scholarly journals A Structural Model for Breastfeeding Behavior of First-Time Mothers

2021 ◽  
Vol 25 (3) ◽  
pp. 184-196
Author(s):  
Seol Hui Park ◽  
Seang Ryu

Purpose: This study aimed to develop a structural model to explain breastfeeding behavior of primipara based on information-motivation-behavioral skills. Variables were breastfeeding knowledge, breastfeeding motivation, breastfeeding self-efficacy, and parenting stress. Methods: Participants were first-time mothers who were breastfeeding infants from birth to 6 months. Data were collected from 5 pediatric hospitals and 1 public health center in Jeollanam-do from December 24, 2018 to February 28, 2019. A total of 285 questionnaires were included in the analysis. Data were analyzed using IBM SPSS Statistics ver. 20.0 and AMOS 20.0 programs. Results: Fitness statistics for the hypothetical model were appropriate (χ2=48.30 [degrees of freedom= 14, p<0.001], goodness of fit index=0.96, normed fit index=0.89, comparative fit index=0.92, standardized root mean square residual=0.06). Breastfeeding self-efficacy had the most direct and total impact on breastfeeding behaviors (β=0.38, p=0.01). Breastfeeding self-efficacy was directly and totally influenced by breastfeeding knowledge (β=-0.18, p=0.01), breastfeeding motivation (β=0.26, p=0.01). Parenting stress showed a direct effect on breastfeeding self-efficacy (β=-0.14, p=0.02) and breastfeeding behavior (β=0.20, p=0.01), confirming its modulating effect on both variables. Conclusion: Since breastfeeding self-efficacy was the most important variable for the breastfeeding behavior in first-time mothers, nursing interventions should be developed to promote breastfeeding selfefficacy including accurate breastfeeding information and enhanced breastfeeding motivation. Strategies that could relieve or adjust parenting stress should be considered since parenting stress had a causal relationship with breastfeeding self-efficacy and breastfeeding behavior.

2019 ◽  
Vol 4 (2) ◽  
pp. 96-115
Author(s):  
Joamel P. Gellor

The study determined the direction and magnitude of the relationships of academic buoyancy, aptitude and school environment towards mathematics achievement of the pre-service teachers through Structural Equation Modeling. Maximum Likelihood was used to estimate while Chi-square/degrees of freedom, Goodness of Fit Index, Normal Fit Index, Tucker-Lewis Index, Comparative Fit Index, and Root Mean Square Error of Approximation indices were used to evaluate the goodness of fit of the hypothesized models. The best fit model for the mathematics achievement of pre-service teachers is best anchored on aptitude supported by school environment. Academic buoyancy is necessary but insufficient for mathematics achievement.


2011 ◽  
Vol 21 (3-4) ◽  
pp. 388-397 ◽  
Author(s):  
Patricia Leahy-Warren ◽  
Geraldine McCarthy ◽  
Paul Corcoran

2021 ◽  
Author(s):  
Phalad Tipsrirach ◽  
Witoon Thacha ◽  
Prayuth Chusorn

This research aimed at creating a structural model of the indicators of Educational Leadership for Primary School Principals in Thailand, which is considered to be a theoretical model that has been used to test for coherence with the empirical data collected from a sample group of 580 participants, who were selected from 30,719 Primary School Principals from across the country. To create this theoretical structural model, a study of the suitability of the indicators was carried out so that it could be further used in the selection within the model, as well as in the model’s coherence test with the empirical data and in the investigation of the factor loading. The results of the research were as follows: Firstly, all indicators, which had been applied in the research were selected and were then placed into the theoretical structural model because the average and distribution coefficient values were as set in the criteria. Secondly, the theoretical model is coherent with the empirical data as the values of relative Chi-square, Root Mean Square Error of Approximation, Goodness-of-Fit Index, Adjusted Goodness-of-Fit Index, Comparative Fit Index, and Normed Fit Index were as set in the criteria. Finally, the factor loadings of the key elements, sub-elements, and the indicators were as set in the criteria. This showed that the theoretical model from this research can be beneficial for the research population with construct validity.


BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034757
Author(s):  
Asuka Kato ◽  
Yuko Fujimaki ◽  
Shin Fujimori ◽  
Akihiro Isogawa ◽  
Yukiko Onishi ◽  
...  

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Huy Ha ◽  
Michael W. Ross ◽  
Jan M. H. Risser ◽  
Huong T. M. Nguyen

Objective. To develop and assess a homosexuality-related stigma scale among men who have sex with men (MSM) in Hanoi, Vietnam. Methods. We conducted a cross-sectional study using respondent-driven sampling in Hanoi, Vietnam, in 2011. We used a cross-validation approach. Factor analysis was performed, and interitem correlation matrices were constructed to identify the latent factor structures, examine the goodness of fit, and assess convergent and discriminant validity of the determined scales. Internal consistency checks were performed in split samples and whole sample, and separately for each determined factor. Results. The findings were consistent in split samples. Three homosexuality-related stigma factors were identified: enacted homosexual stigma, perceived homosexual stigma, and internalized homosexual stigma. The fit indices of the confirmatory factor analysis in both split samples supported the hypothesized three-factor structures (in subsamples A and B: χ2/degrees of freedom ratio = 1.77 and 1.59, nonnormed fit index = 0.92 and 0.94, comparative fit index = 0.93 and 0.95, and the root mean square of approximation = 0.06 and 0.05, resp.). The interitem correlation supported the convergent and discriminant validity of the scales. The reliability of the three scales indicated good consistency (Cronbach’s alpha: 0.79–0.84) across split samples and for the whole data. Conclusion. Our scales have good psychometric properties for measuring homosexuality-related stigma. These comprehensive and practical tools are crucial not only to assess stigma against MSM and its consequence, but also to guide the development of interventions targeting MSM, as well as to evaluate the efficacy of existing stigma reduction efforts in Vietnam and other countries with similar settings.


2004 ◽  
Vol 59 (8) ◽  
pp. 593-595
Author(s):  
Cris Glazebrook ◽  
Charlotte Sheard ◽  
Sara Cox ◽  
Margret Oates ◽  
George Ndukwe

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253652
Author(s):  
Moemi Oki ◽  
Etsuko Tadaka

Background “Third agers” are people over retirement age in relatively good health; third agers make up an increasing percentage of the global population as the world’s longevity increases. Therefore, the challenge of prolonging a healthy third age and shortening the unhealthy period during the “fourth age” in the global health and social contexts is important in this process. However, no means to measure and support this has been developed as yet. We developed the Social Contact Self-Efficacy Scale for Third Agers (SET) and evaluated its reliability and validity. Methods We used a self-administered mail survey covering 2,600 randomly selected independent older adults living in Yokohama, Japan. The construct validity of the SET was determined using exploratory factor and confirmatory factor analyses. Its criterion-related validity was assessed using the General Self-Efficacy Scale (GSES), the Japan Science and Technology Agency Index of Competence (JST-IC), and subjective health status. Results In total, 1,139 older adults provided responses. Exploratory and confirmatory factor analyses identified eight items within two factors: social space mobility and social support relationship. The final model had a Cronbach’s alpha 0.834, goodness-of-fit index 0.976, adjusted goodness-of-fit index 0.955, comparative fit index 0.982, and root mean square error of approximation 0.050. There was good correlation between scale scores and the GSES (r = 0.552, p < 0.001), JST-IC (r = 0.495, p < 0.001) and subjective health status (r = 0.361, p < 0.001). Conclusions The SET showed sufficient reliability and validity to assess self-efficacy in promoting social contact among third agers. This scale may help third agers in gaining and expanding opportunities for social contact, which can improve their physical health and quality of life and contribute to care prevention and healthy longevity.


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