Predicting breast-feeding attrition: adapting the breast-feeding attrition prediction tool.
J Perinat Neonatal Nurs
; 21(3): 216-24, 2007.
Article
en En
| MEDLINE
| ID: mdl-17700098
CONTEXT: Current breast-feeding rates fall short of the recommendations set forth in Health People 2010. The Breast-feeding Attrition Prediction Tool (BAPT), administered in the postpartum period, has been useful in predicting breast-feeding attrition. However, assessing a woman's intention to breast-feed prior to birth would identify women at risk for breast-feeding attrition. PURPOSE: The purpose of this study was to describe a revised BAPT, administered antepartally that measures intention to breast-feed. METHODS: The BAPT, comprising 94 items on a 6-point Likert-type scale, was translated into Spanish and back-translated for accuracy. The BAPT was then revised by reducing the number of items to 35 (32 were used for analysis) and contracting the 6-point scale to 3 categories. A Bayesian item response model provided the psychometric properties of the revised BAPT. RESULTS: The revised BAPT was completed by 143 Mexican American pregnant women. Items, some reverse scored, were recoded as "agree" versus "disagree." Item analyses indicated a wide range of item discriminabilities, with most items being useful measures of intention to breast-feed. Person analyses provided scores for intention to breast-feed. A simpler scoring system was devised for applications. CONCLUSIONS: The revised BAPT shows promise as a measure of intention to breast-feed. The scoring system also indicates which women may need additional interventions to promote breast-feeding.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Lactancia Materna
/
Conocimientos, Actitudes y Práctica en Salud
/
Encuestas y Cuestionarios
/
Americanos Mexicanos
/
Intención
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Equity_inequality
Límite:
Female
/
Humans
País/Región como asunto:
Mexico
Idioma:
En
Revista:
J Perinat Neonatal Nurs
Asunto de la revista:
ENFERMAGEM
/
PERINATOLOGIA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos