Developing A Scale to assess a balance confidence in Indian community dwelling older adults

Sharma, Archana and D'souza, Sebestina A (2008) Developing A Scale to assess a balance confidence in Indian community dwelling older adults. The Indian Journal of Occupational Therapy, 49 (2). pp. 33-47.

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PURPOSE: In the absence of culturally relevant measurement tools to assess fear of falling (FOF) in older adults, this study aims to develop an objective measure to assess balance confidence in the community dwelling Indian older adults (>65years), establish its test-retest reliability, content and construct validity. METHOD: Items were generated from reviewof literature, semi-structured interviewof older adults and discussion with experts. After content validation, the Balance Confidence Scale (BCS) with 22 items was developed. To establish the construct validity of BCS, field trial on 60 respondents was done comprising of high and low mobility groups with 30 respondents each. To establish test-retest reliability and reliability of phone as a mode of administration, 15 respondents were reassessed after two weeks interval. RESULTS: The experts validated the content of BCS. Construct validity of BCS is established (p<0.001). BCS has high test– etest reliability (r=0.93, p<0.001), high internal consistency (a=0.97) and reliability on phone (r=0.96, p<0.001). CONCLUSION: BCS is a reliable tool for assessing balance confidence in Indian community dwelling older adults with content and construct validity established. BCS may contribute significantly to a comprehensive, functional and culturally relevant fall risk assessment and guide intervention in fall prevention and rehabilitation programs.

Item Type: Article
Uncontrolled Keywords: Falls, Fear of Falling, Balance confidence, Self-efficacy, Activity restriction, Older adults
Subjects: Allied Health > MCOAHS Manipal > Occupational Therapy
Depositing User: KMC Manipal
Date Deposited: 29 Jul 2011 09:56
Last Modified: 03 Dec 2013 10:32

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