PURPOSE: In the absence of culturally relevant measurement tools to assess fear of falling (FOF) in older adults, this study aims
to develop an objective measure to assess balance confidence in the community dwelling Indian older adults (>65years), establish
its test-retest reliability, content and construct validity.
METHOD: Items were generated from review of literature, semi-structured interview of older adults and discussion with experts.
After content validation, the Balance Confidence Scale (BCS) with 22 items was developed. To establish the construct validity of
BCS, field trial on 60 respondents was done comprising of high and low mobility groups with 30 respondents each. To establish
test-retest reliability and reliability of phone as a mode of administration, 15 respondents were reassessed after two weeks
interval.
RESULTS: The experts validated the content of BCS. Construct validity of BCS is established (p<0.001). BCS has high test–
retest reliability (r=0.93, p<0.001), high internal consistency (a=0.97) and reliability on phone (r=0.96, p<0.001).
CONCLUSION: BCS is a reliable tool for assessing balance confidence in Indian community dwelling older adults with content
and construct validity established. BCS may contribute significantly to a comprehensive, functional and culturally relevant fall
risk assessment and guide intervention in fall prevention and rehabilitation progra­å