Thai Version of the Activities-Specific Balance Confidence Scale: Reliability and Validity among Women Undergoing Cancer Chemotherapy

Authors

  • Nida Rattanakrong Physical Therapy Unit, Department of Rehabilitation Medicine, Chulabhorn Hospital, Chulabhorn Royal Academy
  • Noppawan Promma Cardiovascular and Pulmonary Rehabilitation Clinic, Department of Cardiac Rehabilitation, Cardiovascular Center, Chulabhorn Hospital, Chulabhorn Royal Academy
  • Chanatsupang Sarabbon Physical Therapy Unit, Department of Rehabilitation Medicine, Chulabhorn Hospital, Chulabhorn Royal Academy

Keywords:

Balance, Cancer, Neurotoxic Chemotherapy

Abstract

Background: The Thai version of the Activities-specific Balance Confidence (ABC) scale is commonly used to assess balance confidence in many populations. However, no studies have examined the psychometric properties of the Thai version of the ABC scale among women with cancer who received neurotoxic chemotherapy.

Objective: To investigate the test–retest reliability and concurrent validity of the Thai version of the ABC scale among women with cancer who received neurotoxic chemotherapy.

Method: Thirty-one women with cancer participated in this study. We assessed the test–retest reliability of the Thai version of the ABC scale using the intraclass correlation coefficient (ICC). We also examined the standard error of measurement (SEM) and the minimal detectable change (MDC). We also used the Spearman correlation coefficient to assess the concurrent validity of the Thai version of the ABC scale, the Time Up and Go test (TUG), and the Fullerton Advanced Balance scale (FAB).

Results: The test–retest reliability of the total ABC-16 and ABC-6 scale was excellent (ICC = 0.99 and ICC = 0.96, respectively). The concurrent validity of the Thai version of the ABC-16 and ABC-6 scale was significantly correlated with the TUG score but not the FAB score.

Conclusions: Our results indicate that the Thai version of the ABC-16 scale is a reliable and valid measurement of balance confidence in Thai women with cancer. The excellent reliability of the ABC-6 makes it suitable for use in busy clinical or academic settings.

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Author Biographies

Nida Rattanakrong, Physical Therapy Unit, Department of Rehabilitation Medicine, Chulabhorn Hospital, Chulabhorn Royal Academy

 

 

Noppawan Promma, Cardiovascular and Pulmonary Rehabilitation Clinic, Department of Cardiac Rehabilitation, Cardiovascular Center, Chulabhorn Hospital, Chulabhorn Royal Academy

 

 

Chanatsupang Sarabbon, Physical Therapy Unit, Department of Rehabilitation Medicine, Chulabhorn Hospital, Chulabhorn Royal Academy

 

 

References

Mattiuzzi C, Lippi G. Current Cancer Epidemi-ology. J Epidemiol Glob Health. 2019; 9(4):217-222 .

https://doi.org/10.2991/jegh.k.191008.001 PMid:31854162 PMCid:PMC7310786

Chabner BA, Roberts TG. Timeline: Chemotherapy and the war on cancer. Nat Rev Cancer. 2005;5(1):65-72. https://doi.org/10.1038/nrc1529 PMid:15630416

Mikuła-Pietrasik J, Witucka A, Pakuła M, et al. Comprehensive review on how platinumand taxane-based chemotherapy of ovarian cancer affects biology of normal cells. Cell Mol Life Sci CMLS. 2019;76(4):681-697. https://doi.org/10.1007/s00018-018-2954-1 PMid:30382284 PMCid:PMC6514066

Eckhoff L, Knoop A, Jensen MB, Ewertz M. Persistence of docetaxel-induced neuropathy and impact on quality of life among breast cancer survivors. Eur J Cancer. 2015;51(3): 292-300.

https://doi.org/10.1016/j.ejca.2014.11.024 PMid:25541155

Velasco R, Bruna J. Taxane-Induced Peripheral Neurotoxicity. Toxics. 2015;3(2):152-169. Published 2015 Apr 28. https://doi.org/10.3390/toxics3020152 PMid:29056655 PMCid:PMC5634686

Kang GE, Murphy TK, Kunik ME, et al. The detrimental association between fear of falling and motor performance in older cancer patients with chemotherapy-induced peripheral neuropathy. Gait Posture. 2021;88:161-166 https://doi.org/10.1016/j.gaitpost.2021.05.022 PMid:34091147 PMCid:PMC8316411

Rattanakrong N, Promma N, Saraboon C, Waongenngarm P. Physical impairments, sensory disturbance, and functional ability in a cancer patient with and without chemotherapy-induced peripheral neuropathy symptoms. Support Care Cancer. 2022; 30(6):5055-5062. https://doi.org/10.1007/s00520-022-06927-5 PMid:35217909

Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995;50A(1):M28-M34. https://doi.org/10.1093/gerona/50A.1.M28 PMid:7814786

Rolenz E, Reneker JC. Validity of the 8-Foot Up and Go, Timed Up and Go, and ActivitiesSpecific Balance Confidence Scale in older adults with and without cognitive impairment. J Rehabil Res Dev. 2016;53(4): 511-518. https://doi.org/10.1682/JRRD.2015.03.0042 PMid:27532337

Huang MH, Righter A, Shilling T. Self-reported Balance Confidence Relates to Perceived Mobility Limitations in Older Cancer Survivors. Rehabilitation Oncology. 2016;34:64-71. https://doi.org/10.1097/01.REO.0000000000000017

Landers MR, Oscar S, Sasaoka J, Vaughn K. Balance Confidence and Fear of Falling Avoidance Behavior Are Most Predictive of Falling in Older Adults: Prospective Analysis. Phys Ther. 2016;96(4):433-442. https://doi.org/10.2522/ptj.20150184 PMid:26294679

Huang MH, Miller K, Smith K, Fredrickson K, Shilling T. Reliability, Validity, and Minimal Detectable Change of Balance Evaluation Systems Test and Its Short Versions in Older Cancer Survivors: A Pilot Study. J Geriatr Phys Ther. 2016;39(2):58-63. https://doi.org/10.1519/JPT.0000000000000047 PMid:25695466

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(1):11-26. https://doi.org/10.1016/S0167-4943(03)00082-7 PMid:14599700

Nanthapaiboon K, Wannapakhe J, Viriyatarakij N, Boonsinsukh R. Assessment of Internal Consistency and Convergent Validity of the Activities-specific Balance Confidence (ABC) Scale Thai Version. Thai Pharmaceutical and Health Science Journal - วารสารไทย เภสัชศาสตร์และวิทยาการสุขภาพ. 2018;13(1):1-7.

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(1):M37-M43. https://doi.org/10.1093/gerona/51A.1.M37 PMid:8548512

Schepens S, Goldberg A, Wallace M. The short version of the Activities-specific Balance Confidence (ABC) scale: its validity, reliability, and relationship to balanceimpairment and falls in older adults. Arch Gerontol Geriatr. 2010;51(1):9-12. https://doi.org/10.1016/j.archger.2009.06.003 PMid:19615762 PMCid:PMC2883646

Peretz C, Herman T, Hausdorff JM, Giladi N. Assessing fear of falling: Can a short version of the Activities-specific Balance Confidence scale be useful?. Mov Disord. 2006;21(12):2101-2105.

https://doi.org/10.1002/mds.21113 PMid:16991140

Overcash JA, Rivera HR. Physical performance evaluation of older cancer patients: a preliminary study. Crit Rev Oncol Hematol. 2008;68(3):233-241 https://doi.org/10.1016/j.critrevonc.2008.07.001 PMid:18789714

Christopher A, Kraft E, Olenick H, Kiesling R, Doty A. The reliability and validity of the Timed Up and Go as a clinical tool in individuals with and without disabilities across a lifespan: a systematic review. Disabil Rehabil. 2021;43(13):1799-1813. https://doi.org/10.1080/09638288.2019.1682066 PMid:31656104

Wampler MA, Topp KS, Miaskowski C, Byl NN, Rugo HS, Hamel K. Quantitative and clinical description of postural instability in women with breast cancer treated with taxane chemotherapy. Arch Phys Med Rehabil. 2007;88(8):1002-1008. https://doi.org/10.1016/j.apmr.2007.05.007 PMid:17678662

Wampler MA, Miaskowski C, Hamel K. The modified Total Neuropathy Score: a clinically feasible and valid measure of taxane-induced peripheral neuropathy in women with breast cancer. J Support Oncol. 2006;4:9-16.

Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. J Chiropr Med. 2016; 15(2):155-163. https://doi.org/10.1016/j.jcm.2016.02.012 PMid:27330520 PMCid:PMC4913118

Huang SL, Hsieh CL, Wu RM, Tai CH, Lin CH, Lu WS. Minimal detectable change of the timed "up & go" test and the dynamic gait index in people with Parkinson disease [published correction appears in Phys Ther. 2014 Jul;94(7):1056]. Phys Ther. 2011;91(1):114-121. https://doi.org/10.2522/ptj.20090126 PMid:20947672

Mukaka MM. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.

Blackwood J, Rybicki K. Balance Confidence and Falls Self-Efficacy in Older Breast Cancer Survivors. Rehabil Nurs. 2021;46(3):146-154. https://doi.org/10.1097/rnj.0000000000000316 PMid:33591085

Ishige S, Wakui S, Miyazawa Y, Naito H. Reliability and validity of the Activities-specific Balance Confidence scale-Japanese (ABC-J) in community-dwelling stroke survivors. Phys Ther Res. 2019;23(1):15-22. Published 2019 Oct 10 https://doi.org/10.1298/ptr.E9982 PMid:32850274 PMCid:PMC7344370

Freitas RM, Ribeiro KF, Barbosa JS, Gomes CDS, Deshpande N, Guerra RO. Validity and reliability of the Brazilian activities-specific balance confidence scale and determinants of balance confidence in community-dwelling older adults. Physiother Theory Pract. 2022;38(2):345-354. doi:10.1080/09593985 .2020.1747122 https://doi.org/10.1080/09593985.2020.1747122 PMid:32293216

Forsberg A, Nilsagård Y. Validity and Reliability of the Swedish Version of the Activities-specific Balance Confidence Scale in People with Chronic Stroke. Physiother Can. 2013;65(2):141-147.

https://doi.org/10.3138/ptc.2011-54 PMid:24403675 PMCid:PMC3673792

Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 5th, illustrated ed. Wolters Kluwer; 2016. https://doi.org/10.2991/jegh.k.191008.001 PMid:31854162 PMCid:PMC7310786

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Published

2022-12-29

How to Cite

1.
Rattanakrong N, Promma N, Sarabbon C. Thai Version of the Activities-Specific Balance Confidence Scale: Reliability and Validity among Women Undergoing Cancer Chemotherapy. J Chulabhorn Royal Acad [Internet]. 2022 Dec. 29 [cited 2024 Dec. 11];5(1):44-53. Available from: https://he02.tci-thaijo.org/index.php/jcra/article/view/259915

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Research Articles