Persian Translation and Test-retest Reliability of the Activities-specific Balance Confidence Scale in Iranian Chronic Stroke
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Abstract
Introduction: Falling is a common problem after stroke that occurs following the physical and psychological problems. Psychological factors such as reduce of self-efficacy in maintain balance could have an equal or even greater contribution than physical problems in falling. Therefore, having a suitable tool with acceptable repeatability seems to be necessary for evaluation of individual confidence in balance in prevention and rehabilitation programs. The aim of this study is Persian translation and investigation of the test-retest reliability of the Persian version of Activities-specific Balance Confidence (ABC) scale in chronic stroke.
Material and Methods: The translation was done according to International Quality of Life Assessment procedure. Then, the Persian version of the ABC scale evaluated twice with 1 week interval by an expert occupational therapist on 62 patients with chronic stroke in Tehran city. The reliability if the scale was determined by internal consistency (Cronbach’s alpha coefficients); and test-retest reliability (Intraclass correlation coefficient, Pearson coefficient, standard errors of measurement; and minimum detectable change).
Results: Content face validity of the Persian version for all questions of this scale showed good to excellent. Cronbach’s alpha coefficient was 0.97 in the first and second evaluation which indicates the excellent the internal consistency of this scale. The relative reliability total score of the scale was very excellent (0.97) in test-retest. Standard errors of measurement with 68% confidence were obtained 0.96 which is excellent. Furthermore, Pearson coefficient was in range of 0.86-0.97 in the investigation of the test-retest agreement for each item. Minimum detectable change was calculated 2.66.
Conclusion: The result of this study indicated that the Persian version of the ABC scale has excellent test-retest reliability in Iranian chronic stroke and its minimum detectable change is acceptable.
Heron M. Deaths: leading causes for 2010. Natl Vital Stat Rep 2013; 62(6): 1-96.
Hurkmans HL, Ribbers GM, Streur-Kranenburg MF, Stam HJ, van den Berg-Emons RJ. Energy expenditure in chronic stroke patients playing Wii Sports: a pilot study. J Neuroeng Rehabil 2011; 8:38.
Teasell R, McRae M, Foley N, Bhardwaj A. The incidence and consequences of falls in stroke patients during inpatient rehabilitation: factors associated with high risk. Arch Phys Med Rehabil 2002; 83(3): 329-33.
Batchelor F, Hill K, Mackintosh S, Said C. What works in falls prevention after stroke?: a systematic review and meta-analysis. Stroke 2010; 41(8): 1715-22.
Heinrich S, Rapp K, Rissmann U, Becker C, Konig HH. Cost of falls in old age: a systematic review. Osteoporos Int 2010; 21(6): 891-902.
Lindmark B, Hamrin E. A five-year follow-up of stroke survivors: motorfunction and activities of daily living. Clin Rehabil 1995; 9(1): 1-9.
Salbach NM, Mayo NE, Hanley JA, Richards CL, Wood-Dauphinee S. Psychometric evaluation of the original and Canadian French version of the activities-specific balance confidence scale among people with stroke. Arch Phys Med Rehabil 2006; 87(12): 1597-604.
Arnadottir SA, Lundin-Olsson L, Gunnarsdottir ED, Fisher AG. Application of rasch analysis to examine psychometric aspects of the activitiesspecific balance confidence scale when used in a new cultural context. Arch Phys Med Rehabil 2010; 91(1): 156-63.
Sakakibara BM, Miller WC, Backman CL. Rasch analyses of the Activities-specific Balance Confidence Scale with individuals 50 years and older with lower-limb amputations. Arch Phys Med Rehabil 2011; 92(8): 1257-63.
Salbach NM, Mayo NE, Robichaud-Ekstrand S, Hanley JA, Richards CL, Wood-Dauphinee S. Balance self-efficacy and its relevance to physical function and perceived health status after stroke. Arch Phys Med Rehabil 2006; 87(3): 364-70.
Hellstrom K, Lindmark B, Wahlberg B, Fugl- Meyer AR. Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: a prospective investigation. J Rehabil Med 2003; 35(5): 202-7.
Botner EM, Miller WC, Eng JJ. Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. Disabil Rehabil 2005; 27(4): 156-63.
Nilsag هrd Y, Carling A, Forsberg A. Activities- Specific Balance Confidence in People with Multiple Sclerosis. Mult Scler Int 2012; 2012: 8.
Myers AM, Powell LE, Maki BE, Holliday PJ, Brawley LR, Sherk W. Psychological indicators of balance confidence: relationship to actual and perceived abilities. J Gerontol A Biol Sci Med Sci 1996; 51(1): M37-M43.
Peretz C, Herman T, Hausdorff JM, Giladi N. Assessing fear of falling: Can a short version of the Activities-specific Balance Confidence scale be useful? Mov Disord 2006; 21(12): 2101-5.
Filiatrault J, Gauvin L, Fournier M, Parisien M, Robitaille Y, Laforest S, et al. Evidence of the psychometric qualities of a simplified version of the Activities-specific Balance Confidence scale for community-dwelling seniors. Arch Phys Med Rehabil 2007; 88(5): 664-72.
Lohnes CA, Earhart GM. External validation of abbreviated versions of the activities-specific balance confidence scale in Parkinson's disease. Mov Disord 2010; 25(4): 485-9.
Mohammadian E, Azad A, Taghizadeh GH. Validity and reliability of Activities-specific Balance Confidence scale in individuals with chronic stroke [MSc Thesis]. Tehran, Iran: School of Rehabilitation, Tehran University of Medical University; 2013. [In Persian].
Lee SW, Shin DC, Song CH. The effects of visual feedback training on sitting balance ability and visual perception of patients with chronic stroke. J Phys Ther Sci 2013; 25(5): 635-9.
Steffen TM, Mollinger LA. Age-and genderrelated test performance in community-dwelling adults. J Neurol Phys Ther 2005; 29(4): 181-8.
Huang TT, Wang WS. Comparison of three established measures of fear of falling in community-dwelling older adults: psychometric testing. Int J Nurs Stud 2009; 46(10): 1313-9.
Talley KM, Wyman JF, Gross CR. Psychometric properties of the activities-specific balance confidence scale and the survey of activities and fear of falling in older women. J Am Geriatr Soc 2008; 56(2): 328-33.
Cattaneo D, Jonsdottir J, Repetti S. Reliability of four scales on balance disorders in persons with multiple sclerosis. Disabil Rehabil 2007; 29(24):1920-5.
Parry SW, Steen N, Galloway SR, Kenny RA, Bond J. Falls and confidence related quality of life outcome measures in an older British cohort. Postgrad Med J 2001; 77(904): 103-8.
Mak MK, Lau AL, Law FS, Cheung CC, Wong IS. Validation of the Chinese translated Activities-Specific Balance Confidence scale. Arch Phys Med Rehabil 2007; 88(4): 496-503.
Schepens S, Goldberg A, Wallace M. The short version of the Activities-specific Balance Confidence (ABC) scale: its validity, reliability, and relationship to balance impairment and falls in older adults. Arch Gerontol Geriatr 2010; 51(1): 9-12.
Holbein-Jenny MA, Billek-Sawhney B, Beckman E, Smith T. Balance in personal care home residents: a comparison of the Berg Balance Scale, the Multi-Directional Reach Test, and the Activities-Specific Balance Confidence Scale. J Geriatr Phys Ther 2005; 28(2): 48-53.
Miller WC, Deathe AB, Speechley M. Psychometric properties of the Activities-specific Balance Confidence Scale among individuals with a lower-limb amputation. Arch Phys Med Rehabil 2003; 84(5): 656-61.
Steffen T, Seney M. Test-retest reliability and minimal detectable change on balance and ambulation tests, the 36-item short-form health survey, and the unified Parkinson disease rating scale in people with parkinsonism. Phys Ther 2008; 88(6): 733-46.
Nemmers TM, Miller JW. Factors influencing balance in healthy community-dwelling women age 60 and older. J Geriatr Phys Ther 2008; 31(3):93-100.
Dal Bello-Haas V, Klassen L, Sheppard MS, Metcalfe A. psychometric properties of activity, self-efficacy, and quality-of-life measures in individuals with Parkinson disease. Physiother Can 2011; 63(1): 47-57.
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| Issue | Vol 10 No 2 (2016) | |
| Section | Research Article(s) | |
| Keywords | ||
| Stroke Balance Self-efficacy Activities-specific Balance Confidence scale Reliability Persian version | ||
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