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- Title
Breastfeeding Motivation Predicts Infant Feeding Intention and Outcomes: Evaluation of a Novel Adaptation of the Treatment Self-Regulation Questionnaire.
- Authors
Martin, Hayley; van Wijngaarden, Edwin; Seplaki, Christopher L.; Stringer, Jenney; Williams, Geoffrey C.; Dozier, Ann M.
- Abstract
Background: Identifying those at risk for suboptimal breastfeeding outcomes remains critical for improving maternal and child health. Prenatal breastfeeding motivation may be a key predictor useful for identifying those who would benefit from additional breastfeeding support. Research Aims: To (1) validate a breastfeeding-specific adaptation of the Treatment Self-Regulation Questionnaire (TSRQ-BF); and (2) determine if breastfeeding motivation predicts prenatal breastfeeding intentions and early breastfeeding outcomes. Methods: Participants in their third trimester of pregnancy (N = 150) completed several instruments, including the TSRQ-BF and infant feeding intention, and could opt to participate in an assessment of early breastfeeding outcomes (by medical record review). TSRQ-BF subscales were derived from factor analysis, and multivariable regression was used to evaluate the association between TSRQ-BF subscale scores and breastfeeding intention and outcomes during the birth hospitalization. Results: Autonomous (related to personal values/beliefs regarding self) and Autonomous-Baby (values/benefits for the infant) subscale scores were positively associated with intended exclusivity (aOR [95% CI]: 2.22 [1.57, 3.30], 4.94 [2.49, 11.07], respectively) while higher scores on these subscales predicted longer time to planned cessation (aHR [95% CI]: 0.72 [0.61, 0.84],0.52 [0.34, 0.81]). Higher Amotivation (lack of motivation) scores were negatively associated with intended exclusivity (0.45 [0.26, 0.74]). Higher scores on Autonomous, Autonomous-Baby, and Controlled (avoidance of negative feelings/punishment or gaining reward) subscales were associated with greater odds of hospital exclusivity (aOR [95% CI]: 3.39 [1.75, 8.00], 3.44 [1.66, 9.04] and 6.05 [1.88, 29.04]) and lower odds of 2-day formula supplementation (aOR [95% CI]: 0.31 [0.14, 0.59],0.28 [0.11, 0.59], 0.19 [0.04, 0.62]). Conclusions: The TSRQ-BF predicted breastfeeding intent and outcomes, and may be helpful for identifying patients at risk for suboptimal breastfeeding outcomes before delivery.
- Subjects
KRUSKAL-Wallis Test; STATISTICS; ATTITUDES toward breastfeeding; CONFIDENCE intervals; ANALYSIS of variance; MOTIVATION (Psychology); RESEARCH methodology; RESEARCH methodology evaluation; MULTIPLE regression analysis; RACE; INFANT nutrition; RISK assessment; MOTHERHOOD; PARENTING; CRONBACH'S alpha; BREASTFEEDING; QUESTIONNAIRES; DESCRIPTIVE statistics; MALNUTRITION; CHI-squared test; FACTOR analysis; RESEARCH funding; INTENTION; EMOTION regulation; PRENATAL care; ODDS ratio; ETHNIC groups; LONGITUDINAL method; DISEASE risk factors; EVALUATION
- Publication
Journal of Human Lactation, 2022, Vol 38, Issue 2, p236
- ISSN
0890-3344
- Publication type
Article
- DOI
10.1177/08903344211032128