Reliability and validity of the Romanian version of a scale to measure infant feeding attitudes and knowledge
Autor: | Claibourne I. Dungy, Ioana Andreea Dirle, Emanuela Sirlincan, Răzvan M. Cherecheş, Florin Oprescu, Alexandra Brînzaniuc, Anne B. Wallis, Ioana David |
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Rok vydání: | 2008 |
Předmět: |
Adult
medicine.medical_specialty Pediatrics Health Knowledge Attitudes Practice Psychometrics Breastfeeding Mothers Test validity Cohort Studies Pregnancy Surveys and Questionnaires Medicine Humans business.industry Romania Infant Newborn Infant Reproducibility of Results General Medicine medicine.disease Breast Feeding Family medicine Pediatrics Perinatology and Child Health Cohort Residence Female business Breast feeding Cohort study |
Zdroj: | Acta paediatrica (Oslo, Norway : 1992). 97(9) |
ISSN: | 0803-5253 |
Popis: | Aim To describe the development and testing of the Romanian version of the Iowa Infant Feeding Attitude Scale (IIFAS-R). The original instrument has well-established psychometrics for use in English-speaking countries. Methods Questionnaires including demographics and items about prior pregnancy and opinions about breastfeeding in public were administered to women in Cluj-Napoca, Romania, attending antenatal clinic (n = 336) and to a separate cohort of mothers within 24 h of delivery (n = 276). Postpartum follow-up was conducted with a sample of maternity cohort subjects who initiated breastfeeding in the hospital (n = 52). Results Internal consistency was adequate in both cohorts (antenatal alpha= 0.50; maternity alpha= 0.63), with improved reliability for antenatal multigravid (alpha= 0.60) and university-educated women (alpha= 0.57). Score distributions were comparable and item means were approximately central across cohorts. Among pregnant women, higher scores (more positive towards breastfeeding) were associated with longer planned maternity leave (chi2= 17.8; p = 0.02). Higher maternity cohort scores were associated with age (r = 0.31, p = 0.003), urban residence (chi2= 10.2, p = 0.04), breastfeeding a prior infant for at least 6 weeks (chi2= 6.4, p = 0.04), and with intending to breastfeed for at least 6 weeks (chi2= 4.7, p = 0.03). Postpartum women still breastfeeding at follow-up also scored higher (chi2= 9.3, p = 0.009). Conclusion This is the first study to report on use of the IIFAS in Eastern Europe. The IIFAS-R is easy to administer, reliable and valid in Romania. The IIFAS-R can support data collection to promote and assess breastfeeding initiatives consistent with World Health Organization recommendations. |
Databáze: | OpenAIRE |
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