Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 12 , Pages 1597-1604 , December 2006

Psychometric Evaluation of the Original and Canadian French Version of the Activities-Specific Balance Confidence Scale Among People With Stroke

  • Nancy M. Salbach, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, McGill University, Montreal, QC, Canada
    • Corresponding Author InformationCorrespondence to Nancy M. Salbach, PhD, Dept of Physical Therapy, University of Toronto, 160-500 University Ave, Toronto, ON M5G 1V7, Canada.
    • ,
  • Nancy E. Mayo, PhD

      Affiliations

    • School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
    • Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • ,
  • James A. Hanley, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, McGill University, Montreal, QC, Canada
    • Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • ,
  • Carol L. Richards, PhD

      Affiliations

    • Rehabilitation Department, Laval University and Interdisciplinary Research Centre for Rehabilitation and Social Integration, Rehabilitation Institute of Quebec, Quebec City, QC, Canada.
    • ,
  • Sharon Wood-Dauphinee, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, McGill University, Montreal, QC, Canada
    • School of Physical and Occupational Therapy, McGill University, Montreal, QC, Canada
    • Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada

References 

  1. Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Recovery of walking function in stroke patients: the Copenhagen Stroke Study. Arch Phys Med Rehabil. 1995;76:27–32
  2. Mayo NE. Epidemiology and recovery of stroke. Phys Med Rehabil State Art Rev. 1998;12:355–366
  3. Lindmark B, Hamrin E. A five-year follow-up of stroke survivors: motor function and activities of daily living. Clin Rehabil. 2000;9:1–9
  4. Perry J, Garrett M, Gronley JK, Mulroy SJ. Classification of walking handicap in the stroke population. Stroke. 1995;26:982–989
  5. Lord SE, McPherson K, McNaughton HK, Rochester L, Weatherall M. Community ambulation after stroke: how important and obtainable is it and what measures appear predictive?. Arch Phys Med Rehabil. 2004;85:234–239
  6. Mayo NE, Wood-Dauphinee S, Cote R, Durcan L, Carlton J. Activity, participation, and quality of life six months post-stroke. Arch Phys Med Rehabil. 2001;83:1035–1042
  7. Myers AM, Fletcher PC, Myers AH, Sherk W. Discriminative and evaluative properties of the Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1998;53:M287–M294
  8. 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;87:364–370
  9. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215
  10. 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;35:202–207
  11. Parent N, Fortin F. A randomized, controlled trial of vicarious experience through peer support for male first-time cardiac surgery patients: impact on anxiety, self-efficacy expectation, and self-reported activity. Heart Lung. 2000;29:389–400
  12. Bandura A. Self-efficacy: the exercise of control. New York: WH Freeman; 1997;
  13. Marigold DS, Eng JJ, Dawson AS, Inglis JT, Harris JE, Gylfadottir S. Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke. J Am Geriatr Soc. 2005;53:416–423
  14. Salbach NM, Mayo NE, Robichaud-Ekstrand S, Hanley JA, Richards CL, Wood-Dauphinee S. The effect of a task-oriented walking intervention on improving balance self-efficacy poststroke: a randomized, controlled trial [published erratum in: J Am Geriatr Soc 2005;53:1450]. J Am Geriatr Soc. 2005;53:576–582
  15. Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995;50:M28–M34
  16. 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:M37–M43
  17. Botner EM, Miller WC, Eng JJ. Measurement properties of the Activities-specific Balance Confidence Scale among individuals with stroke. Disabil Rehabil. 2005;27:156–163
  18. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46:1417–1432
  19. Perneger TV, Leplege A, Etter JF. Cross-cultural adaptation of a psychometric instrument: two methods compared. J Clin Epidemiol. 1999;52:1037–1046
  20. Salbach NM, Mayo NE, Wood-Dauphinee S, Hanley JA, Richards CL, Cote R. A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin Rehabil. 2004;18:509–519
  21. Population by mother tongue, by province and territory (2001 Census). Ottawa: Statistics Canada. http://www40.statcan.ca/l01/cst01/demo11b.htm. Accessed January 19, 2006.
  22. Colton T. Statistics in medicine. Boston: Little Brown; 1974;
  23. Hellstrom K, Nilsson L, Fugl-Meyer AR. Relationship of confidence in task performance with balance and motor function after stroke. Physiother Theor Pract. 2001;17:55–65
  24. Robinson-Smith G, Johnston MV, Allen J. Self-care self-efficacy, quality of life, and depression after stroke. Arch Phys Med Rehabil. 2000;81:460–464
  25. Lajoie Y, Girard A, Guay M. Comparison of the reaction time, the Berg Scale and the ABC in non-fallers and fallers. Arch Gerontol Geriatr. 2002;35:215–225
  26. Miller WC, Speechley M, Deathe AB. Balance confidence among people with lower-limb amputations. Phys Ther. 2002;82:856–865
  27. Kressig RW, Wolf SL, Sattin RW, et al. Associations of demographic, functional, and behavioral characteristics with activity-related fear of falling among older adults transitioning to frailty. J Am Geriatr Soc. 2001;49:1456–1462
  28. Roccaforte WH, Burke WJ, Bayer BL, Wengel SP. Validation of a telephone version of the mini-mental state examination. J Am Geriatr Soc. 1992;40:697–702
  29. Berg K, Wood-Dauphinee S, William JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989;41:304–311
  30. Eng JJ, Chu KS, Dawson AS, Kim CM, Hepburn KE. Functional walk tests in individuals with stroke: relation to perceived exertion and myocardial exertion. Stroke. 2002;33:756–761
  31. Salbach NM, Mayo NE, Higgins J, Ahmed S, Finch LE, Richards CL. Responsiveness and predictability of gait speed and other disability measures in acute stroke. Arch Phys Med Rehabil. 2001;82:1204–1212
  32. Butland RJ, Pang J, Gross ER, Woodcock AA, Geddes DM. Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J (Clin Res Ed). 1982;284:1607–1608
  33. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–148
  34. Mahoney FI, Barthel DW. Functional evaluation: the Barthel index. Md St Med J. 1965;14:61–65
  35. Ware JE, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30:473–481
  36. Yesavage JA, Brink TL, Rose TL, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1983;17:37–49
  37. The EuroQol Group. EuroQol—a new facility for the measurement of health-related quality of life. Health Policy. 1990;16:199–208
  38. Brooks R. EuroQol: the current state of play. Health Policy. 1996;37:53–72
  39. Dorman PJ, Waddell F, Slattery J, Dennis M, Sandercock P. Is the EuroQol a valid measure of health-related quality of life after stroke?. Stroke. 1997;28:1876–1882
  40. Gibbons WJ, Fruchter N, Sloan S, Levy RD. Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years. J Cardiopulm Rehabil. 2001;21:87–93
  41. Guyatt GH, Pugsley SO, Sullivan MJ, et al. Effect of encouragement on walking test performance. Thorax. 1984;39:818–822
  42. Wood-Dauphinee S, Gauthier L, Gandek B, Magnan L, Pierre U. Readying a US measure of health status, the SF-36, for use in Canada. Clin Invest Med. 1997;20:224–238
  43. Lacasse Y. Geriatric Depression Scale (French Canadian version). 2006;Available at: http://www.stanford.edu/∼yesavage/GDS.html. Accessed May 31.
  44. Mayo N, Goldberg MS, Kind P. Calibrating the EQ-5D for a Canadian population. In: Proceedings from the EuroQol Plenary Meeting, Rotterdam 1997. Rotterdam: Center for Health Policy and Law, Erasmus Univ; 1998;p. 25–40
  45. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334
  46. Scientific Advisory Committee of the Medical Outcomes Trust. Assessing health status and quality-of-life instruments: attributes and review criteria. Qual Life Res. 2002;11:193–205
  47. Nunnally JC, Bernstein IH. Psychometric theory. New York: McGraw-Hill; 1994;
  48. Hsueh IP, Hsieh CL. Responsiveness of two upper extremity function instruments for stroke inpatients receiving rehabilitation. Clin Rehabil. 2002;16:617–624
  49. Finch E, Brooks D, Stratford PW, Mayo NE. Physical rehabilitation outcome measures. Hamilton: BC Decker; 2002;
  50. Beaton DE, Bombardier C, Katz JN, et al. OMERACT MCID Working Group Looking for important change/differences in studies of responsiveness (Outcome Measures in Rheumatology. Minimal Clinically Important Difference). J Rheumatol. 2001;28:400–405
  51. Lajoie Y, Gallagher SP. Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr. 2004;38:11–26
  52. Li FZ, McAuley E, Fisher KJ, Harmer P, Chaumeton N, Wilson NL. Self-efficacy as a mediator between fear of falling and functional ability in the elderly. J Aging Health. 2002;14:452–466
  53. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77:812–819
  54. Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol. 1990;45:P239–P243
  55. deLeon CF, Seeman TE, Baker DI, Richardson ED, Tinetti ME. Self-efficacy, physical decline, and change in functioning in community-living elders: a prospective study. J Gerontol A Psychol Sci Soc Sci. 1996;51:S183–S190
  56. Cumming RG, Salkeld G, Thomas M, Szonyi G. Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol A Biol Sci Med Sci. 2000;55:M299–M305
  57. Tinetti ME, Mendes de Leon CF, Doucette JT, Baker DI. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol. 1994;49:M140–M147
  58. Streiner DL, Norman GR. Health measurement scales: a practical guide to their development and use. Oxford: Oxford Univ Pr; 2003;
  59. 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;84:656–661
  60. Clark DO. Age, socioeconomic status, and exercise self-efficacy. Gerontologist. 1996;36:157–164
  61. Bosscher RJ, Van Der AA, Van Dasler M, Deeg DJ, Smit JH. Physical performance and physical self-efficacy in the elderly (A pilot study). J Aging Health. 1995;7:459–475
  62. Hellstrom K, Lindmark B, Fugl-Meyer A. The Falls-Efficacy Scale, Swedish version: does it reflect clinically meaningful changes after stroke?. Disabil Rehabil. 2002;24:471–481
  63. van de Port IG, Kwakkel G, van Wijk I, Lindeman E. Susceptibility to deterioration of mobility long-term after stroke: a prospective cohort study. Stroke. 2006;37:167–171
  64. Stewart KJ, Kelemen MH, Ewart CK. Relationships between self-efficacy and mood before and after exercise training. J Cardiopulm Rehabil. 1994;14:35–42
  65. Atkins CJ, Kaplan RM, Timms RM, Reinsch S, Lofback K. Behavioral exercise programs in the management of chronic obstructive pulmonary disease. J Consult Clin Psychol. 1984;52:591–603
  66. Liang MH. Longitudinal construct validity: establishment of clinical meaning in patient evaluative instruments. Med Care. 2000;38:II84–II90

 Supported by the Canadian Institutes of Health Research (fellowship), the Quebec Réseau Provincial de Recherche en Adaptation-Réadaptation, the Heart and Stroke Foundation of Canada, and the Canadian Stroke Network.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.Reprints are not available from the author.

PII: S0003-9993(06)01318-9

doi: 10.1016/j.apmr.2006.08.336

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 12 , Pages 1597-1604 , December 2006

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