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A randomized control trial of the application of efficacy training to balance assessment
Southard V
Physical & Occupational Therapy in Geriatrics 2006;25(2):51-66
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

Reduced balance confidence often translates into a fear of falling, which reinforces a sedentary lifestyle. PURPOSE: A self-efficacy intervention was assessed for improvements in balance confidence and performance when compared with controls. METHODS: Thirty-five assisted- living residents were randomly assigned to an exercise-only or exercises and efficacy-training groups two times every week for four weeks. RESULTS: Activities of Balance Confidence Scale (ABC) using ANCOVA demonstrated no significant differences (F = 0.005, p = 0.944) in balance confidence. Balance performance however, as measured by the Berg Balance Scale using ANCOVA was significantly improved (F = 33.453, p = 0.0001). CONCLUSION: This intervention produced significant changes in balance performance without demonstrating significant changes in confidence measurement. Continued assessments and intervention trials such as this will demonstrate scientific evidence needed to promote optimal functioning in older adults.
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