Yehya Nadine, Tamim Hani, Shamsedine Lama, Ayash Soumaya, Abdel Khalek Lama, Abou Ezzi Amanda, Nabulsi Mona
1 Suliman Olayan School of Business, American University of Beirut, Beirut, Lebanon.
2 Clinical Research Institute, Biostatistics Unit, American University of Beirut, Beirut, Lebanon.
J Hum Lact. 2017 May;33(2):383-389. doi: 10.1177/0890334416680790. Epub 2017 Jan 18.
The Infant Feeding Intentions (IFI) scale was shown to reliably measure maternal intentions to initiate breastfeeding and continue exclusive breastfeeding until 1, 3, or 6 months in English and Spanish but not in Arab contexts. Research aim: This study aimed to validate an Arabic version of the IFI scale (IFI-A) and examine its ability to predict exclusive breastfeeding at 1, 3, or 6 months in pregnant Lebanese women.
The internal consistency reliability and construct validity of the IFI-A scale were tested on 50 pregnant women (Group 1), whereas its predictive ability was tested on 196 pregnant women (Group 2), who were surveyed monthly about their infants' nutrition method until 6 months.
The IFI-A scale's Cronbach's alpha internal consistency reliability is .82. Its corrected item-total correlations ranged from .26 for Item 2 ("at least give breastfeeding a try") to .86 for Item 4 ("will be exclusively breastfeeding at 3 months"). Exploratory factor analysis revealed that it is unidimensional. IFI-A scores correlated significantly with exclusive breastfeeding duration in Group 1 ( r = .624; p = .001) and with participants' breastfeeding attitude ( r = .390; p < .001) and previous breastfeeding duration ( r = .237; p = .011) in Group 2, thus confirming its external construct validity. In adjusted analysis, the IFI-A scale predicted exclusive breastfeeding at 3 months, albeit weakly (odds ratio = 1.16; 95% confidence interval [0.99, 1.36]), but not at 1 or 6 months.
The IFI-A scale is a reliable and valid tool to assess maternal feeding intentions and predict exclusive breastfeeding at 3 months in the Arab context. Further studies are needed in other Arab contexts to confirm our findings.
婴儿喂养意向（IFI）量表已被证明能够可靠地测量母亲开始母乳喂养并持续纯母乳喂养至1个月、3个月或6个月的意向，该量表有英文和西班牙文版本，但在阿拉伯语环境中尚未得到验证。研究目的：本研究旨在验证IFI量表的阿拉伯语版本（IFI-A），并检验其预测黎巴嫩孕妇在1个月、3个月或6个月时进行纯母乳喂养的能力。
对50名孕妇（第1组）测试IFI-A量表的内部一致性信度和结构效度，而对196名孕妇（第2组）测试其预测能力，对这196名孕妇每月进行调查，了解其婴儿6个月龄前的营养方式。
IFI-A量表的Cronbach's alpha内部一致性信度为0.82。其校正后的项目-总分相关系数范围从第2项（“至少尝试母乳喂养”）的0.26到第4项（“3个月时将进行纯母乳喂养”）的0.86。探索性因素分析表明它是单维的。IFI-A得分与第1组的纯母乳喂养持续时间显著相关（r = 0.624；p = 0.001），与第2组参与者母乳喂养态度（r = 0.390；p < 0.001）和既往母乳喂养持续时间（r = 0.237；p = 0.011）显著相关，从而证实了其外部结构效度。在调整分析中，IFI-A量表预测了3个月时的纯母乳喂养情况，但预测能力较弱（优势比 = 1.16；95%置信区间[置信区间] [0.99, 1.36]），但在1个月或6个月时未显示出预测能力。
IFI-A量表是评估阿拉伯语环境中母亲喂养意向并预测3个月时纯母乳喂养情况的可靠且有效的工具。需要在其他阿拉伯语环境中开展进一步研究以证实我们的研究结果。
