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Balance Confidence and Falls Self-Efficacy in Older Breast Cancer Survivors

Jennifer Blackwood¹, Kateri Rybicki

¹University of Michigan-Flint, Flint, MI, USA.

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses

|February 16, 2021

Abstract

Purpose:

The aim of the study was to examine the reliability, validity, and measurement error of balance confidence and fall-related self-efficacy measures in older breast cancer survivors.

Design:

A cross-sectional study was performed.

Methods:

The Activities-Specific Balance Confidence Scale (ABC), the shorter, six-item version of the ABC (ABC-6), and the Modified Falls Efficacy Scale (MFES) were completed by 35 older breast cancer survivors. Absolute reliability was examined with Cronbach's alpha, test-retest reliability with intraclass correlation coefficient, and Pearson's correlation coefficient for construct validity.

Findings:

Absolute reliability was good for the ABC. Test-retest reliability was good for the ABC and the ABC-6 and moderate for the MFES. Construct validity was present for all measures.

Conclusions:

Breast cancer survivors' balance confidence measures should be assessed with either the ABC or the ABC-6, whereas falls self-efficacy should be examined with the MFES.

Clinical Relevance:

Nurses and other health professionals who treat breast cancer survivors should include assessing psychological factors associated with falls using the ABC, the ABC-6, or the MFES as low balance confidence or falls self-efficacy contribute to increased falls risk.

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