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- Title
Psychometric Assessment of the Paternal Breastfeeding Self-Efficacy Scale-Short Form: A Confirmatory Factor Analysis of Malawian Fathers.
- Authors
Chipojola, Roselyn; Dennis, Cindy-Lee; Kuo, Shu-Yu
- Abstract
Background: Only 61% of Malawian women exclusively breastfeed to the recommended 6 months. Paternal support is predictive of exclusive breastfeeding, and significantly related to paternal breastfeeding self-efficacy, defined as fathers' confidence in their ability to assist mothers with breastfeeding. Research Aims: To (1) examine the psychometric properties of the Paternal Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) in Malawian fathers, including internal consistency reliability, test-retest reliability, construct validity using Confirmatory Factor Analysis (CFA), and convergent validity; and (2) assess the relationship between the BSES-SF and paternal demographic and health factors. Methods: A cross-sectional study was conducted at a maternity hospital in Lilongwe, Malawi, and 180 fathers whose partners had delivered a singleton infant were included. Participants completed the Breastfeeding Self-Efficacy Scale and Quality of Life with confirmatory factor analysis performed to assess the construct validity. The internal consistency reliability and test-retest reliability were evaluated using Cronbach's alpha coefficient and intra-class correlations. Convergent validity was also assessed. Results: A unidimensional factorial structure of the Malawian Paternal BSES-SF was identified using confirmatory factor analysis. The scale had an excellent Cronbach's alpha of.90 and a test-retest reliability of.93. Participants' breastfeeding self-efficacy was significantly correlated with the Quality of Life domains of psychological health (r =.23; p <.01), social relationships (r =.28; p <.001), and environmental health (r =.30; p <.001). Participants who were older, married, and with ≥ two children had significantly higher breastfeeding self-efficacy and were more confident in their ability to support their partner's breastfeeding. Conclusion: The Paternal Breastfeeding Self-Efficacy Scale-Short Form was a valid and reliable measure to assess fathers' confidence in their ability to assist mothers with breastfeeding in Malawi.
- Subjects
MALAWI; FATHERHOOD; WELL-being; CONFIDENCE; RESEARCH evaluation; STATISTICAL reliability; CROSS-sectional method; FATHERS; PSYCHOMETRICS; PARENTING; SELF-efficacy; MULTITRAIT multimethod techniques; CRONBACH'S alpha; T-test (Statistics); BREASTFEEDING; FACTOR analysis; QUALITY of life; INTRACLASS correlation; SCALE analysis (Psychology); QUESTIONNAIRES; DESCRIPTIVE statistics; RESEARCH funding; DATA analysis software; LONGITUDINAL method
- Publication
Journal of Human Lactation, 2022, Vol 38, Issue 1, p28
- ISSN
0890-3344
- Publication type
Article
- DOI
10.1177/08903344211065036