Purpose This study aimed to develop and examine the validity and reliability of a self-efficacy scale for preventive health management related to premature labor (PHMSE-PL) for women of childbearing age.
Methods Instrument development and validation were undertaken in three steps: conceptualization through a literature review and in-depth interviews, item generation and evaluation of content validity, and evaluation of construct validity and reliability. The content validity, factorial structure validity, and internal consistency reliability of the PHMSE-PL were evaluated, and cognitive interviewing was undertaken. Data were analyzed using confirmatory factor analyses, Cronbach's α, and 95% confidence intervals (CIs).
Results The content validity was assessed by experts and was strengthened through cognitive interviews with women of childbearing age. The PHMSE-PL comprised 34 items across five factors. The construct validity of the PHMSE-PL was supported. Cronbach's α for the total scale was .97 (95% CI=.96-.97).
Conclusion An evaluation of the psychometric properties of the PHMSE-PL scale found it to be a valid and reliable tool for women of childbearing age. The scale appears to be useful for women of childbearing age to self-assess their preventive health management self-efficacy related to premature labor and for health professionals to evaluate and promote women's preventive health management.
Citations
Citations to this article as recorded by
The preventive health management self‐efficacy related to preterm labor scale in reproductive‐aged women: Validation of Turkish reliability and factor structure Ebru Cirban‐Ekrem, Zeynep Daşıkan, Şenay Ünsal‐Atan Journal of Obstetrics and Gynaecology Research.2024; 50(12): 2309. CrossRef
Development and effects of a webtoon education program on preventive self-management related to premature labor for women of childbearing age: a randomized controlled trial Sun-Hee Kim Korean Journal of Women Health Nursing.2022; 28(3): 250. CrossRef
Purpose This study sought to develop the Breastfeeding Adaptation Scale-Short Form(BFAS-SF) for use at 4 weeks postpartum, to test its validity and reliability, and to examine its measurement invariance. The latent mean score of the BFAS-SF across multiple groups was also compared.
Methods This methodological research study was conducted to develop a short form of the BFAS and to test its psychometric properties and measurement invariance. Data were collected twice for measurement invariance testing. The sample included 431 and 272 breastfeeding mothers at 2 weeks and 4 weeks postpartum, respectively.
Results Confirmatory factor analysis supported six dimensions of the BFAS-SF at 4 weeks postpartum. Multi-group confirmatory factor analysis revealed evidence for invariance of the BFAS-SF according to employment status, parity, delivery mode, and the postpartum period. There were statistically significant latent mean differences. Mothers who were unemployed and who had a vaginal delivery showed significantly higher scores for breastfeeding confidence, sufficient breast milk, and baby’s satisfaction with breastfeeding.
Conclusion The BFAS-SF is valid, reliable, and an appropriate instrument for assessing mothers’ breastfeeding adaptation. It can be used to compare mean scores according to employment status and delivery mode.
Citations
Citations to this article as recorded by
Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review Sofia Segura‐Pérez, Linda Richter, Elizabeth C. Rhodes, Amber Hromi‐Fiedler, Mireya Vilar‐Compte, Misikir Adnew, Kate Nyhan, Rafael Pérez‐Escamilla Maternal & Child Nutrition.2022;[Epub] CrossRef
Measurement Invariance and Latent Mean Differences in the Nurses' Emotional Labour Scale Sun-Hee KIM, Eunkyung LEE, Jin-Hwa PARK Journal of Nursing Research.2022; 30(6): e239. CrossRef
Factors Influencing Quality of Life in Early Postpartum Women Yu-Jeong Jeong, Ju-Hee Nho, Hye Young Kim, Ji Young Kim International Journal of Environmental Research an.2021; 18(6): 2988. CrossRef
Emzirme Adaptasyon Ölçeği Türkçe Geçerlik ve Güvenirlik Çalışması Yasemin DİNÇEL, Resmiye ÖZDİLEK Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimler.2021; 3(3): 190. CrossRef
Breastfeeding Adaptation Scale-Short Form for mothers at 2 weeks postpartum: construct validity, reliability, and measurement invariance Sun-Hee Kim Korean Journal of Women Health Nursing.2020; 26(4): 326. CrossRef
Purpose This study aimed to identify factors associated with maternal attachment of breastfeeding mothers, with a focus on the mothers' breastfeeding characteristics.
Methods Data were collected from 217 mothers who breastfed their healthy baby for 1 month after childbirth and had no postpartum complications. The data were analyzed by hierarchical regression analysis.
Results The factors significantly associated with maternal attachment were an emotional exchange with one's baby (β=.41, p<.001), breastfeeding confidence (β=.20, p=.022), depression ('quite a bit or more', β=-.18, p=.005), and depression ('a little', β =-.14, p=.024). The model explained 38.4% of variance in maternal attachment.
Conclusion In order to improve attachment, nurses should be actively supported in helping mothers in the first month postpartum adapt to breastfeeding. Interventions to prevent postpartum depression should also be conducted.
Citations
Citations to this article as recorded by
The Relationship Between Maternal Attachment and Sexual Self-Confidence in Breastfeeding Women Figen Turk Dudukcu, Berna Bayır, Duygu Yokuş Sexuality Research and Social Policy.2025;[Epub] CrossRef
The role of breastfeeding and formula feeding regarding depressive symptoms and an impaired mother child bonding Clara Carvalho Hilje, Nicola H. Bauer, Daniela Reis, Claudia Kapp, Thomas Ostermann, Franziska Vöhler, Alfred Längler Scientific Reports.2024;[Epub] CrossRef
Breastfeeding and maternal attachment: The moderating roles of maternal stress and child behavior Gemma López-Fernández, Maite Barrios, Juana Gómez-Benito Journal of Pediatric Nursing.2023; 69: e80. CrossRef
Quality of prenatal care and maternal fetal attachment among primigravid mothers in the Philippines: A cross sectional study Artemio M. Gonzales, Teresita I. Barcelo Midwifery.2023; 127: 103842. CrossRef
Determining the Emotions and Thoughts of Mothers During the Process of Weaning the Babies: A Qualitative Study Funda Tosun Güleroğlu, Elif Uludağ, Sevim Çimke Journal of Ankara University Faculty of Medicine.2023; 76(3): 180. CrossRef
Predicting Maternal Attachment: The Role of Emotion Regulation and Resilience during Pregnancy Berkan ŞAHİN Journal of Basic and Clinical Health Sciences.2022; 6(1): 105. CrossRef
Concept analysis of maternal-infant attachment during the weaning process Artemio M. Gonzales Jr, Lourdes Marie S. Tejero Belitung Nursing Journal.2022; 8(5): 381. CrossRef
Intergenerational Transmissible Meanings in Breastfeeding in Spain: A Phenomenological Study Rocío Rodriguez-Vazquez, Raquel Jiménez-Fernández, Inmaculada Corral-Liria, Susana Cabrera-Fernandez, Marta Elena Losa-Iglesias, Ricardo Becerro-de-Bengoa-Vallejo Journal of Pediatric Nursing.2020; 51: e108. CrossRef
Perception des mères sur l’établissement de la relation mère-enfant en contexte d’allaitement difficile ayant mené au sevrage Marie-Magdeleine Dubé, Linda Bell, Marie Lacombe Revue Francophone Internationale de Recherche Infi.2020; 6(4): 100208. CrossRef
Antenatal Depressive Symptoms and Associated Risk Factors among Pregnant Women Seung Jae Baek, Ji-ae Yun, Ji ae Nam, Eun Young Seo, Seo Young Kwon, Chang Hwa Lee, Kyeong-Sook Choi Journal of Korean Neuropsychiatric Association.2019; 58(4): 346. CrossRef
, Yu-Jin Lee
First
Prev
