Resumo

PRINSLOO, Tammy L.  e  JOUBERT, Karin. Cultural adaptation and Sepedi translation of the Activities-specific Balance Confidence scale. S. Afr. J. Commun. Disord. [online]. 2024, vol.71, n.1, pp.1-11. ISSN 2225-4765.  http://dx.doi.org/10.4102/sajcd.v71i1.1004.

BACKGROUND: The Activities-specific Balance Confidence (ABC) scale is a widely used measure to identify older adults with balance difficulties. However, its applicability in the diverse South African context is hindered by cross-cultural and linguistic differences. Limited research exists on the use of the ABC scale in native South African languages OBJECTIVES: This study aimed to translate and culturally adapt the ABC scale into Sepedi, evaluate its reliability and determine self-perceived balance confidence among elderly individuals in a rural community METHOD: The ABC scale was translated and culturally adapted into Sepedi. Two trained raters administered the Sepedi version of the ABC (ABC-S) scale to 32 individuals aged between 60 and 88 years. Test-retest reliability and inter-rater reliability were determined, with one rater re-administering the scale 2 weeks later RESULTS: Ten items from the original ABC scale were modified because of cultural, semantic or contextual inappropriateness. The ABC-S scale demonstrated very good intra- and inter-rater reproducibility, with an average intraclass correlation coefficient (ICC) of 0.85 and 0.81, respectively. The self-perceived balance confidence among elderly Sepedi individuals, as evaluated by the ABC-S scale, was high, with an average score of 81.3 and a range of 58.1 to 95.9 CONCLUSION: The ABC-S scale is a reliable measurement tool to investigate balance confidence in Sepedi-speaking older adults CONTRIBUTION: The ABC-S scale is a valuable screening tool for the identification of balance difficulties in Sepedi-speaking older adults as well as research settings

Palavras-chave : falls; aged; ABC scale; activities and participation; cultural adaptation; linguistic appropriateness.

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