TY  - JOUR
PY  - 2017//
TI  - Activities-specific balance confidence scale for predicting future falls in Indian older adults
JO  - Clinical interventions in aging
A1  - Moiz, Jamal Ali
A1  - Bansal, Vishal
A1  - Noohu, Majumi M.
A1  - Gaur, Shailendra Nath
A1  - Hussain, Mohammad Ejaz
A1  - Anwer, Shahnawaz
A1  - Alghadir, Ahmad
SP  - 645
EP  - 651
VL  - 12
IS  - 
N2  - BACKGROUND: Activities-specific balance confidence (ABC) scale is a subjective measure of confidence in performing various ambulatory activities without falling or experiencing a sense of unsteadiness. <br><br>OBJECTIVE: This study aimed to examine the ability of the Hindi version of the ABC scale (ABC-H scale) to discriminate between fallers and non-fallers and to examine its predictive validity for prospective falls. <br><br>DESIGN: This was a prospective cohort study. <br><br>MATERIALS AND METHODS: A total of 125 community-dwelling older adults (88 were men) completed the ABC-H scale. The occurrence of falls over the follow-up period of 12 months was recorded. Discriminative validity was analyzed by comparing the total ABC-H scale scores between the faller and non-faller groups. A receiver operating characteristic curve analysis and a logistic regression analysis were used to examine the predictive accuracy of the ABC-H scale. <br><br>RESULTS: The mean ABC-H scale score of the faller group was significantly lower than that of the non-faller group (52.6±8.1 vs 73.1±12.2; P<0.001). The optimal cutoff value for distinguishing faller and non-faller adults was ≤58.13. The sensitivity, specificity, area under the curve, and positive and negative likelihood ratios of the cutoff score were 86.3%, 87.3%, 0.91 (P<0.001), 6.84, and 0.16, respectively. The percentage test accuracy and false-positive and false-negative rates were 86.87%, 12.2%, and 13.6%, respectively. A dichotomized total ABC-H scale score of ≤58.13% (adjusted odds ratio =0.032, 95% confidence interval =0.004-0.25, P=0.001) was significantly related with future falls. <br><br>CONCLUSION: The ABC-H scores were significantly and independently related with future falls in the community-dwelling Indian older adults. The ability of the ABC-H scale to predict future falls was adequate with high sensitivity and specificity values.<p />  <p>Language: en</p>
LA  - en
SN  - 1176-9092
UR  - http://dx.doi.org/10.2147/CIA.S133523
ID  - ref1
ER  -