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Translation, Validation, and Psychometric Properties of Breastfeeding Self-Efficacy Scale—Short Form Among Iranian Women Publisher Pubmed



Asgarian A1 ; Hashemi M1 ; Pournikoo M1 ; Mirazimi TS1 ; Zamanian H2, 3 ; Aminitehrani M3, 4
Authors
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Authors Affiliations
  1. 1. Department of Nursing and Midwifery, Izadi Hospital, Qom University of Medical Sciences, Qom, Iran
  2. 2. School of Health, Qom University of Medical Sciences, Qom, Iran
  3. 3. Health Psychology and Behavior Medicine Research Group, Students’ Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Psychology, University of Tehran, Tehran, Iran

Source: Journal of Human Lactation Published:2020


Abstract

Background: Iranian researchers have investigated breastfeeding self-efficacy and its related factors. However, there is no valid and reliable tool for assessing the breastfeeding self-efficacy of Iranian Farsi-speaking women. Research aim: To examine the validity and reliability of the Breastfeeding Self-Efficacy Scale—Short Form among Iranian Farsi-speaking mothers. Methods: We conducted this cross-sectional study at Izadi teaching hospital in Qom, Iran. Using convenience sampling, we recruited 174 mothers, who completed the questionnaire on the first postnatal day. A forward–backward translation method was used to translate the scale. Cronbach’s alpha and item-total characteristics were examined to test reliability. Construct validity was evaluated via principal component analysis (PCA), as well as known-groups validity. Results: The mean (standard deviation) of sample age was 28.33 (5.38). The mean (standard deviation) of breastfeeding self-efficacy score was 54.32 (10.50), ranging from 24–70. Cronbach’s alpha (.92), inter-item correlations (.21–.72), and corrected item-total correlations (.44–.75) indicated the adequate reliability of the scale. PCA yielded one component with an eigenvalue of 6.97, explaining 49.8% of the total variance. There was no significant difference in the self-efficacy scores between primiparous and multiparous women. Breastfeeding self-efficacy was not significantly different between the groups in terms of the demographic characteristics. Conclusion: The Farsi version of the Breastfeeding Self-efficacy Scale—Short Form is a valid and reliable instrument for Iranian Farsi-speaking mothers, with sound psychometric properties per the other studies worldwide. © The Author(s) 2019.