cross-cultural adaptation and psychometric analysis of the hindi-translated activities-specific balance confidence scale

conclusions the hindi version of the abc scale demonstrated acceptable measurement properties, showing that abc-h can be used for assessing balance confidence in hindi-speaking, community-dwelling indian older adults. it can be an assessment tool either for clinical management or research. results the normative value of abc-h total score observed in the indian older population (n = 100) was 71%, ranging from 41.25 to 95.63. in the subsample of 50 subjects, test-retest reliability was excellent (icc = 0.97). all 16 items had excellent to good internal consistency (cronbach’s α = 0.97 - 0.88); sem was 2.45, mdc95 was 6.9%, with excellent concurrent validity (r = -0.85, p < 0.0001). materials and methods one hundred community-dwelling, indian older adults participated in the study. abc-h was developed through a standard cross-cultural adaptation procedure. eight items from the original abc scale were modified. a subsample of 50 subjects was re-assessed for test-retest reliability, standard error of measurement (sem), minimum detectable change (mdc), and concurrent validity, using the fall efficacy scale (fes-i) to analyze the psychometric properties. objectives the aim of this study was to translate the activities-specific balance confidence scale into a hindi version (abc-h), cross-culturally adapt it, assess its psychometric properties, and establish the normative value of self-perceived balance confidence scores of indian older adults. background falls are very common in older adults. the activities-specific balance confidence (abc) scale is an instrument used to measure confidence in balance, hitherto available only in the english language. there is a need for a hindi version of the abc scale for subjects whose primary language is hindi, as the availability of a self-administered scale in subjects’ native language will make clinical management and research more effective.