Jun 15, 2016 selfefficacy is an important indicator of a womans successful transition to her maternal role and an important predictor of a mothers infant care behavior. The breastfeeding self efficacy scale short form bsessf was administered to the intervention group prior to the breastfeeding class, at the end of the class, prior to. The purpose of this methodological study was to develop and conduct preliminary psychometric assessment of an instrument to measure confidence in new breastfeeding mothers. The bsessf consists of 14 items and was designed to measure breastfeeding self efficacy among postpartum women in canada. This study examined whether perceived parental self efficacy was related to childrearing attitudes among 1 firsttime mothers of 6 to 12monthold infants. Torres et al spanish breastfeeding selfefficacy scale. The breastfeeding selfefficacy scale shortform bsessf in english version will be translated into national language which is malay language in order to help the respondent understand the questions. Chinese adaptation of the general selfefficacy scale. One variable, maternal self efficacy was derived from this measure. Factors influencing selfefficacy in breastfeeding support. Journal of obstetric gynecologic neonatal nursing 326 pages 734744 dennis c. Psychometric properties of the swedish childbirth self. We modified and added items from dennis breastfeeding self efficacy scale short form bsessf.
As such, breastfeeding self efficacy is a salient variable in breastfeeding duration, as it predicts a whether a mother chooses to breastfeed, b how much effort she will expend, c whether she will persevere in her attempts until mastery is achieved, d whether she will have self enhancing or self defeating thought patterns, and e how. The history of self efficacy in banduras social learning theory 1977, the theory that renamed to the social cognitive theory in 1986. Perceived parental self efficacy was measured using the maternal self efficacy scale d. This study aimed to examine the reliability and validity of the persian version of bsessf in iranian mothers. Breastfeeding attitudes and confidence among mothers in a. Your answers will be kept strictly confidential and will. The bses is an ordinal scale in which all items are preceded by the phrase i can always and anchored with a 5. Several studies have shown that women who have increased confidence in their ability to breastfeed were more likely to. Whether she will have self enhancing or self defeating thought patterns 4. The impact of parity on breastfeeding duration may be explained by physiological as well as psychosocial factors. Breastfeeding selfefficacy and breastmilk feeding for. Maternal selfefficacy and perceived stigma among mothers of. Teacher selfefficacy scale this questionnaire is designed to help us gain a better understanding of the kinds of things that create difficulties for teachers in their school activities.
Dennis and faux devised the original breastfeeding selfefficacy scale to measure a mothers selfefficacy in regards to breastfeeding in 1999. The english version of bsessf was translated into persian using the standard forwardbackward translation procedure. The development of a new breast feeding assessment tool and. The breastfeeding self efficacy scale short form bsessf was developed to measure a mothers. Prenatal breastfeeding self efficacy scale measured the self efficacy during pregnancy and breastfeeding self efficacy short form measured the self efficacy in postnatal period.
Self efficacy scale for your study, given that appropriate recognition of the source of the scale is made in the writeup of your study. The breastfeeding self efficacy short form bsessf is a 14 item tool with high internal consistency cronbachs. This study included all mothers of full term healthy singleton infants from one private hospital in brisbane who. Validating the factors ofthe english and filipino versions. Cindylee dennis developed the breastfeeding self efficacy scale, which was used in this study to determine if higher levels of breastfeeding self efficacy indicated increased.
The responses are distributed by a 15item scale for the outcome expectancy scales and a 16item scale for the self efficacy expectancy scales. Data from a puerto rican population marcelina molina torres, mph, rene r. Background breastfeeding self efficacy can be measured with the breastfeeding self efficacy scale short form bsessf. Dennis revised the bses into a shorter version in 2003. It is important to determine the breastfeeding self e. Predictive and discriminant validity and known group comparisons assessments supported its validity. Breastfeeding selfefficacy and length of exclusive. Bandura 8 suggested that human behavior is influ enced by self efficacy. Efficacy scale short form bsessf in brazilian adolecent puerperal.
Breastfeeding self efficacy and length of exclusive breastfeeding among adolescent mothers ported having breastfed their baby in the first hour of life, and at the time of data collection in the roomingin unit 148 92. This study aims to identify mothers perception about breastfeeding selfefficacy through the bsessf instrument and to build socio demographic and obstetric profiles of the subjects. Pdf breastfeeding selfefficacy and breastmilk feeding. Clinical utility of the breastfeeding selfefficacy scale. Breastfeeding self efficacy bse refers to a mothers confidence in her ability to breastfeed her infant dennis, 1999.
Clinical utility of the breastfeeding self efficacy scale results from the previous research clearly suggest the bses has promising utility for clinical practice. Journal of obstetrics, gynaecology and neonatal nursing, 32, 734744. This scale is a 33item, self administered instrument, where. Early breastfeeding experiences following birth have been linked to maternal confidence levels10,11 12,and self efficacy levels, and may influence subsequent intended and actual duration of breastfeeding. The concept of self efficacy is considered one of the basic concepts in pandora theory.
The bses was published by dennis and faux to measure postpartum mothers breastfeeding self. Therefore, scores on a breastfeeding self efficacy scale were used to measure participants levels of self efficacy confidence. Breastfeeding self efficacy is a womans confidence in her ability to breastfeed and is a salient variable in the initiation and duration of breastfeeding. It could be used as an identification tool to help recognize those mothers who are likely to succeed at breastfeeding, as well as those who are at highrisk to discontinue and will. Determining a cutoff point for scores of the breastfeeding. The breastfeeding self efficacy scale short form bsessf was administered to the intervention group prior to the breastfeeding class, at the end of the class, prior to hospital discharge, and at 2 weeks postpartum. Therefore, the validity of the sense ofscale for use inthe philippine context isstill inquestion. Therefore, this study examined the effects of a self efficacy intervention for primiparous mothers on breastfeeding self efficacy, breastfeeding duration and exclusivity and compared these outcomes with a referent group of women. Information form developed by the researchers and the breastfeeding self efficacy scale short form bsessf developed by dennis. The data were evaluated with the spss program, using percentages, averages, the ttest, chisquare and anova. Challenges to breastfeeding may undermine bfse, but secondline strategies including nipple shields, syringe, cup, supply line and bottle feeding may support breastfeeding until challenges are resolved.
Turkish validity and reliability of the scale were done by tokat et al. The purpose of this study was to reduce the number of items on the original breastfeeding self. Increasing breastfeeding self efficacy across the prenatal. How much effort she will expend and whether she will persevere until mastery is achieved 3. Perceived stigma, child problem behaviors, and social support were all associated with maternal selfefficacy. Besides breastfeeding mothers with high self efficacy tend to be longer give milk to their infants than mothers with low self efficacy will be easier to weaning breastfeeding for infants. Permission to use the scale was granted by the owner. Maternal parenting self efficacy pse is a potential target for infant mental health interventions because it is associated with a number of positive outcomes for children and mothers. An innovative youthinformed bf program for young women was designed and implemented, which included staff training, a prenatal bf. Application and validation of breastfeeding selfefficacy scale short form bses sf in. Effectiveness of a breastfeeding selfefficacy intervention. For adaptation of the prenatal breastfeeding selfefficacy scale to turkish, written permission of kristen wells, who developed the scale, was obtained. Pdf application and validation of breastfeeding selfefficacy. Please indicate your opinions about each of the statements below by circling the appropriate number.
Mothers with low bsessf scores stop exclusive breastfeeding prematurely, but specific interventions can prevent that undesirable outcome. Survey module on exclusive breastfeeding selfefficacy as implemented in postnaps. The effects of a breastfeeding selfefficacy intervention. The purpose of this methodological study was to translate the breastfeeding self efficacy scale bses into mandarin and determine the psychometric characteristics among a sample of 186 chinese women. Parrilla rodriguez, md, mph, ibclc, cindylee dennis, rn, phd abstract.
Respondents completed the questionnaire of maternal breastfeeding evaluation scale mbes to identify maternal breastfeeding satisfaction. Sensitivity of the breastfeeding motivational measurement. Nonparametric statistical testing did not reveal any significant differences between mean self efficacy scores 81. International studies have measured bfse, with repeated reliability and validity, including one australian study 1926. Maternal breastfeeding self efficacy bse is reflective of a mothers confidence in breastfeeding and is a modifiable factor that may improve breastfeeding rates. Translation and validation of breastfeeding selfefficacy. The instruments used in this study were prenatal breastfeeding self efficacy scale pbses and breastfeeding self efficacy scale short form bsessf.
Cognitive and functional subscales, with alpha coefficients of 0. The role of intention and selfefficacy on the association. Theproblem maybeoneofcrossculturalvalidity of the scale. The purpose of this study was to reduce the number of items on the original breastfeeding selfefficacy scale bses and psychometrically assess the revised bsesshort form bsessf. However, there is currently a myriad of instruments for measuring breastfeeding self efficacy, which makes selection of an appropriate instrument difficult. Lee dennis developed the breastfeeding selfefficacy scale, which was used in this. Breastfeeding selfefficacy of mothers and the affecting factors. The spanish version of the prenatal breastfeeding self. This 10 itemscale assesses maternal self efficacy in relation to 9 specific mothering activities andincludes 1 global item.
Breastfeeding selfefficacy scaleshort form is a valid and reliable. It contains 51 self report items 7 point likert scale that cluster into four categories related to perceived value of breastfeeding, confidence to succeed, factors that influence. Application of breastfeeding selfefficacy scaleshort form. Prenatal breastfeeding intervention program to increase. Self efficacy framework with the intention to promote the conceptual development of breastfeeding confidence and to help support interventions dennis, 2010. Breastfeeding self efficacy consequences breastfeeding self efficacy has been shown to increase breastfeeding duration and exclusivity exclusive breastfeeding results in doserelated improvement in maternal and infant health outcomes. Bandura 1977 advocated a behaviourspecific approach to the study of selfefficacy, arguing that a measure of general selfefficacy in overall ability would be inadequate for tapping an individuals efficacy in managing tasks associated with a specific behaviour. Breastfeeding selfefficacy scale short form to obtain the mother.
Pdf psychometric characteristics of the breastfeeding. Using the conceptual frameworks of both donabedian and breastfeeding self efficacy theory, a multifaceted approach was implemented targeting all pregnant women in this organization. Breastfeeding self efficacy scale short form to obtain the mother. Breastfeeding selfefficacy as a dominant factor affecting maternal. The purpose of this study was to reduce the number of items on the original breastfeeding self efficacy scale bses and psychometrically assess the revised bsesshort form bsessf. Development and psychometric testing of the breastfeeding. Increasing the prevalence of optimal breastfeeding practices, including exclusive breastfeeding for 6 months, could prevent an estimated 823,000 child deaths annually. Enhancing breastfeeding selfefficacy through prenatal. Document resume leerkes, esther m crockenberg, susan. View of application and validation of breastfeeding selfefficacy scale. The effect of antenatal education on breastfeeding selfefficacy. Many new mothers discontinue breastfeeding prematurely because of difficulties encountered rather than maternal choice.
Development and psychometric testing of the breastfeeding self efficacy scale. Improving breastfeeding knowledge, selfefficacy and intent. Check the reliability and validity of breastfeeding self efficacy. Two dimensions of the adapted scale, the breastfeeding self efficacy scale to measure exclusive breastfeeding bsesebf emerged. We performed interitem and adjusted itemtest correlations, as well as exploratory factor analysis and parallel analysis at 1 month. Breastfeeding self efficacy has been shown to be a strong predictor of both breastfeeding initiation and duration and is therefore an important characteristic to be able to measure. The breastfeeding self efficacy scale bses was developed by dennis and faux in 1999 to assess breastfeeding confidence. Reliability and validity of a turkish version of the. Clinical utility of the breastfeeding selfefficacy scale results from the previous research clearly suggest the bses has promising utility for clinical practice. We translated into italian and validated the breastfeeding self efficacy scale short form bsessf and investigated its predictive ability and its relation with postpartum depression symptoms bsessf and edinburgh postnatal depression scale epds were administered 2 to 3 days after delivery to 122 mothers.
Using the conceptual frameworks of both donabedian and breastfeeding selfefficacy theory, a multifaceted approach was implemented targeting all pregnant women in this organization. This crosssectional study was conducted on 164 postpartum women in tu du hospital in vietnam from august to september 2017. Development and psychometric testing of the breastfeeding selfefficacy scale. Abstract psychological factors can influence breastfeeding. Leerkes, esther m crockenberg, susan this study tested specific hypotheses about factors that influence the development of maternal self efficacy, and the influence of maternal self efficacy and infant temperament on maternal behavior. Adaptation and psychometric evaluation of the breastfeeding self. Psychometric assessment of the short form cindylee dennis objective. These results signaled that the mothers who participated in this study would probably maintain ebf for longer periods, a fact that was not consolidated at the end of monitoring. The prenatal breastfeeding self efficacy scale pbses was developed among englishspeaking mothers to measure breastfeeding self efficacy before delivery.
Little is known about what influences health visitors breastfeeding support. Then previous studies used self efficacy of breastfeeding support as an outcome indicator instead of measuring behaviors 911. Pre and postintervention breastfeeding self efficacy and intended infant feeding preference were collected utilizing the prenatal breastfeeding self efficacy scale bses. The aim in the present study was to investigate the mediating influence of intention and self efficacy on the association between the breastfeeding duration of the first and the following child. Interventions to improve breastfeeding selfefficacy and. Breastfeeding selfefficacy is a modifiable factor that can increase breastfeeding success and duration. This version of the breastfeeding selfefficacy scale, the bsesebf. The effect of an antenatal breastfeeding intervention on. Because those interventions can be expensive, often one must decide which mothers will receive them. Self efficacy is an important determinant of breastfeeding behaviors. Impact of prenatal colostrum expression on breastfeeding. Bse score is defined as the literal number score that an individual received after completion of the breastfeeding self efficacy scale. Breastfeeding self efficacy breastfeeding self efficacy predicts. The study used the breastfeeding self efficiency scale bses, the multidimensional scale of perceived social support mspss, and the edinburgh postnatal depression scale epds to explore factors affecting breastfeeding selfefficacy.
Breastfeeding selfefficacy scale short form bsessf works as an instrument to assess maternal confidence toward effective breastfeeding. Chinese adaptation of the general self efficacy scale j. Breastfeeding self efficacy can predict breastfeeding outcomes at 1 and 2 months postpartum in mothers of fullterm infants and it is a modifiable factor that can influence breastfeeding success 20, 26,27,28. Improving breastfeeding knowledge, selfefficacy and. However, existing measures do not specifically assess exclusive breastfeeding self efficacy, but rather self efficacy for any breastfeeding. The translation was done by two people who are experts in both english and malay language using back translation technique. Breastfeeding self efficacy is a mothers confidence in her ability to breastfeed and is predictive of breastfeeding behaviors. Maternal breastfeeding self efficacy is a mothers perceived ability to breastfeed her infant and has been shown to predict breastfeeding duration and exclusivity rates among women in the immediate postpartum period. The breastfeeding selfefficacy scale bses is the most widely used instrument employing the selfefficacy concept 18.
Wed like to understand how you use our websites in order to improve them. Enhancing breastfeeding selfefficacy through prenatal education. That is why we focused on self efficacy and associated factors. Application and validation of breastfeeding selfefficacy scale.
The effect of breastfeeding selfefficacy on breastfeeding. Maternal stress mediated the relationship between child problem behaviors and maternal selfefficacy, and between social support and. The breastfeeding selfefficacy scaleshort form bsessf. If, for example, relaxation does not affect drug use, then perceived self efficacy to relax will be unrelated to consumption of drugs because the causal theory is faulty. One of the contributions of the current study is to operationalize the concept of breastfeeding self efficacy based on banduras 1986 theoretical framework of self efficacy. Dennis and faux devised the original breastfeeding self efficacy scale to measure a mothers self efficacy in regards to breastfeeding in 1999. Everything you wanted to know about the selfefficacy.
This study aimed to evaluate the validity of the maternal selfefficacy scale in iranian mothers. This is a standard tool for measuring older people s confidence about falls prevention. Breastfeeding selfefficacy in a sample of wic participants. When the respondent obtains between 14 and 32 points, she is considered to have low efficacy.
The antenatal version of the breastfeeding self efficacy scale short form could be a useful tool to assist portuguese health professionals during routine prenatal care appointments to screen women with lower antenatal breastfeeding self efficacy and, consequently, those that could be at risk for not initiating or early breastfeeding cessation. This crosssectional study was conducted on 437 newly delivered mothers who were referred to health care centers in bonab, iran. Eric ed428900 the development of maternal selfefficacy. Breastfeeding selfefficacy of women using secondline. Efficacy scale bses and psychometrically assess the revised bsesshort form bses. Bandura 1977 advocated a behaviourspecific approach to the study of self efficacy, arguing that a measure of general self efficacy in overall ability would be inadequate for tapping an individuals efficacy in managing tasks associated with a specific behaviour. Higher breastfeeding self efficacy is a complex concept that can change across time. Gelfand, 1991 and the lips maternal self confidence scale h. It was then implemented in an observational cohort in gulu, uganda at 1 n 239 and 3 n 238 months postpartum clinicaltrials.
The effect of antenatal education on breastfeeding self. The short form of the self efficacy scale in breastfeeding was applied and the lactation status was evaluated at 2, 3, 4, 6, 9 and 12 months. Few studies have been conducted using breastfeeding self efficacy theory in mothers of preterm infants 20, 29. An instrument was designed to measure motivational complexity associated with sustained breast feeding behaviour. A 5year danish cohort study with data from online questionnaires was used. Pdf the breastfeeding selfefficacy scaleshort form. Exclusive breastfeeding self efficacy item generation and adaptation we modified and adapted the breastfeeding self efficacy scale short form bsessf to develop items for our exclusive breastfeeding self efficacy scale 11.
Breastfeeding and breastfeeding continuation rates in turkey are not at the desired level. Research open access maternal perceptions of partner support. We also note the fact that the sense of self scale was conceptualized and developed primarily for students in a predominantly. Dec 20, 20 breastfeeding self efficacy bfse supports breastfeeding initiation and duration. The primary outcome was breastfeeding self efficacy measured with the breastfeeding self efficacy scale short form, translated into persian, at 8 weeks postpartum. The response rates for all four scales range from 1 to 10. The primary aim of this study was to examine bfse in a sample of women using secondline strategies for. Understanding the development of maternal pse under conditions of increased parenting stress, such as parenting an infant who is easily distressed and difficult. Breastfeeding self efficacy theory purports that women with higher bse will have better breastfeeding outcomes. Jan 01, 2014 this outcome was assessed using the japanese version of the breastfeeding self efficacy scale short form bsessf, a 14item, self report instrument developed to assess breastfeeding self efficacy.
The breastfeeding selfefficacy scale short form bsessf is a widely used instrument that measures breastfeeding self efficacy. All items are anchored with a 5point likerttype scale where 1 not at all confident and 5 very confident. As part of a longitudinal study, participants completed mailed questionnaires at 1, 4, and 8 weeks postpartum. The breastfeeding selfefficacy short form bsessf is a 14 item tool with high internal consistency cronbachs. Application and validation of breastfeeding selfefficacy. The breastfeeding self efficacy scale short form bsessf was developed to measure a mothers confidence in her ability to breastfeed her new infant and has been successfully translated and psychometrically tested among women from diverse cultures 1, 3, 6, 1214. Breastfeeding selfefficacy in a sample of wic participants digital. Efficacy scale bses was developed and content validity was judged by a panel of experts. It is a direct measure of a mothers confidence in her ability to breastfeed.
The objective was to describe health visitors breastfeeding experiences, beliefs, knowledge and selfefficacy in breastfeeding guidance and determine the impact of a training course on these factors, and how they were reflected in practice. If self efficacy scales are targeted to factors that, in fact, have little or no impact on the domain of functioning, such research cannot yield a predictive relation. This outcome was assessed using the japanese version of the breastfeeding self efficacy scale short form bsessf, a 14item, self report instrument developed to assess breastfeeding self efficacy. Factors associated with self efficacy in breastfeeding support among phns.
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