THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE (ABC) SCALE
THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE (ABC) SCALE
复制标题
DOI：
10.1093/gerona/50a.1.m28
复制
发表时间：
1995-01-01
影响因子：
5.1
通讯作者：
MYERS, AM
中科院分区：
文献类型：
--
作者：
POWELL, LE;MYERS, AM
背景本研究提供了一个复制的福尔斯疗效量表（FES）和头对头的比较活动特定的平衡信心（ABC）量表，旨在包括一个更广泛的连续活动的难度和更详细的项目projectors. Methods。新开发的16项ABC量表由15名临床医生和12名老年门诊患者生成。心理测量测试涉及60个社区老年人（年龄65-95）自我分类为高或低的流动性信心，根据他们认为需要一个助行器和个人援助，在户外走动。FES和ABC量表的内部一致性良好，具有良好的重测信度、收敛效度和效标效度。标度图分析表明，一个更强的累积规模的情况下，ABC和偏态分布的FES分数。虽然这两种量表都能够区分两个流动组，ABC量表是一个更有效的工具，并产生了更广泛的响应。本研究为FES提供了额外的心理测量支持。然而，更大的项目反应的ABC规模，使其更适合检测失去平衡的信心，在更高功能的老年人。项目的更大情况特异性也可以帮助临床医生针对适当的干预措施。
Background. This study provides a replication of the Falls Efficacy Scale (FES) and a head-to-head comparison with the Activities-specific Balance Confidence (ABC) Scale designed to include a wider continuum of activity difficulty and more detailed item descriptors.Methods. Items For the newly developed 16-item ABC Scale were generated by 15 clinicians and 12 elderly outpatients. Psychometric testing involved 60 community seniors (aged 65-95) self-classified as either high or low in mobility confidence according to their perceived need for a walking aid and personal assistance to ambulate outdoors.Results. Both the FES and ABC scales were found to he internally consistent and demonstrated good test-retest reliability, convergent and criterion validity. Scalogram analyses indicated a stronger cumulative scale in the case of the ABC and skewness in the distribution of FES scores. While both scales were able to discriminate between the two mobility groups, the ABC scale was a more efficient discriminator and yielded a wider range of responses.Conclusions. The present study provided additional psychometric support for the FES. However, the greater item responsiveness of the ABC scale makes it more suitable to detect loss of balancing confidence in more highly functioning seniors. Greater situation-specificity of items may also assist clinicians in targeting appropriate interventions.