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

2019 ◽  
Vol 36 (2) ◽  
pp. 227-235
Author(s):  
Azadeh Asgarian ◽  
Maryam Hashemi ◽  
Mansoureh Pournikoo ◽  
Tayebe-Sadat Mirazimi ◽  
Hadi Zamanian ◽  
...  

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.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aazam Shakarami ◽  
Mina Iravani ◽  
Mojgan Mirghafourvand ◽  
Mohammad Asghari Jafarabadi

Abstract Background The aim of the present study was to evaluate the psychometric properties of the Persian version of delivery fear scale (DFS) among Iranian women population. Methods This is a methodological study that was conducted to evaluate the psychometric properties of DFS. Convenience sampling was used to select 200 pregnant women from the maternity ward of Razi Hospital in Ahvaz, Iran. In the first step, the scale was translated into Persian using backward-forward translation method. Afterwards, the following types of validity were examined: face validity based on impact score, construct validity based on confirmatory factor analysis (CFA), and concurrent validity. The Pearson correlation test was used to determine the correlation of DFS with pregnancy-related anxiety questionnaire (PRAQ), Childbirth Attitude Questionnaire (CAQ), Spielberger’s state-trait anxiety inventory (STAI), and the short form of Lowe’s childbirth self-efficacy inventory. Reliability of DFS was assessed by determining internal consistency (Cronbach’s alpha) and split-half method. Results CFA had satisfactory validity considering x2⁄df < 5 and the RMSEA < 0.08. /the obtained Cronbach’s alpha coefficient was 0.77. The split-half coefficient of the questionnaire was 0.83, indicating an acceptable reliability for the questionnaire. The results showed that DFS had a direct significant correlation with the CAQ (r = 0.72), PRAQ (r = 0.74), STAI-Y1 (r = 0.71) and STAI-Y1 (r = 0.63) and a reverse significant correlation with subscales of the short form of Lowe’s childbirth self-efficacy inventory including outcome expectancy (r= -0.75) and self-efficacy expectancy (r= -0.76). Conclusions The findings of the present study confirm the validity and reliability of the Persian version of DFS as an instrument for measuring fear of childbirth (FOC) in Iranian women population.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Aguiar ◽  
C Piñeiro ◽  
R Serrão ◽  
R Duarte

Abstract Background Antiretroviral therapy (ART) has the most effective treatment for people with HIV, but its effectiveness depends on the individual medication adherence. Morisky Medication Adherence Scale (MMAS-8) is one of the most widely used scales to assess patient adherence. Thus, we aimed to validate a Portuguese version of MMAS-8 and determine its psychometric properties in HIV positive patients. Methods A cross-sectional survey was conducted in Centro Hospitalar Universitário São João (Porto, northern Portugal) at the infectious diseases department. After authorization to use the scale - granted by the author - and, a standard forward-backwards procedure to translate MMAS-8 to Portuguese, the questionnaire was applied to 233 patients with HIV doing ART. Reliability was assessed using Cronbach's alpha and test-retest reliability. Three levels of adherence were considered: 0 to &lt; 6 (low), 6 to &lt; 8 (medium), 8 (high). Results In the studied sample, the mean age was 45.03 years (SD = 11.63), 80.3% men, 19.3% women and 1 transgender, and 53.8% had ≤9 years of education. The mean number of prescribed ART per patient was 1.76. The mean score for the medication adherence scale was 7.29 (SD = 6.74). For the reliability analysis, 12 patients were excluded due to missing data (n = 221). Regarding the level of adherence, 22.5% were low adhering, 71.6% medium and 5.9% high. Corrected item-total correlations showed that 1 item does not correlate very well with the overall scale and was dropped. Scale reliability analysis for the remaining 7 items revealed an overall Cronbach's alpha of 0.661. Women had a protective effect on adherence (OR = 0.31;95%CI:0.15-0.66). Number of years doing ART, age of participants, and type of residence didn't show to be correlated with adherence. Conclusions MMAS-8 is a reliable and valid measure to detect patients at risk of non-adherence. A satisfactory Cronbach's alfa (0.661) was obtained. In general, adherence to medication was medium or high. Key messages This scale can be applied nationwide in other different hospitals, as it could serve as a tool for measuring adherence to ART that can allow for better health care to the ones that are low adhering. A Portuguese version of the MMAS-8 was created for measuring adherence to ART that maintained a similar structure to the original MMAS-8 and good psychometric properties.


2020 ◽  
Author(s):  
Akram Kahforoushan ◽  
Shirin Hasanpour ◽  
Mojgan Mirghafourvand

Abstract BackgroundLate preterm infants suffer from many short-term and long-term problems after birth. The key factor in fighting these problems is effective breastfeeding. The present study aimedto determine the breastfeeding self-efficacy and its relationship with the perceived stress and breastfeeding performance in mothers with late preterm infants. MethodsIn this prospective study, 171 nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, who met the conditions of this study were selected through convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form (BSES- SF) was employed to measure breastfeeding self-efficacy and 14-item Perceived Stress Scale (PSS14) was used to measure the perceived stress during 24 hours after giving birth and when the child was 4 months old the breastfeeding performance was measured by the standard breastfeeding performance questionnaire. The data were analyzed by Pearson and Spearman’s correlation tests, independent t-test, one-way ANOVA, and Multiple Linear Regression.ResultsThe mean (standard deviation) of breastfeeding self-efficacy equaled 50.0 (7.8) from the scores ranging between13-65 and the mean (standard deviation) of the perceived stress equaled to 26.5 (8.8) from the scores ranging between 0-56. The median (25-75 percentiles) of breastfeeding performance score in the mothers equaled 2.0 (1.0 to 3.0) from the scores ranging between 0-6. On the basis of multiple linear regression and through adjusting the personal-social characteristic, by increasing the score of the breastfeeding self-efficacy, the perceived stress was decreased to a statistically significant amount (B=-0.1, 95%CI=-0.3 to 0.0), however, there was no statistically significant relationship between breastfeeding self-efficacy and breastfeeding performance (p=0.418). ConclusionDue to the modifiable variability of breastfeeding self-efficacy and its role in perceived maternal stress, the development of appropriate strategies to further increase breastfeeding self-efficacy and provide more support to these mothers and infants is of particular importance.


2016 ◽  
Vol 24 (5) ◽  
pp. 612-625 ◽  
Author(s):  
Evridiki Papastavrou ◽  
Paraskevi Charitou ◽  
Christiana Kouta

Background: Maintaining dignity is important for successful aging, but there is lack of validated research instruments in the nursing literature to investigate dignity as perceived by the old people. Objective: This is a methodological study aiming to investigate the psychometric properties of the Greek version of Jacelon Attributed Dignity Scale as translated in the Greek language. Research design: A methodological approach consisting of translation, adaptation, and cross-cultural validation. A sample of 188 Greek-speaking old Cypriot persons drawn from the Hospital outpatient departments was asked to complete the Greek versions of Jacelon Attributed Dignity Scale and the Instrumental Activities of Daily Living. Data analyses included internal consistency reliability (Cronbach’s alpha coefficient), item analysis, and exploratory factor analysis using principal component method with orthogonal varimax rotation. Ethical considerations: The study protocol was approved by the National Bioethics committee according to the national legislation. Permission to use the research instrument was granted from the author. Information about the aim and the benefits of the study was included in the information letter. Findings: Cronbach’s alpha for Greek version of Jacelon Attributed Dignity Scale was 0.90. Four factors emerged explaining 65.28% of the total variance, and item to total correlation values ranged from 0.25 to 0.74 indicating high internal consistency and homogeneity. Mean item score in Instrumental Activities of Daily Living was 5.6 (standard deviation = 1.7) for men and 6.7 (standard deviation = 1.7) for women, and the correlations between demographics, Instrumental Activities of Daily Living, and the four factors of the Greek version of Jacelon Attributed Dignity Scale were low; also in multiple linear regression, the values of R2 are presented low. Discussion: Demographic characteristics and degree of functionality seem to be associated with some of the dimensions of dignity but with low correlations; therefore, they cannot predict attributed dignity. Conclusion: The Greek version of Jacelon Attributed Dignity Scale is a valid and reliable tool to measure attributed dignity in Greek-speaking older adults, but further testing of the psychometric properties and other potential factors that may affect the attributed dignity is needed.


2018 ◽  
Vol 71 (2) ◽  
pp. 406-412
Author(s):  
Ana Lúcia Araújo Gomes ◽  
Emanuella Silva Joventino ◽  
Kamila Ferreira Lima ◽  
Regina Cláudia Melo Dodt ◽  
Paulo César de Almeida ◽  
...  

ABSTRACT Objective: To evaluate the psychometric properties in terms of validity and reliability of the scale Self-efficacy and their child's level of asthma control: Brazilian version. Method: Methodological study in which 216 parents/guardians of children with asthma participated. A construct validation (factor analysis and test of hypothesis by comparison of contrasted groups) and an analysis of reliability in terms of homogeneity (Cronbach's alpha) and stability (test-retest) were carried out. Results: Exploratory factor analysis proved suitable for the Brazilian version of the scale (Kaiser-Meyer-Olkim index of 0.879 and Bartlett's sphericity with p < 0.001). The correlation matrix in factor analysis suggested the removal of item 7 from the scale. Cronbach's alpha of the final scale, with 16 items, was 0.92. Conclusion: The Brazilian version of Self-efficacy and their child's level of asthma control presented psychometric properties that confirmed its validity and reliability.


2014 ◽  
Vol 27 (5) ◽  
pp. 465-470 ◽  
Author(s):  
Erdnaxela Fernandes do Carmo Souza ◽  
Rosa Áurea Quintella Fernandes

Objective Evaluate the clinical use of the Breastfeeding Self-Efficacy Scale as predictive of early weaning and verify if women who had higher self-efficacy scores breastfed for longer periods. Methods Cohort study developed with 100 postpartum mothers. Research instrument used: Breastfeeding Self-Efficacy Scale-Short Form. The feeding was monitored on the 7th, 15th, 30th, 45th and 60th day, by phone. Results The mean duration of exclusive breastfeeding was 53.2 days (SD 14.2). Most mothers (82.3%) had scores compatible with high self-efficacy for breastfeeding, none had low efficacy. There was no statistically significant difference in the comparison of mean duration of exclusive and non-exclusive breastfeeding, with the scores of medium and high efficacy. Conclusion Findings did not enable the confirmation of the use of the scale as a predictor of risk of early weaning. No relation was observed between higher scores of high efficacy and longer periods of exclusive breastfeeding.


PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251838
Author(s):  
Francesco Cerritelli ◽  
Matteo Galli ◽  
Giacomo Consorti ◽  
Giandomenico D’Alessandro ◽  
Jacek Kolacz ◽  
...  

Background/Objective The purpose of this study was to cross-culturally adapt the Body Perception Questionnaire Short Form (BPQ-SF) into Italian and to assess its psychometric properties in a sample of Italian subjects. Methods A forward-backward method was used for translation. 493 adults were recruited for psychometric analysis. Structural validity was assessed with confirmatory factor analysis and a hypothesis testing approach. Internal consistency was assessed by Cronbach’s alpha and McDonald’s omega. Measurement invariance analysis was applied with an age-matched American sample. Results The single-factor structure fit the awareness subscale (RMSEA = .036, CFI = .983, TLI = .982). Autonomic reactivity (ANSR) was well-described by supra- and sub-diaphragmatic subscales (RMSEA = .041, CFI = .984, TLI = .982). All subscales were positively correlated (r range: .50-.56) and had good internal consistency (McDonald’s Omega range: .86-.92, Cronbach’s alpha range: .88-.91). Measurement invariance analysis for the Awareness model showed significant results (p<0.001) in each step (weak, strong and strict) whereas the ANSR showed significant results (p<0.001) only for the strong and strict steps. Conclusions Our results support the Italian version of the BPQ as having consistent psychometric properties in comparison with other languages.


2020 ◽  
Author(s):  
Norma Bethke ◽  
Paul Gellert ◽  
Nina Knoll ◽  
Niklas Weber ◽  
Joachim Seybold

Abstract Background: Vaccination rates for measles, mumps, and rubella (MMR) and diphtheria, tetanus, pertussis, and polio (Tdap-IPV) are not optimal in German adolescents. Education in combination with easy access vaccination may be a promising approach to improve vaccination rates. In a planned cluster randomized controlled trial (cRCT), we aim at improving MMR and Tdap-IPV rates together with knowledge and self-efficacy in a school setting, the present paper describes the pilot study of this trial.Methods: Within this pilot study, 863 students from 41 school classes from four schools were included. Optimization and feasibility of the access to schools, recruitment strategies, intervention, and assessment procedures are examined. The course and content of the educational unit was evaluated with a mixed-methods approach. A pre-post measurement design was applied for the vaccination rate in all schools. Additionally, at two schools improvement on vaccination-related knowledge and perceived self-efficacy were measured pre- (n=287) and post- (n=293) educational unit by questionnaire. The remaining two schools provided data only post intervention. Finally, we evaluated the psychometric properties (i.e., reliability, retest reliability, change rates) of the questionnaire, applying Cronbach’s alpha, factor analyses, Generalized Estimating Equations and Linear Mixed Models.Results: Findings of the pilot study indicated good feasibility. Of the total sample, 437 students (50.9%) brought their vaccination cards to school, 68 students were vaccinated with Tdap-IPV, 11 with MMR. Out of 6 knowledge questions, on average students had M=2.84 (CI 2.69/3.10) correct answers before and M=4.45 (CI 4.26/4.64) after class. Ranging from 1 to 4, self-efficacy scale shown a change of 0.3 points (p <.001) and Cronbach’s alpha was .67 and .76 for pre- and post-educational unit respectively and a one-factor solution was found. Content analysis of the five semi-structured group interviews (n=12, 58.3% female) showed that the length of the intervention was felt by all students to be appropriate. The teaching methods including interactive and social media components were perceived as very good.Conclusion: A school-based educational and on-site vaccination intervention appears to be feasible in terms of procedures and the adequacy of the instruments for the adolescent target group.


2021 ◽  
Vol 20 (3) ◽  
pp. 330-361
Author(s):  
Lilia Jannet Saldarriaga Sandoval ◽  
Francisca Elisângela Teixeira Lima ◽  
Paulo César De Almeida ◽  
Lorena Pinheiro Barbosa ◽  
Sabrina de Souza Gurge ◽  
...  

Objetivo: Evaluar las propiedades psicométricas en términos de confiabilidad del instrumento Seguridad del Paciente en la Administración de Medicamentos en Pediatria, versión española. Método: Estudio metodológico de evaluación de las propiedades psicométricas realizado con 25 enfermeras de las unidades pediátricas de un hospital peruano. Para evaluación de la homogeneidad (alfa de Cronbach) las enfermeras autocompletaron el instrumento de Seguridad del Paciente en la Administración de Medicamentos en Pediatria version española, compuesto por 9 dominios y 26 ítems; y para estabilidad (Test-retest de Wilcoxon) autocompletaron nuevamente el intrumento después de 30 dias de la primera recolección, para comparación de ambas medidas. Resultados: En la confiabilidad, el alfa de Cronbach, vario de 0,792 a 0,821, considerado un parámetro aceptable, presentando alta consistencia interna, manteniéndose los 26 ítems, en la versión final. En la estabilidad del instrumento, los dominios presentaron, en el test, media de 68,0 + 25,5 hasta 99,5 + 2,5; y en el retest 86,0 + 14,8 até 96 + 11,8. Se evidenciaron seis dominios sin diferencia significativa (p>0,05) entre test y retest. Conclusión: El instrumento presentó propiedades psicométricas que comprueban su confiabilidad, proporcionando subsídios para la práctica de enfermería más segura y permitiendo estandarización del cuidado en la administración de medicamentos. Objective: To evaluate the psychometric properties in terms of reliability of the instrument Patient Safety in the Administration of Medicines in Pediatrics, Spanish version. Method: Methodological study of evaluation of the psychometric properties carried out with 25 nurses from the pediatric units of a Peruvian hospital. For the evaluation of homogeneity (Cronbach's alpha), the nurses completed the instrument for Patient Safety in the Administration of Medications in Pediatrics Spanish version, composed of nine domains and 26 items; and for stability (Wilcoxon test-retest), they autocompleted the instrument again 30 days after the first collection, for comparison of both measurements. Results: In reliability, Cronbach's alpha varied from 0.792 to 0.821, considered an acceptable parameter, presenting high internal consistency, maintaining the 26 items, in the final version. In the stability of the instrument, the domains presented, in the test, a mean of 68.0 + 25.5 to 99.5 + 2.5; and in the retest 86.0 + 14.8 I tied 96 + 11.8. Six domains were found without significant difference (p> 0.05) between test and retest. Conclusion: The instrument presented psychometric properties that prove its reliability, providing subsidies for safer nursing practice and allowing standardization of care in the administration of medications. Objetivo: Avaliar as propriedades psicométricas em termos de confiabilidade do instrumento Segurança do Paciente na Administração de Medicamentos na Pediatria, versão espanhol. Método: Estudo metodológico realizado com 25 enfermeiras das unidades pediátricas de um hospital peruano. Para avaliação da homogeneidade (alfa de Cronbach) as enfermeiras autopreencheram o SPAMP-vE, composto por nove domínios e 26 itens; e para estabilidade (Teste-reteste de Wilcoxon) autopreencheram novamente o intrumento após 30 dias da primeira coleta, para comparação de ambas medidas. Resultados: Na confiabilidade, o alfa de Cronbach, variou de 0,792 a 0,821, considerado um parâmetro aceitável, apresentando alta consistência interna, mantendo-se os 26 itens, na versão final. Na estabilidade do instrumento, os domínios apresentaram, no teste, média de 68,0 + 25,5 até 99,5 + 2,5; e no reteste 86,0 + 14,8 até 96 + 11,8. Evidenciaram-se seis domínios sem diferença significativa (p>0,05) entre teste e reteste. Conclusão: Instrumento apresentou propriedades psicométricas que comprovam sua confiabilidade, fornecendo subsídios para prática de enfermagem mais segura e permitindo padronização do cuidado na administração de medicamentos.


1993 ◽  
Vol 76 (1) ◽  
pp. 152-154
Author(s):  
David L. Streiner

Max r, which is the maximum of all possible split-half reliabilities, has recently been used to reanalyze the psychometric properties of various psychological scales. It is recommended that these revised estimates be interpreted cautiously for two reasons, (1) scale homogeneity is not always the best indicator of reliability and (2) the coefficients cannot be interpreted as equivalent to published reliabilities, which are often based on estimates of the mean split-half reliabilities (e.g., Cronbach's alpha or Kuder-Richardson 20).


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