Validity of the Activities-specific Balance Confidence Scale in individuals with chronic obstructive pulmonary disease.

Autor:	Alsubheen SA; School of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, ON, Canada., Beauchamp MK; School of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, ON, Canada.; Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada., Ellerton C; Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada.; Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Goldstein R; Department of Respiratory Medicine, West Park Healthcare Centre, Toronto, ON, Canada.; Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; Rehabilitation Sciences Institute, School of Graduate Studies, University of Toronto, Toronto, ON, Canada.; Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Alison JA; School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.; Allied Health, Sydney Local Health District, Sydney, Australia., Dechman G; School of Physiotherapy, Faculty of Health, Dalhousie University, Halifax, NS, Canada.; Department of Medicine, Respirology, Dalhousie University and Nova Scotia Health Authority, Halifax, NS, Canada., Haines KJ; Physiotherapy Department, Western Health, Melbourne, Australia., Harrison SL; School of Health and Life Sciences, Teesside University, Middlesbrough, UK., Holland AE; Department of Physiotherapy, Alfred Health, Melbourne, Australia.; Respiratory Research, Monash University, Melbourne, Australia.; Institute for Breathing and Sleep, Melbourne, Australia., Lee AL; Institute for Breathing and Sleep, Melbourne, Australia.; Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Melbourne, Australia.; Department of Allied Health Research, Cabrini Health, Malvern, Australia., Marques A; Research and Rehabilitation Laboratory, School of Health Sciences, ESSUA) and Institute of Biomedicine, iBiMED), University of AveiroLab3R-Respiratory, Aveiro, Portugal., Spencer L; School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, Australia.; Department of Physiotherapy, Royal Prince Alfred Hospital, Camperdown, Australia., Stickland M; Division of Pulmonary Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.; G.F. MacDonald Centre for Lung Health, Covenant Health, Edmonton, AB, Canada., Skinner EH; Physiotherapy Department, Western Health, Melbourne, Australia.; Department of Physiotherapy, School of Primary and Allied Health Care, Monash University, Melbourne, Australia., Brooks D; Department of Physical Therapy, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; Rehabilitation Sciences Institute, School of Graduate Studies, University of Toronto, Toronto, ON, Canada.; Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; Respiratory Research, Monash University, Melbourne, Australia.
Jazyk:	angličtina
Zdroj:	Expert review of respiratory medicine [Expert Rev Respir Med] 2022 Jun; Vol. 16 (6), pp. 689-696. Date of Electronic Publication: 2022 Jul 12.
DOI:	10.1080/17476348.2022.2099378
Abstrakt:	Background: Limited research assessed the validity of the Activities-specific Balance Confidence, ABC) Scale in individuals with chronic obstructive pulmonary disease, COPD) at risk of falls. We report on the scale's construct and criterion validity. Methods: Construct validity was established by assessing known groups, convergent, and divergent validity. A receiver operating characteristic, (ROC) curve and logistic regression examined the criterion validity of the scale. Results: In 223 individuals with COPD, the ABC Scale significantly, ( p < 0.001) discriminated between groups, with lower scores for females [Mean difference (MD) = 10%], rollator use [MD = 13%], and fallers [MD = 12%], and had a strong association [r = 0.58, p < 0.001] with Berg Balance Scale. The scale distinguished fallers from non-fallers with a cutoff value of 58% [Area Under the Curve = 0.64, 95% CI = 0.57-0.72, p < 0.001] and significantly identified fall status [B, SE = -0.03, 0.01, p < 0.001] with an odds ratio of 0.97 [95%CI = 0.96-0.99]. The sensitivity, specificity, and test accuracy were: 61, 58, and 60%, respectively. Conclusion: The ABC Scale showed evidence for known groups, convergent, and divergent validity and can assist in identifying fall status in individuals with COPD.
Databáze:	MEDLINE
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