to-moderate correlations with performance-based clinical measures of balance and self-report physical function and disability questionnaires; and a ceiling effect. A significant difference between genders and between fallers and non-fallers was demonstrated.Conclusions: The A-ABC demonstrated excellent psychometric properties in elderly, Arabic-speaking, independently living individuals and can be used as a balance confidence measurement tool in research and clinical settings.Keywords: reliability, validity, Arabic, balance confidence, elderlyElboim–Gabyzon MAgmon MAzaiza FDove Medical PressarticleReliabilityValidityArabicBalance confidenceElderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 14, Pp 1075-1084 (2019)
institution DOAJ
collection DOAJ
language EN
topic Reliability
Validity
Arabic
Balance confidence
Elderly
Geriatrics
RC952-954.6
spellingShingle Reliability
Validity
Arabic
Balance confidence
Elderly
Geriatrics
RC952-954.6
Elboim–Gabyzon M
Agmon M
Azaiza F
Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people
description Michal Elboim–Gabyzon,1 Maayan Agmon,2 Faisal Azaiza31Physical Therapy Department, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 2Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel; 3School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, IsraelBackground: Fear of falling (FOF) is common among elderly individuals and can appear independently of a previous fall. FOF can start a vicious cycle by leading to a sedentary lifestyle and further FOF, with negative physical and mental consequences. The Activities-Specific Balance Confidence (ABC) scale is a popular, theoretically based, reliable and valid tool designed to assess FOF in ambulatory, community-dwelling, elderly people. A balance confidence measurement tool for Arabic-speaking ambulatory, community-dwelling, elderly individuals is lacking. The objective of the present study was to translate and culturally adapt the ABC to Arabic and to determine its psychometric properties in ambulatory, community-dwelling elderly people.Materials and methods: This two-stage exploratory study included a forward and backward translation process and the administration of the Arabic ABC (A-ABC) via face-to-face interviews. In addition, performance-based clinical measures of balance were assessed, and two self-report physical function and disability questionnaires were administered. The study included 60 volunteers (34 women), with a mean age of 74.1±6.23 years, recruited from the Arab population of northern Israel. To determined test–retest reliability, the questionnaire was re-administered to 40 of the 60 participants twice at a 6–8-day interval.Results: One of the 16 A-ABC scale items was modified to adjust for local climate. The main results included high internal consistency (Cronbach’s α=0.97), good to excellent structural coherence (corrected item-total correlation: 0.77–0.92); excellent test–retest reliability (ICC=0.98, confidence interval =0.08−3.05); low standard error of measure and low smallest real difference (3.5% and 9.64%, respectively); strong-to-moderate correlations with performance-based clinical measures of balance and self-report physical function and disability questionnaires; and a ceiling effect. A significant difference between genders and between fallers and non-fallers was demonstrated.Conclusions: The A-ABC demonstrated excellent psychometric properties in elderly, Arabic-speaking, independently living individuals and can be used as a balance confidence measurement tool in research and clinical settings.Keywords: reliability, validity, Arabic, balance confidence, elderly
format article
author Elboim–Gabyzon M
Agmon M
Azaiza F
author_facet Elboim–Gabyzon M
Agmon M
Azaiza F
author_sort Elboim–Gabyzon M
title Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people
title_short Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people
title_full Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people
title_fullStr Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people
title_full_unstemmed Psychometric properties of the Arabic version of the Activities-Specific Balance Confidence (ABC) scale in ambulatory, community-dwelling, elderly people
title_sort psychometric properties of the arabic version of the activities-specific balance confidence (abc) scale in ambulatory, community-dwelling, elderly people
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/b65cea18241846a5b5269197a9c05d02
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