The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy (original) (raw)
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The Breastfeeding Self-Efficacy Scale: Psychometric Assessment of the Short Form
Journal of Obstetric, Gynecologic, and Neonatal Nursing, 2003
The purpose of this study was to reduce the number of items on the original Breastfeeding Self-Efficacy Scale (BSES) and psychometrically assess the revised BSES-Short Form (BSES-SF). Design: As part of a longitudinal study, participants completed mailed questionnaires at 1, 4, and 8 weeks postpartum. Setting: Health region in British Columbia. Participants: A population-based sample of 491 breastfeeding mothers. Main Outcome Measures: BSES, Edinburgh Postnatal Depression Scale, Rosenberg Self-Esteem Scale, and Perceived Stress Scale. Results: Internal consistency statistics with the original BSES suggested item redundancy. As such, 18 items were deleted, using explicit reduction criteria. Based on the encouraging reliability analysis of the new 14-item BSES-SF, construct validity was assessed using principal components factor analysis, comparison of contrasted groups, and correlations with measures of similar constructs. Support for predictive validity was demonstrated through significant mean differences between breastfeeding and bottlefeeding mothers at 4 (p < .001) and 8 (p < .001) weeks postpartum. Demographic response patterns suggested the BSES-SF is a unique tool to identify mothers at risk of prematurely discontinuing breastfeeding. Conclusions: These psychometric results indicate the BSES-SF is an excellent measure of breastfeeding self-efficacy and considered ready for clinical use to (a) identify breastfeeding mothers at high risk, (b) assess breastfeeding behaviors and cognitions to individualize confidence-building strategies, and (c) evaluate the effectiveness of various interventions and
2018
Background: The breastfeeding self-efficacy is one of the psychological factors affecting the duration of breastfeeding; the Breastfeeding self-efficacy measured by the breastfeeding self-efficacy scaleshort form (BSES-SF). It was validated and reliable in several studies. The current systematic review aimed to comprehensively review the validity and reliability of the BSES-SF in various versions to give comprehensive information for authorities in this field. Materials and Methods: We searched English databases, including Medline (via PubMed), Scopus, Cochran library and Web of Science since inception to May 2018 to find all previously published reports the psychometric dimensions of the Breastfeeding Self-Efficacy. Two reviewers read independently extracted data assessed. The quality of the studies was carried out by the Consensusbased standards for the selection of health status Measurement instruments (COSMIN) checklist. Results: In this systematic review, reliability was measur...
The relationship between breastfeeding self-efficacy and LATCH scores and affecting factors
Journal of Clinical Nursing, 2017
Methods. The sample of the study consisted of 303 postpartum women who were recruited at the obstetrics clinic of maternity hospital in one of the three largest city of Turkey. The data was obtained using Personal Identification Form, Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and LATCH Breastfeeding Assessment Tool to determine breastfeeding success. The mean, standard deviation, frequency, and percentages, correlation analysis, and Kruskal Wallis Variance Analysis were used in data collection. Results. The main finding of the study was a weak positive correlation between average LATCH scores and average BSES-SF scores of women in the postpartum period. The women becoming pregnant four times or more got significantly higher average BSES-SF and average LATCH scores and the women married for 11 years or longer and the mothers starting to breastfeed their babies within 30 minutes of their birth got significantly higher average LATCH scores. Conclusions. The results of the present research affirm the beneficial role of high selfefficacy in successful breastfeeding. Relevance to clinical practice. It is of great importance that midwives and obstetric nurses routinely evaluate breastfeeding self-efficacy and the capability of breastfeeding for early detection of problems related to breastfeeding.
Breastfeeding Self-efficacy: A Critical Review of Available Instruments
Journal of human lactation : official journal of International Lactation Consultant Association, 2015
Increasing breastfeeding rates in the United States is a national priority. Yet, initiation and duration of breastfeeding remains below national targets. Breastfeeding self-efficacy has been shown to be a strong predictor of both breastfeeding initiation and duration and is therefore an important characteristic to be able to measure. However, there is currently a myriad of instruments for measuring breastfeeding self-efficacy, which makes selection of an appropriate instrument difficult. Thus, our aim was to identify, compare, and critically review available breastfeeding self-efficacy instruments. In a systematic review, 6 breastfeeding self-efficacy instruments were identified. The instruments' purposes, theoretical framework, final scale development, and application in 5 most recent settings were analyzed. The 6 breastfeeding self-efficacy instruments apply a number of theoretical and conceptual frameworks in their development, with Bandura's social cognitive theory being...
Development and psychometric testing of the Breastfeeding Self-Efficacy Scale
Research in Nursing & Health, 1999
Many new mothers discontinue breastfeeding prematurely. Researchers have shown that maternal confidence is an important factor in the continuation of breastfeeding. The purpose of this methodological study was to develop and conduct preliminary psychometric assessment of an instrument to measure confidence in new breastfeeding mothers. Using self-efficacy theory as a conceptual framework, the Breastfeeding Self-Efficacy Scale (BSES) was developed and content validity was judged by a panel of experts and through interviews with experienced breastfeeding mothers. Following a pilot test, the revised BSES was assessed with 130 in-hospital breastfeeding mothers for reliability and validity, including internal consistency, principal components factor analysis, comparison of contrasted groups, and correlations with measures of similar constructs. Support for predictive validity was demonstrated with positive correlations between BSES scores and infant feeding patterns at 6 weeks postpartum. Following further testing, this instrument may be used to identify new mothers with low breastfeeding confidence who are at high risk to prematurely discontinue breastfeeding.
A New Exclusive Breastfeeding Booklet to Improve Self-Efficacy
2021
Breastfeeding self-efficacy is defined as the mother’s belief in their ability to breastfeed the baby. Health education is important to increase the mother’s confidence. The purpose of this study was to test the effect of an exclusive breastfeeding booklet to increase breastfeeding self-efficacy in prenatal mothers until the postnatal period. This study was conducted using a quasi-experimental design. The results showed that providing a booklet for mothers increased self-efficacy towards exclusive breastfeeding with the mean after intervention was 60.97, p<0.005. Our study suggests health care professionals provide health education and motivate mothers to improve their confidence with regards to breastfeeding for at least six months.
Midwifery, 2007
Objective: to assess the ability of a Breast-Feeding Self-Efficacy Scale (BSES) score measured at 1 week postpartum to predict the duration of breast-feeding in first-time mothers, and to develop a minimal set of potential confounders, including the BSES and demographic variables, for comparing the apparent effect of other influences on the duration of breast-feeding. Design: a prospective cohort study, with primary outcome the duration of breast feeding up to 6 months postpartum. Participants: 317 women who had given birth to their first baby (at term) in a large teaching maternity hospital in Adelaide, South Australia, during the period March to November, 2003. Findings: the BSES at 1 week postpartum was a strong predictor of the duration of breast-feeding in these first-time mothers. Its ability to predict the duration of breast-feeding was largely independent of the other factors (intended duration of breast-feeding, mother's level of education, country of birth, housing situation, smoking status and method of delivery), which were also found to be significant predictors of breast-feeding duration. Implications for practice: the BSES (including a new short form version) has been confirmed by our study as an important instrument for identifying women at risk of early cessation of breast-feeding. Together with other demographic variables, it should be useful for targeting limited resources to those most in need.
Factors Associated with Breastfeeding Self-Efficacy of Mothers Within 6 Weeks of Delivery
Journal of Holistic Nursing and Midwifery, 2017
Introduction: Promoting and maintaining breastfeeding is an important part of the healthcare, nutrition and other social measures required to promote proper growth and development of infants, and a major component of primary healthcare. Several factors affect onset and duration of breastfeeding. Self-efficacy is one of those factors that can be modified, but has been less studied. Objective: The present study aimed to determine some risk factors associated with breastfeeding self-efficacy of mothers within 6 weeks of delivery. Materials and Methods: This cross-sectional descriptive-analytical study recruited 767 mothers presenting to Family Health and Research Center in Rasht in 2013, using consecutive sampling (for 6 months). Data was collected using demographic questionnaires and Dennis Breastfeeding Self-Efficacy Scale (BSEF).Data was collected in two phases: on the 3 rd-5 th days and the 6 th week after delivery. The minimum and maximum breastfeeding self-efficacy scores in BSEF are 14 and 70, respectively. If a subject's score is above average, she has high breastfeeding self-efficacy and vice versa. Descriptive statistics (mean, standard deviation) and inferential statistics (chi-square test, Mann-Whitney test, Pearson's correlation coefficient and multiple regressions) were used to analyze the data. The confidence interval of 95% and a significance level of P<0.05 were considered. Results: The results showed that the mean and standard deviation of breastfeeding selfefficacy score were 57.64±9.94 and 62.66±7.57, respectively on the 3 rd-5 th days and the 6 th week after delivery. The group that exclusively breastfed their newborns had higher than average breastfeeding self-efficacy scores compared to other mothers. The multivariate regression model showed that the variables of educational level (secondary school P=0.002, B=2.25; and high school diploma, P=0.03, B=1.51), pain (P=0.01, B=1.6), breastfeeding discontinuation because of pain (P=0.02, B=2.67), having a successful breastfeeding experience (P=0.01, B=1.93), and exclusive breastfeeding (P=0.01, B=6.28) had statistically significant relationships with breastfeeding self-efficacy. Conclusion: According to the results, breastfeeding self-efficacy influenced the status and type of breastfeeding, hence, necessary interventions should be made to remove the barriers to and resolve the problems of mothers for exclusive breastfeeding.