Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 216-224 |
| Number of pages | 9 |
| Journal | Journal of Perinatal and Neonatal Nursing |
| Volume | 21 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jul 2007 |
| Externally published | Yes |
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Keywords
- Bayesian item response model
- Breast-feeding attrition
- Breast-feeding Attrition Prediction Tool
- Infant feeding
- Instrument revision
- Intention to breast-feed
ASJC Scopus subject areas
- Nursing(all)
Cite this
Predicting breast-feeding attrition : Adapting the breast-feeding attrition prediction tool. / Gill, Sara L.; Reifsnider, Elizabeth; Lucke, Joseph F.; Mann, Angela R.
In: Journal of Perinatal and Neonatal Nursing, Vol. 21, No. 3, 07.2007, p. 216-224.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Predicting breast-feeding attrition
T2 - Adapting the breast-feeding attrition prediction tool
AU - Gill, Sara L.
AU - Reifsnider, Elizabeth
AU - Lucke, Joseph F.
AU - Mann, Angela R.
PY - 2007/7
Y1 - 2007/7
N2 - 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.
AB - 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.
KW - Bayesian item response model
KW - Breast-feeding attrition
KW - Breast-feeding Attrition Prediction Tool
KW - Infant feeding
KW - Instrument revision
KW - Intention to breast-feed
UR - http://www.scopus.com/inward/record.url?scp=34547931895&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34547931895&partnerID=8YFLogxK
U2 - 10.1097/01.JPN.0000285811.21151.37
DO - 10.1097/01.JPN.0000285811.21151.37
M3 - Article
C2 - 17700098
AN - SCOPUS:34547931895
VL - 21
SP - 216
EP - 224
JO - Journal of Perinatal and Neonatal Nursing
JF - Journal of Perinatal and Neonatal Nursing
SN - 0893-2190
IS - 3
ER -