1 School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
2 Department of Nursing, Chung Hwa University of Medical Technology, Tainan, Taiwan.
J Hum Lact. 2018 Nov;34(4):674-681. doi: 10.1177/0890334418761567. Epub 2018 Mar 29.
The Australian Breastfeeding Knowledge and Attitude Questionnaire-Short Form (ABKAQ-SF) was designed to measure breastfeeding knowledge and attitudes of health professionals. To date, a Chinese version of the attitude component of the ABKAQ-SF (ABAQ) is not yet available and has not been cross-validated with nursing students. Research aims: This study aimed to examine (a) the psychometric properties of the ABAQ and (b) group differences and responsiveness of the revised 12-item ABAQ (ABAQ12) among nursing students in Taiwan.
Using a cross-sectional two-cohort study design, nursing students in Years 2 and 3 of a 4-year bachelor of nursing program ( N = 205) completed the Chinese version of the ABAQ, translated using forward and backward translations. Content validity, internal consistency reliability, construct validity, group differences, and responsiveness of the Chinese version of the ABAQ were assessed.
Using the principal axis factoring procedure of exploratory factor analysis to examine the dimensionality of the ABAQ, a one-component structure was identified. Six items were deleted, based on the average interitem correlation (< 0.2), low corrected item-total correlation (< 0.35), and low factor loading (< 0.3). Confirmatory factor analysis of the ABAQ12 supported a one-factor solution, with good overall model fit (goodness-of-fit index = 0.949, Tucker-Lewis index = 0.951, comparative fit index = 0.965, root mean square error of approximation = 0.042). Responsiveness of the ABAQ12 scores indicated a positive change in breastfeeding attitude between the pre- and postclinical placement period.
The Chinese version of the ABAQ12 is valid, reliable, and responsive and is suitable for assessing the breastfeeding attitudes of nursing students in the Taiwanese higher education settings.
澳大利亚母乳喂养知识和态度问卷-短表（ABKAQ-SF）旨在衡量卫生专业人员的母乳喂养知识和态度。迄今为止，ABKAQ-SF 的态度部分（ABAQ）还没有中文版，也没有与护理学生进行交叉验证。研究目的：本研究旨在检验：（a）ABAQ 的心理测量特性；（b）经过修订的 12 项 ABAQ（ABAQ12）在台湾护理学生中的群体差异和反应能力。
采用横断面两队列研究设计，4 年制护理学士课程 2 年级和 3 年级的护理学生（N=205）完成了中文版的 ABAQ，翻译采用正向和反向翻译。评估了中文版 ABAQ 的内容效度、内部一致性信度、结构效度、群体差异和反应能力。
采用探索性因素分析的主轴因子分析程序来检验 ABAQ 的维度结构，确定了一个单因素结构。根据平均项目间相关系数（<0.2）、低校正项目总分相关系数（<0.35）和低因子负荷（<0.3），删除了 6 个项目。ABAQ12 的验证性因素分析支持单因素模型，整体模型拟合良好（拟合优度指数=0.949，Tucker-Lewis 指数=0.951，比较拟合指数=0.965，均方根误差近似值=0.042）。ABAQ12 评分的反应能力表明，在临床实习前后，母乳喂养态度有积极变化。
中文版 ABAQ12 具有有效性、可靠性和反应能力，适合评估台湾高等教育环境中护理学生的母乳喂养态度。
