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Development and psycometric testing of an instrument to assess existential aspects of mother's initial breastfeeding difficulties (ExBreastS)
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (Vårdande, hälsa och lärande samt Livsvärldsgruppen)ORCID iD: 0000-0002-4319-4584
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2019 (English)In: Sexual and reproductive healthcare, Vol. 19, p. 88-94Article in journal (Refereed) Published
Sustainable development
According to the author(s), the content of this publication falls within the area of sustainable development.
Abstract [en]

Objective: Mothers who have negative breastfeeding experiences due to initial breastfeeding difficulties are indemanding existential situations. Therefore, it is important for healthcare professionals to identify and addresssuch breastfeeding problems. The aim of this study was to develop an instrument designed to assess existentialaspects of mothers’ initial breastfeeding difficulties and evaluate its psychometric properties.

Methods: This study reports on the development of a new instrument and was carried out in three steps: (1) aquestionnaire about various existential aspects of initial breastfeeding difficulties, based on 66 items derivedfrom two phenomenological studies, was developed; (2) information was collected using the questionnaire; (3)and the resulting data were statistically analysed. Spearman’s correlation coefficient was used to assess comparativevalidity; exploratory factor analysis with principal axis factoring and varimax rotation were used toassess construct validity; and Cronbach’s alfa was used to assess internal consistency and reliability. Threehundred and nine Swedish-speaking mothers aged 20–46 participated in the study.

Results: Correlation and factor analysis of the 66 items revealed that 16 of the items were of psychometric valueand valid. Factor analysis generated three factors that accounted for 62.9% of the total variance: Mother-Child Interdependency, Exposure and Vulnerability and Security and Trust. The instrument shows adequate sensitivity toidentify existential aspects of mothers’ initial breastfeeding difficulties.

Conclusion: The instrument satisfactorily assesses existential aspects of initial breastfeeding difficulties and canbe used as a sensitive tool by healthcare professionals to screen for and identify mothers who have negativebreastfeeding experiences.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 19, p. 88-94
Keywords [en]
Breastfeeding, existential, instrument, psycometric
National Category
Nursing
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-15748DOI: 10.1016/j.srhc.2019.01.005Scopus ID: 2-s2.0-85060938451OAI: oai:DiVA.org:hb-15748DiVA, id: diva2:1287831
Available from: 2019-02-12 Created: 2019-02-12 Last updated: 2019-02-13Bibliographically approved

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Palmér, LinaJutengren, Göran

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