Confirmatory Factor Analysis and Responsiveness to Change of the Persian Version of the Breastfeeding Self-Efficacy Short Form Scale Publisher



Shahry P¹ ; Vizheh M¹ ; Abbasi M² ; Montazeri A³ ; Fallahianmehrjardi F^{4, 6} ; Dennis CL⁵ ; Araban M^{4, 6} Show Affiliations
Source: Clinical Lactation Published:2021

Abstract

Introduction: The Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) is a 14-item measure designed to assess a mother's confidence in successful breastfeeding of her baby. This study aimed to determine the confirmatory factor analyses (CFA) and responsiveness to change of the Persian version of the BSES-SF. Methods: This study was performed in two phases: In the first phase, 400 women were recruited, and then in another phase, 110 pregnant women at 35–37 weeks gestation were randomly selected and assigned into two equal groups (n = 55). Educational intervention was implemented, and data were gathered in the third trimester and at 2 weeks postpartum. Results: The BSES-SF presented a one-dimensional structure with factor loadings of > 0.40 for CFA and Cronbach's alpha coefficient of 0.92. BSES-SF scores in the intervention group (56.76 ± 4.65) were significantly higher than the control group (48.94 ± 4.85). Conclusion: BSES-SF can be a valid, responsive, and reliable measure of self-efficacy in response to breastfeeding challenges. © Copyright 2021 United States Lactation Consulting Association.