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http://dx.doi.org/10.4040/jkan.2009.39.2.259

Development of a Breast Feeding Adaptation Scale (BFAS)  

Kim, Sun-Hee (Department of Nursing Science, Ewha Womans University)
Publication Information
Journal of Korean Academy of Nursing / v.39, no.2, 2009 , pp. 259-269 More about this Journal
Abstract
Purpose: The aim of this study was to develop a breast feeding adaptation scale (BFAS) to evaluate adaptation to breastfeeding for breastfeeding mothers and their infants and to test the validity and reliability of the instrument. Methods: The study was conducted as follows: application of the conceptual framework, identification of the content domains, items generation, and test of validity and reliability. In order to test validity and reliability, two panels of experts reviewed items and subcategories of the preliminary questionnaire and then data were collected from 329 mothers who were up to 4 weeks postpartum and breastfeeding. Descriptive statistics, t-test, factor analysis, and Cronbach's alpha were used to analyze the data. Results: The conceptual framework was based on the Roy adaptation model. The content domains were developed via literature review, review of instruments, and data acquired from the interviews of breastfeeding mothers and nurses. A total of 69 items belonging to 8 domains were generated. A reduction to 44 preliminary items was accomplished through content validity analysis. Factor analysis extracted 8 factors with a total of 27 items on a 5-point Likert scale. Content validity, construct validity, criterion validity, and reliability of the BFAS were established. Conclusion: The newly developed BFAS is a reliable and valid instrument with which the adaptation of breastfeeding mothers and their infants to the breastfeeding behavior can be evaluated.
Keywords
Adaptive behavior; Breast feeding;
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1 Ahluwalia, I. B., Morrow, B., & Hsia, J. (2005). Why do women stop breastfeeding? Findings from the Pregnancy Risk Assessment and Monitoring System. Pediatrics, 116, 1408-1412   DOI   ScienceOn
2 Hill, P. D., & Humenick, S. S. (1996). Development of the H & H Lactation Scale. Nursing Research, 45, 136-140   DOI   ScienceOn
3 Huggins, K., & Ziedrich, L. (2007). The nursing mother's guide to weaning. Boston, MA: The Harvard Common Press
4 Kim, S. H. (2001). Breastfeeding knowledge and attitude of the female university students. Unpublished master's thesis, The Catholic University of Korea, Seoul
5 Kim, S. J., & Yang, S. J. (1997). A study of primiparous women's breastfeeding experience. Journal of Korean Academy of Nursing, 27, 477-488   과학기술학회마을   ScienceOn
6 Lee, Y. S., Im, H. S., Ahn, H. S., & Jang, N. S. (2006). Nutrition throughout the life cycle (2nd ed.). Paju: KyoMunSa
7 Leff, E. W., Jeffereis, S. C., & Gagne, M. P. (1994). The development of the Maternal Breastfeeding Evaluation Scale. Journal of Human Lactation, 10, 105-111   DOI   ScienceOn
8 Punthmatharith, B., & Singh, J. (2005). A psychometric assessment of the H & H lactation scale in a sample of Thai mothers using a repeated measurement design. Nursing Research, 54, 313-323   DOI   ScienceOn
9 Moran, V. H., Dinwoodie, K., Bramwell, R., & Dykes, F. (2000). A critical analysis of the content of the tools that measure breastfeeding interaction. Midwifery, 16, 260-268   DOI   ScienceOn
10 Lee, K. H., Park, Y. J., Byeon, S. J., Yu, E. G., Lee, M. R., Lee, Y. S., et al. (1998). Women's health nusing I. Seoul: HyeonMoonSa
11 Isabella, P. H., & Isabella, R. A. (1994). Correlates of successful breastfeeding: A study of social personal factor. Journal of Human Lactation, 10, 257-264   DOI   ScienceOn
12 Lawson, K., & Tulloch, M. I. (1995). Breastfeeding duration: Prenatal intentions and postnatal practices. Journal of Advanced Nursing, 22, 841-849   DOI   PUBMED
13 American Academy of Pediatrics (AAP) Section on breastfeeding. (2005). Breastfeeding and the use of human milk. Pediatrics, 115, 496-506   DOI   PUBMED   ScienceOn
14 Kim, H. S. (1994). Potential determinant factors of insufficient milk supply syndrome. Journal of Korean Academy of Nursing, 24, 33-46   과학기술학회마을
15 Roy, S. C., & Andrews, H. A. (1999). The Roy adaptation model (2nd ed.). Stamford, CT: Appleton & Lange
16 Streiner, D. L., & Norman, G. R. (2003). Health measurement scales: A practical guide to their development and use (3rd ed.). New York, NY: Oxford University Press
17 Dennis, C. L. (2002). Breastfeeding initiation and duration: A 1990- 2000 literature review. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 31, 12-32   DOI   ScienceOn
18 International Lactation Consultant Association (ILCA). (2005, June). Clinical guidelines for the establishment of exclusive breastfeeding. Retrieved June 20, 2007, from http://www.ilca.org/ Clinical-Guidelines2005.pdf
19 Tinsley, H. E., & Tinsley, D. J. (1987). Uses of factor analysis in counseling psychology research. In R. F. DeVellis (Ed.), Scale development: Theory and applications (pp. 137). Thousand Oaks, CA: Sage Publications
20 Academy of Breastfeeding Medicine Korea. (2006). New mother's guide to breastfeeding. Seoul: $E^{\ast}PUBLIC$
21 Chezem, J., Friesen, C., & Boettcher, J. (2003). Breastfeeding knowledge, breastfeeding confidence, and infant feeding plans: Effects on actual feeding practices. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32, 40-47   DOI   ScienceOn
22 Cadwell, K., Turner-Maffei, C., O'Connor, B., Blair, A. C., Arnold, L. D., & Blair, E. M. (2006). Maternal and infant assessment for breastfeeding and human lactation: A guide for the practitioner (2nd ed.). Sudbury, MA: Jones and Bartlett Publishers
23 Kim, H. S. (1995). Analysis of the content of telephone counseling with breastfeeding mothers. Journal of Korean Academy of Nursing, 25, 17-29   과학기술학회마을
24 Lee, S. O., Chung, E. S., Ahn, S. H., Moon, G. N., & Park, N. H. (2003). A study of predictors of breastfeeding. Korean Journal of Child Health Nursing, 9, 368-375   과학기술학회마을
25 Ministry of Health and Welfare. (2006, July 5). 2005 Korean national health and nutrition survey: Nutrition survey. Retrieved October12, 2007, from http://www.mw.go.kr/front/al/sal0301vw.jsp? PAR_MENU_ID=04&MENU_ID=0403&page=1&BOAR D_ID=140&BOARD_FLAG=&CONT_SEQ=38330&SEA RCHKEY=TITLE&SEARCHVALUE=국민건강영양& CREATE_DATE1=&CREATE_DATE2=
26 Dennis, C. L., & Faux, S. (1999). Development and psychometric testing of the breastfeeding self-efficacy scale. Research in Nursing &Health, 22, 399-409   DOI   ScienceOn
27 Kim, Y. M. (2006). Effects of breastfeeding empowerment program on exclusive breastfeeding. Unpublished doctoral dissertation, Seoul National University, Seoul
28 Kong, S. K., & Lee, D. T. (2004). Factors influencing decision to breastfeed. Journal of Advanced Nursing, 46, 369-379   DOI   ScienceOn
29 Jeong, G. H. (1997). Effects of the nursing intervention program on promoting the breastfeeding practice in primipara. Unpublished doctoral dissertation, Ewha Womans University, Seoul
30 Kendall-Tackett, K., & Sugarman, M. (1995). The social consequences of long-term breastfeeding. Journal of Human Lactation, 11, 179-183   DOI   ScienceOn