The Prenatal Rating of Efficacy in Preparation to Breastfeed Scale: A New Measurement Instrument for Prenatal Breastfeeding Self-efficacy

Abstract

Background:

Breastfeeding self-efficacy and breastfeeding intention are two modifiable factors that influence rates of breastfeeding initiation.

Research Aims:

(1) To develop a scale to measure prenatal breastfeeding self-efficacy, and (2) test its psychometric properties by determining the internal consistency and reliability, and (3) assess the relationships between prenatal breastfeeding self-efficacy and breastfeeding intention.

Methods:

Cross-sectional prospective one-group survey design was used. A convenience sample of pregnant patients attending an obstetrics and gynecology clinic (N=124) completed a survey at the recruitment site that assessed demographics, breastfeeding intention, and breastfeeding self-efficacy theory constructs. Retest surveys (n=14) were taken home and returned to the researcher by mail after completion.

Results:

Cronbach’s alpha for the 39-item scale was .98 (test) and .97 (retest) with an item-to-total correlation range of .54 to .78. A four-factor solution for the scale was retained. Test-retest indicated each factor was significant and highly correlated: Individual Processes (.88, p < .001), Interpersonal Processes (.893, p < .001), Professional Advice (.919, p < .001), and Social Support (.880, p < .001). Overall prenatal breastfeeding self-efficacy score was highly correlated (.610,p <.001) with breastfeeding intention scores.

Conclusions:

The Prenatal Rating of Efficacy in Preparation to Breastfeed Scale is a valid and reliable measure of a prenatal women’s self-efficacy in preparation to breastfeed. Measuring the level of self-efficacy could alert prenatal women and health professionals to individual skill sets.

Keywords

statistical modeling maternal behavior breastfeeding support breastfeeding breastfeeding initiation

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References

AlKusayer

N. M.

Midodzi

W. K.

Newhook

L. A.

Burrage

Gill

Halfyard

Twells

L.K.

(2018). Psychometric assessment and precision remodeling of the Iowa Infant Feeding Attitude Scale to improve clinical use and efficacy among prenatal women in Canada. Journal of Human Lactation, 34(1), 20-29. Doi:10.1177/0890334417741296

Araban

Karimian

Kakolaki

Z. K.

McQueen

K. A.

Dennis

C. L.

(2018). Randomized controlled trial of a prenatal breastfeeding self-efficacy intervention in primiparous women in Iran. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(2), 173-183. Retrieved from https://doi.org/10.1016/j.jogn.2018.01.005

Bandura

(1982). Self-efficacy mechanisms in human agency. American Psychologist, 37(2), 122-147. Retrieved from http://dx.doi.org/10.1037/00036-066x.37.2.122

Bandura

(1989). Human agency in social cognitive theory. American Psychologist, 44(9), 1175-1184. Retrieved from http://dx.doi.org/10.1037/0003-066X.44.9.1175

Bandura

(1994). Self-efficacy. In, Ramachaudran

V. S.

, ed. Encyclopedia of human behavior. New York, NY: Academic Press.

Bandura

(2006). Guide for constructing self-efficacy scales: Self-efficacy beliefs of adolescents. Charlotte, NC: Information Age Publishing.

Bartle

N. C.

Harvey

(2017). Explaining infant feeding: The role of breastfeeding experience and vicarious experience of infant feeding on attitudes, subjective norms, self-efficacy and breastfeeding outcomes. British Journal of Health Psychology, 22(4), 763-785. Retrieved from http://doi.org/10.1111/bjhp.12254

Benedett

Ferraz

Silva

I. A.

(2018). Breastfeeding: A search for comfort. Revista de Pesquisa: Cuidado e Fundamental, 10(2), 458-464. Retrieved from http://dx.doi.org/10.9789/2175-5361.2018.v10i2.458-464

Binns

Lee

Low

W. Y.

(2016). The long-term public health benefits of breastfeeding. Asia Pacific Journal of Public Health, 28(1), 7-14. Retrieved from http://doi.org/10.1177/1010539515624964

10.

Centers for Disease Control and Prevention. (2017). Breastfeeding among US children born 2002-2014, CDC National Immunization Survey. Atlanta, GA: Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/breastfeeding/data/nis_data/results.html

11.

Chan

M. Y.

W. Y.

Choi

K. C.

(2016). The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: A longitudinal study. Midwifery, 36(5), 92-98. Retrieved from https://doi.org/10.1016/j.midw.2016.03.003

12.

Chen

Gully

S. M.

Eden

(2001). Validation of a new general self-efficacy scale. Organizational Research Methods, 4(1), 62-83. Retrieved from http://doi.org/10.1177/109442810141004

13.

Clark

Baker

S. S.

McGirr

Harris

(2018). Breastfeeding peer support program increases breastfeeding duration rates among middle-to high-income women. Breastfeeding Medicine, 13(2), 112-115. Retrieved from https://doi.org/10.1089/bfm.2017.0021

14.

Cleveland

A. P.

McCrone

(2005). Development of the breastfeeding personal efficacy beliefs inventory: A measure of women’s confidence about breastfeeding. Journal of Nursing Measurement, 13(2), 115-127. Retrieved from https://search.proquest.com/docview/206332298?accountid=12154

15.

de Jager

Broadbent

Fuller-Tyszkiewicz

Skouteris

. (2014). The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery, 30(6), 657-666. Retrieved from https://doi.org/10.1016/j.midw.2013.07.008

16.

Dennis

C.L.

Faux

(1999). Development and psychometric testing of the breastfeeding self-efficacy scale. Research in Nursing and Health, 22(5), 399-409. Retrieved from http://doi.org/10.1002/(sici)1098-240x(199910)22:53.0.co;2-4

17.

Dennis

C.L.

Heaman

Mossman

(2011). Psychometric testing of the breastfeeding self-efficacy scale-short form among adolescents. Journal of Adolescent Health, 49(3), 265-271. Retrieved from http://doi.org/10.1016/j.jadohealth.2010.12.015

18.

Dennis

C. L.

(2003). The breastfeeding self-efficacy scale: Psychometric assessment of the short form. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 32(6), 734-744. Retrieved from http://doi.org/10.1177/08842/7503258459

19.

Francis

J. J.

Eccles

M. P.

Johnston

Walker

Grimshaw

Foy

. . . Bonetti

(2004). Constructing questionnaires based on the theory of planned behaviour: A manual for health services researchers. Newcastle, UK: University of Newcastle.

20.

Hackman

N. M.

Schaefer

E. W.

Beiler

J. S.

Rose

C. M.

Paul

I. M.

(2015). Breastfeeding outcome comparison by parity. Breastfeeding Medicine, 10(3), 156-162. Retrieved from http://doi.org/10.1089/bfm.2014.0119

21.

Henshaw

E. J.

Fried

Siskind

Newhouse

Cooper

(2015). Breastfeeding self-efficacy, mood, and breastfeeding outcomes among primiparous women. Journal of Human Lactation, 31(3), 511-518. Retrieved from https://doi.org/10.1177/0890334415579654

22.

International Business Machines Corporation. (2016). IBM SPSS Statistics for Windows, Version 24.0. Armonk, NY: IBM Corp.

23.

International Business Machines Corporation. (2016). IBM SPSS Amos for Windows, Version 24.0. Armonk, NY: IBM Corp.

24.

James

Sweet

Donnellan-Fernandez

(2017). Breastfeeding initiation and support: A literature review of what women value and the impact of early discharge. Women and birth, 30(2), 87-99. Retrieved from https://doi.org/10.1016/j.wombi.2016.09.013

25.

Jones

K. M.

Power

M. L.

Queenan

J. T.

Schulkin

(2015). Racial and ethnic disparities in breastfeeding. Breastfeeding Medicine, 10(4), 186-196. Retrieved from http://doi.org/10.1089/bfm.2014.0152

26.

Lessen

Kavanagh

(2015). Position of the academy of nutrition and dietetics: Promoting and supporting breastfeeding. Journal of the Academy of Nutrition and Dietetics, 115(3), 444-449. Retrieved from http://doi.org/10.1016/j.jand.2014.12.014

27.

Mirghafourvand

Kamalifard

Ranjbar

Gordani

(2018). Relationship of breastfeeding self-efficacy with quality of life in Iranian breastfeeding mothers. The Journal of Maternal-Fetal & Neonatal Medicine, 31(20), 2721-2728. Retrieved from https://doi.org/10.1080/14767058.2017.1354368

28.

Mora

A. D. L.

Russell

D. W.

Dungy

C. I.

Losch

Dusdieker

(1999). The Iowa infant feeding attitude scale: Analysis of reliability and validity. Journal of Applied Social Psychology, 29(11), 2362-2380. Retrieved from http://doi.org/10.1111/j.1559-1816.1999.tb00115.x

29.

Nommsen-Rivers

L. A.

Dewey

K. G.

(2009). Development and validation of the infant feeding intentions scale. Maternal and Child Health Journal, 13(3), 334-342. Retrieved from http://doi.org/10.1007/s10995-008-0356-y

30.

Nunnally

J. C.

Bernstein

(1994). The assessment of reliability. Psychometric Theory. New York, NY: McGraw Hill.

31.

Patel

(2016). The effectiveness of lactation consultants and lactation counselors on breastfeeding outcomes. Journal of Human Lactation, 32(3), 530-541. Retrieved from https://doi.org/10.1177/0890334415618668

32.

Stalcup

A. M.

(2018). Women’s intentions for pregnancy and breastfeeding impact breastfeeding outcomes, implications & opportunities. Obstetrics & Gynecology, 131(1), 66S-66S. Retrieved from http://doi.org/10.1097/01.AOG.0000533326.47729.81

33.

Tabachnick

B.G.

Fidell

L.S.

(2007). Using Multivariate Statistics, 5th ed. Needham Height, MA: Allyn & Bacon.

34.

United States Department of Health and Human Services. Office of Disease Prevention and Health Promotion. (2017). Healthy People 2020. Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=26.

35.

Wells

K. J.

Thompson

N. J.

Kloeblen-Tarver

A. S.

(2006). Development and psychometric testing of the prenatal breast-feeding self-efficacy scale. American Journal of Health Behavior, 30(2), 177-187. Retrieved from http://doi.org/10.5555/ajhb.2006.30.2.177

36.

D. S.

McCoy

T. P.

Efird

J. T.

(2014). The effects of a breastfeeding self-efficacy intervention on short-term breastfeeding outcomes among primiparous mothers in Wuhan, China. Journal of Advanced Nursing, 70(8), 1867-1879. Retrieved from https://doi.org/10.1111/jan.12349

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