The confidence level will be measured by using the breastfeeding selfefficacy scale shortform bsessf which was adapted from a previous study dennis, 1999, 2003 with the permission from the author. The choice of scale allows the health professional to previously know the field in which the woman has lower self efficacy. Breastfeeding selfefficacy refers to a mothers confidence about her ability to breastfeed, which has been found to shape her choice about whether or not to do so. Factors influencing selfefficacy in breastfeeding support. Effects of the delivery type on the breastfeeding self. The effect of breastfeeding selfefficacy on breastfeeding. The effect of antenatal education on breastfeeding self. Exclusive breastfeeding self efficacy item generation and adaptation we modified and adapted the breastfeeding self efficacy scale short form bsessf to develop items for our exclusive breastfeeding self efficacy scale 11. There are 69% of mothers breastfed for 2 months, and longer breastfeeding with high self efficacy and low of 23. Then previous studies used self efficacy of breastfeeding support as an outcome indicator instead of measuring behaviors 911.
Reliability and validity of a turkish version of the. Besides breastfeeding mothers with high self efficacy tend to be longer give milk to their infants than mothers with low self efficacy will be easier to weaning breastfeeding for infants. The short version breastfeeding self efficacy scale bses is a 14item selfreport instrument, which was used at 2, 4 and 12 weeks postpartum. Mothers also completed a self efficacy questionnaire the breastfeeding self efficacy scale short form. The minimum and maximum scores for the bsessf scale was 14 and 70 respectively, with scores less than 50 indicating a higher. The application of a breastfeeding self efficacy scale could point out the mothers with more weaknesses, in the aspects required in the process of breastfeeding, and allow interventions during provision of nursing care that occurs after childbirth, intending to provide support for successful breastfeeding. As such, using her breastfeeding selfefficacy theory as a conceptual framework, dr. Breastfeeding extension measures, 2017 the hv coiin for breastfeeding extension aims to achieve that 30% of children will be fed breastmilk exclusively until 3 months of age and 15% until 6 months of age. Breastfeeding self efficacy theory purports that women with higher bse will have better breastfeeding outcomes.
Bse score is defined as the literal number score that an individual received after completion of the breastfeeding self efficacy scale. The bsessf consists of 14 items and was designed to measure breastfeeding self efficacy among postpartum women in canada. Design as part of a longitudinal study, participants completed mailed questionnaires at 1, 4, and 8 weeks postpartum. Other breastfeeding self efficacy research activities. Many new mothers discontinue breastfeeding prematurely because of difficulties encountered rather than maternal choice. Breastfeeding selfefficacy is influenced by four main sources of information. This study included all mothers of full term healthy singleton infants from one private hospital in brisbane who. Adaptation and psychometric evaluation of the breastfeeding self efficacy scale to assess exclusive breastfeeding. The effects of a breastfeeding selfefficacy intervention. The study was conducted in malang, on kedungkandang district from january to may 2018. Adaptation and psychometric evaluation of the breastfeeding.
Breastfeeding selfefficacy is informed by four sources of information. Mammography selfefficacy scale and breast cancer fear scale. The purpose of this study was to reduce the number of items on the original breastfeeding selfefficacy scale bses and psychometrically assess the revised bsesshort form bsessf. Administered questionnaire at 1, 4, and 8 weeks postpartum. Keemer, frances 20 breastfeeding selfefficacy of women using secondline strategies for healthy term infants in the first week postpartum. Maternal breastfeeding self efficacy is a mothers perceived ability to breastfeed her infant and has been shown to predict breastfeeding duration and exclusivity rates among women in the immediate postpartum period. The breastfeeding self efficacy scale short form assesses breastfeeding self efficacy bse or confidence. Cognitive and functional subscales, with alpha coefficients of 0. Research open access breastfeeding selfefficacy as a. The bses is an ordinal scale in which all items are preceded by the phrase i can always and anchored with a 5. The lowest and highest possible scores to be obtained from. Breastfeeding self efficacy scale short form bsessf, developed by bandura 1997 used to measure breastfeeding self efficacy. Pdf psychometric characteristics of the breastfeeding.
Student ttest was used to compare the values of breastfeeding self efficacy between the groups of participants. It depends on social and psychological factors and has not previously been studied in postpartum vietnamese women. The most common reason cited for initiating supplementation or the premature discontinuation of breastfeeding was perceived insufficient milk. Researchers found that mothers with greater breastfeeding self efficacy are more likely to breastfeed longer dennis, 2003, pollard and guill, 2009. I will always be able to successfully cope with breastfeeding like i have with other challenging tasks 3. Validity of a scale is how well it measures what it is intending to measure. The primary aim of this study was to examine bfse in a sample of women using secondline strategies for. Content validity was judged by a panel of experts and through qualitative interviews dr. Although initial support for the validity and reliability of the bses was provided, internal consistency statistics and multiple factor loadings suggested a need for item reduction.
The approval of the erzurum ataturk university faculty of health sciences ethical committee and the written permissions of the studied hospitals were obtained before conducting the study. The relationship between breastfeeding selfefficacy and. View of application and validation of breastfeeding selfefficacy. The higher the score, the more confident a mother is in her ability to breastfeed. Since the first mother and baby i tried to help in my. A scale format was chosen that presented all items positively 34. Survey module on exclusive breastfeeding selfefficacy as implemented in postnaps. Perceived selfefficacy is the selfdecision about the ability level in doing something. A randomized controlled trial of innovative postpartum care. Breastfeeding selfefficacy scaleshort form is a valid and reliable. This study aimed to examine the reliability and validity of the persian version of bsessf in iranian mothers. The breastfeeding self efficacy short form bsessf is a 14 item tool with high internal consistency cronbachs. The results of this study suggest that the prenatal breastfeeding workshop had a positive effect on maternal breastfeeding self efficacy and on the amount women were breastfeeding. The sample consisted of 306 adult mothers and 94 adolescent mothers.
The breastfeeding selfefficacy scale bses was developed by dennis and faux in 1999 to assess breastfeeding confidence. Mothers milk is the most appropriate food for infants. Efficacy scale short form bsessf in brazilian adolecent puerperal. The purpose of this methodological study was to translate the breastfeeding self efficacy scale bses into mandarin and determine the psychometric characteristics among a sample of 186 chinese women. International breastfeeding journal, 8, article number. In a study by loke and chan on 199 women in postpartum period using the breastfeeding self efficacy scale short form mbsessf results showed that women with higher score of breastfeeding self efficacy were more intended to have exclusive breastfeeding six. Resources for assessing breastfeeding nursing best practice.
May 18, 2018 for adaptation of the prenatal breastfeeding selfefficacy scale to turkish, written permission of kristen wells, who developed the scale, was obtained. The instruments used in this study were prenatal breastfeeding self efficacy scale pbses and breastfeeding self efficacy scale short form bsessf. Dennis developed the breastfeeding selfefficacy scale bses available upon request. Bandura 8 suggested that human behavior is influ enced by self efficacy. The purpose of this study was to assess the psychometric properties of the bses. Using the conceptual frameworks of both donabedian and breastfeeding self efficacy theory, a multifaceted approach was implemented targeting all pregnant women in this organization. The impact of antenatal breastfeeding education on young. Population correlation estimates of the breastfeeding selfefficacy scale to measure exclusive. Dennis and faux devised the original breastfeeding self efficacy scale to measure a mothers self efficacy in regards to breastfeeding in 1999. We validated the italian version of breastfeeding self efficacy scale short form.
Clinical utility of the breastfeeding self efficacy scale. Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development 3. Applying their own conceptual framework of insufficient milk supply to capture determinants to breastfeeding, they developed a questionnaire. Impact of prenatal colostrum expression on breastfeeding. The bses short form developed by denis includes 14 items which assess breastfeeding self efficacy dennis, 2003.
The bsessf will only be administered to mothers who are breastfeeding, expressing their own breastmilk, attempting to breastfeed, or are planning to breastfeed. Reliability and validity of a turkish version of the prenatal. Appendix 3 questionnaire including bsessf retrospective. The breastfeeding selfefficacy scale bses was developed by dennis and. Breastfeeding self efficacy bse refers to a mothers confidence in her ability to breastfeed her infant dennis, 1999.
The efficacy of breastfeeding in chinese women with different. Over time, maternal breastfeeding self efficacy scores increased in both groups. Fiftyeight respondents were involved in this study. Self efficacy was an important predictor of the length of breastfeeding in mothers of late preterm infants and the bsessf can be used to detect low self efficacy that could lead to. Challenges to breastfeeding may undermine bfse, but secondline strategies including nipple shields, syringe, cup, supply line and bottle feeding may support breastfeeding until challenges are resolved. Improving selfesteem and building selfconfidence in. The effect of prenatal education on maternal breastfeeding.
Using selfefficacy theo ry as a conceptual framework, the breastfeeding. This scale is a 33item, selfadministered instrument, where items are preceded by the phrase i can always and scored on a 5point likert scale ranging from 1 not at all confident to 5 always confident. Breastfeeding selfefficacy measurement tool breastfeeding self efficacy scale short form developed by dr. The response options were from 1not confident to 5always confident, with scores ranging from 15. The impact of coworker support and stigma on breastfeeding. Breastfeeding selfefficacy will be measured using the modified breastfeeding selfefficacy scale short form bsessf. Jun 12, 2019 an initial needs assessment was performed to assess selfefficacy of the support group attendees using the general selfefficacy scale gse. An innovative youthinformed bf program for young women was designed and implemented, which included staff training, a prenatal bf. For example, research has shown that women scored higher on breastfeeding self efficacy scales at 2 days and at 4 weeks postpartum if they had observed breastfeeding role models through videotapes, if they received praise from their partners for breastfeeding, or if their own mothers had significantly higher levels of breastfeeding self efficacy.
Over time, maternal breastfeeding self efficacy scores increased in both groups with the intervention group having higher scores. This scale is an instrument which can characterise the beliefs and. The purpose of this study was to reduce the number of items on the original breastfeeding self. Application and validation of breastfeeding selfefficacy scale. Recent studies have identified that enhanced maternal self efficacy is a modifiable variable associated with successful breastfeeding outcomes kingston 2007 3. That is why we focused on self efficacy and associated factors. Newborn breastfeeding assessment a photo gallery of newborns that includes a series of images of the mouth and neurological reflexes e. Breastfeeding selfefficacy scale short form to obtain the mother. The purposes of this study were to create, test, and validate a new scale to measure prenatal breastfeeding self efficacy, test the reliability of the scale, determine the correlation between prenatal breastfeeding self efficacy and breastfeeding intention, and assess the differences in prenatal breastfeeding self efficacy by the.
Breastfeeding self efficacy and breastmilk feeding for moderate and late preterm infants in the family integrated care trial. The results showed that maternal age, occupation, mode of delivery, skin to skin, breastfeeding experience, extent of breastfeeding in the hospital, postpartum depression, and social support influenced breastfeeding selfefficacy. Read updating the usda national breastfeeding campaign. Feasibility of a touch screen computer based breastfeeding. Translation and validation of the breastfeeding self. The primary outcome was breastfeeding self efficacy measured with the breastfeeding self efficacy scale short form, translated into persian, at 8 weeks postpartum. Despite the significant research on the barriers to breastfeeding and the many efforts to promote and support it, almost every country in the world fails to meet the who recommendations for breastfeeding. Pdf breastfeeding selfefficacy and breastmilk feeding. When the respondent obtains between 14 and 32 points, she is considered to have low efficacy. Resources for assessing breastfeeding nursing best. Pdf randomized controlled trial of a prenatal breastfeeding. Breastfeeding selfefficacy among adolescent mothers. Translation and validation of the breastfeeding self efficacy scale into chinese.
The effect of interventional program on breastfeeding self. Improving breastfeeding knowledge, selfefficacy and. Dec 20, 20 breastfeeding self efficacy bfse supports breastfeeding initiation and duration. Prenatal breastfeeding intervention program to increase. Factors associated with self efficacy in breastfeeding support among phns. Increasing breastfeeding self efficacy across the prenatal to. The breastfeeding self efficacy scores were obtained using the brazilian version of the breastfeeding self efficacy scale.
Pdf the breastfeeding selfefficacy scaleshort form. Increasing breastfeeding self efficacy across the prenatal to postpartum spectrum cindylee dennis, phd professor in nursing and psychiatry, university of toronto canada research chair in perinatal community health research chair in womens health, st. The breastfeeding self efficacy scale short form bsessf was administered to participants before and after participating in the bf program. Bsessf which comprises 14 fivepoint likert scale questions with a total score of 70. The importance of breastfeeding self efficacy for successful.
Effects of an educational technology on selfefficacy for. The breastfeeding self efficacy scale short form bsessf was developed to measure a mothers. Today, many international and national organizations stron gly advocate breastfeeding 4. Therefore, this study examined the effects of a self efficacy intervention for primiparous mothers on breastfeeding self efficacy, breastfeeding duration and exclusivity and compared these outcomes with a referent group of women. Breastfeeding self efficacy refers to a mothers confidence about her ability to breastfeed, which has been found to shape her choice about whether or not to do so.
The final scale items and associated dimensions were tested for their predictive and discriminant validity, as well as known group comparison. Two dimensions of the adapted scale, the breastfeeding self efficacy scale to measure exclusive breastfeeding bsesebf emerged. Breastfeeding self efficacy scale short form to obtain the mother. The purpose of this methodological study was to develop and conduct preliminary psychometric assessment of an instrument to measure confidence in new breastfeeding mothers. Breastfeeding selfefficacy in a sample of wic participants. Whilst initiation rates were high in this group, there was no statistically significant link with breastfeeding self efficacy and the duration and continuation of breastfeeding. Effectiveness of a brief motivational intervention to. The items on the scale are rated on a 5point likert scale ranging from 1 not at all confident to 5 always confident. Pdf development and psychometric testing of the breastfeeding. The bses was originally designed as a 33item instrument but following a second methodological study, several items were deleted using explicit reduc tion criteria and the bses was shortened to 14 items dennis, 2003.
We validated the italian version of breastfeeding selfefficacy scale short form. Breastfeeding selfefficacy and related factors in postpartum. Bsessf scores were summed to determine a composite score and compared descriptively using mean score. Pdf breastfeeding selfefficacy and breastmilk feeding for. Dennis revised the bses into a shorter version in 2003. Participants were assessed at the third trimester of pregnancy between 30 and 34 gestational weeks, and then at the. Dennis and faux 1999 further operationalised self ef. Impact of prenatal colostrum expression on breastfeeding self. The design was selected to estimate a treatment effect by comparing two groups of individuals, one group that receives the treatment experimental group, and the second group does not receive the treatment control group.
Increasing breastfeeding self efficacy across the prenatal. The breastfeeding selfefficacy scaleshort form bsessf. Journal of obstetrics, gynaecology and neonatal nursing, 32, 734744. Survey module on exclusive breastfeeding selfefficacy as. A crosssectional survey of working adults assessed effects of perception of fairness, coworkers support for breastfeeding colleagues, and ick response on willingness to help mothers needing breaks to pump breastmilk at work. Recent studies have identified that enhanced maternal selfefficacy is a modifiable variable associated with successful breastfeeding outcomes kingston 2007 3.
Previous studies have revealed conflicting results for the breastfeeding assessment score bas in predicting early breastfeeding cessation. Breastfeeding selfefficacy and breastmilk feeding for. I will always be able to determine that my baby is getting enough milk. The purpose of this study was to examine the relationship between breastfeeding selfefficacy and perceived insufficient milk among japanese mothers.
Evaluate the clinical use of the breastfeeding selfefficacy scale as predictive of. The breastfeeding self efficacy scale short form, when administered at 1 week, was shown to be a reliable predictor of breastfeeding behavior at 3 and 12 weeks postpartum. Psychometric assessment of the short form cindylee dennis objective. Adaptation and psychometric evaluation of the breastfeeding self. I will always be able to breastfeed my baby without using formula as a. A discrete indirect effect of brief motivational intervention through increased breastfeeding self. Using selfefficacy theo ry as a conceptual framework, the breastfeeding selfefficacy scale. The breastfeeding selfefficacy scaleshort form bsessf is a widely used instrument that measures breastfeeding selfefficacy. Interventions to improve breastfeeding selfefficacy and. The breastfeeding selfefficacy scaleshort form assesses breastfeeding selfefficacy bse or confidence.
The purpose of this study was to examine the relationship between breastfeeding self efficacy and perceived insufficient milk among japanese mothers. The concept of selfefficacy is based on banduras social cognitive theory. The breastfeeding self efficacy scale short form, was found to be a reliable tool to test this. Predictive and discriminant validity and known group comparisons assessments supported its validity. The primary outcome was breastfeeding selfefficacy measured with the breastfeeding selfefficacy scaleshort form, translated into persian, at 8 weeks postpartum. Development and psychometric testing of the breastfeeding self efficacy scale. Breastfeeding selfefficacy of women using secondline. Again in relation to insuf 1977 recommendations, a scale format was cho ficient. In this study, the mean bses score in postpartum vietnamese women was 141. Bsessf is an excellent instrument for measuring breastfeeding self efficacy and is considered appropriate for clinical use such as identifying highrisk breastfeeding mothers, assessing breastfeeding.
Breastfeeding self efficacy scale short form sample questions. Research has shown that a significant predictor of breastfeeding duration is a mothers confidence in her ability to. Breastfeeding self efficacy refers to a mothers self confidence or perception of her own ability to breastfeed, which has been found to shape her choice about whether or not to do so dennis, 2006. Abstractthis study assessed the impact of coworker support on lactating mothers breastfeeding selfefficacy after maternity leave. Sf, is a significant predictor of breastfeeding outcomes in diverse samples.
Validation of the breastfeeding selfefficacy scale the purpose of this methodological investigation, part of a prospective cohort study, was to test the reliability and validity of the breastfeeding selfefficacy scaleshort form bsessf among aboriginal women. We used the original data from a prospective cohort study. Maternal breastfeeding self efficacy bse is reflective of a mothers confidence in breastfeeding and is a modifiable factor that may improve breastfeeding rates. Since the first mother and baby i tried to help in my help. Cindylee dennis evidence of construct validity and reliability 14 items for quick completion translated and adapted in several countries pregnancy and postpartum forms used with permission 2012 mfmer slide10. Enhancing breastfeeding selfefficacy through prenatal. Breastfeeding and breastfeeding continuation rates in. Sources of information for breastfeeding selfefficacy. The breastfeeding selfefficacy scale short form, when administered at 1 week, was shown to be a reliable predictor of breastfeeding behavior at 3 and 12 weeks postpartum. Our objective was to externally validate the bas and provide summary accuracy estimates for this clinical prediction model.