Charafeddine Lama, Tamim Hani, Soubra Marwa, de la Mora Arlene, Nabulsi Mona
Department of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon.
Clinical Research Institute, Biostatistics Unit, American University of Beirut, Beirut, Lebanon.
J Hum Lact. 2016 May;32(2):309-14. doi: 10.1177/0890334415586192. Epub 2015 May 5.
There is need in the Arab world for validated instruments that can reliably assess infant feeding attitudes among women. The 17-item Iowa Infant Feeding Attitude Scale (IIFAS) has consistently shown good reliability and validity in different cultures and the ability to predict breastfeeding intention and exclusivity.
This study assessed the psychometric properties of the Arabic version of the IIFAS (IIFAS-A).
After translating to classical Arabic and back-translating to English, the IIFAS-A was pilot tested among 20 women for comprehension, clarity, length, and cultural appropriateness. The IIFAS-A was then validated among 170 women enrolled in a breastfeeding promotion and support clinical trial in Lebanon.
The IIFAS-A showed acceptable internal consistency reliability (Cronbach's α = 0.640), with principal components analysis revealing that it is unidimensional. The 17 items had good interitem reliabilities ranging between 0.599 and 0.665. The number of breastfed children was the only predictor of the overall IIFAS-A score in a multivariate stepwise regression model (β = 1.531, P < .0001).
The 17-item IIFAS-A is a reliable and valid instrument for measuring women's infant feeding attitudes in the Arab context.
阿拉伯世界需要经过验证的工具，以便可靠地评估女性对婴儿喂养的态度。17项的爱荷华婴儿喂养态度量表（IIFAS）在不同文化中一直显示出良好的信度和效度，并且能够预测母乳喂养意愿和纯母乳喂养情况。
本研究评估了IIFAS阿拉伯语版本（IIFAS-A）的心理测量特性。
在将IIFAS-A翻译成古典阿拉伯语并回译成英语后，对20名女性进行了预测试，以评估其理解性、清晰度、长度和文化适宜性。随后，在黎巴嫩一项母乳喂养促进与支持临床试验中招募的170名女性中对IIFAS-A进行了验证。
IIFAS-A显示出可接受的内部一致性信度（克朗巴哈α系数 = 0.640），主成分分析表明它是单维的。17个项目的项目间信度良好，范围在0.599至0.665之间。在多变量逐步回归模型中，母乳喂养孩子的数量是IIFAS-A总分的唯一预测因素（β = 1.531，P <.0001）。
17项的IIFAS-A是在阿拉伯背景下测量女性婴儿喂养态度的可靠且有效的工具。
