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M J G van Heuvelen, J Hochstenbach, M H G de Greef

    Tijdschrift Voor Gerontologie En Geriatrie
    |December 4, 2012
    PubMed
    Summary
    This summary is machine-generated.

    The Dutch Activities-specific Balance Confidence scale (ABC-NL) shows satisfactory psychometric properties for community-dwelling older adults. Adding complex tasks did not significantly enhance its performance for assessing balance confidence.

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    Area of Science:

    • Gerontology
    • Rehabilitation Science
    • Psychometrics

    Background:

    • Fear of falling is a significant concern in aging populations.
    • Cross-cultural adaptation of assessment tools is crucial for international research.
    • Existing balance confidence scales require validation in new cultural contexts.

    Purpose of the Study:

    • To evaluate the psychometric properties of the Dutch Activities-specific Balance Confidence scale (ABC-NL).
    • To determine if incorporating complex/dual task questions improves the scale's discriminatory power.

    Main Methods:

    • 106 men and 140 women (aged 65-92) completed the 16-item ABC-NL plus seven complex task items.
    • Additional measures included fall history, self-efficacy, functional reach, and balance platform tests.

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  • Psychometric properties assessed included reliability, validity, and discriminatory power.

    • Main Results:

    • The ABC-NL demonstrated high internal consistency and a weak ceiling effect.
    • Moderate correlations were found with performance-based balance measures.
    • The scale effectively differentiated between fallers/non-fallers and activity avoiders/non-avoiders.
    • Adding complex task items yielded minimal improvements in reliability and validity.

    Conclusions:

    • The ABC-NL is a psychometrically sound tool for assessing balance confidence in Dutch older adults.
    • Further investigation is recommended for its application in high-functioning older populations.
    • The scale's utility is confirmed for differentiating individuals based on fall history and avoidance behaviors.