École des sciences des aliments, de nutrition et d'études familiales, Université de Moncton, Moncton, New Brunswick, Canada.
Faculté des sciences de l'éducation, Université de Moncton, Moncton, New Brunswick, Canada.
Matern Child Nutr. 2022 Jan;18(1):e13249. doi: 10.1111/mcn.13249. Epub 2021 Jul 26.
In many countries, water is provided to children under 6 months of age (CU6M) in addition to breast milk (BM), hence increasing the risk of child mortality and morbidity. Factors related to this practice have not been thoroughly investigated either a tool to assess them. Based on the extended theory of planned behaviour (eTPB), we aim to develop and validate a questionnaire to assess psychosocial and environmental factors that may contribute/limit the water provision in addition to BM by mothers of CU6M in the Republic of Guinea. A three-step process was used. Ten focus group discussions (FGDs) were held to identify salient beliefs related to each of the four constructs of the eTPB. Data from FGDs were used to develop a questionnaire composed of 88 items administered to 428 mothers. Exploratory factor analyses were conducted to identify latent factors for each construct. A shorter version of the questionnaire was administered to another sample of 300 mothers. Confirmatory factor analyses (CFAs) were performed. Hancock and Mueller's H reliability indices were computed on final models to assess the tool's validity and reliability. The final questionnaire included 57 items. For all four final models, most criteria for fit indices of CFA were generally met. Reliability coefficients were all equal to or above 0.90 for each construct. This research offers a tool that could be used to investigate determinants of water provision besides BM among mothers of CU6M. Further validation in other contexts is warranted.
在许多国家，除了母乳喂养（BM）之外，还向 6 个月以下的儿童（CU6M）提供水，从而增加了儿童死亡和发病的风险。尚未彻底调查与这一做法相关的因素，也没有开发出评估这些因素的工具。基于扩展的计划行为理论（eTPB），我们旨在为几内亚共和国的 CU6M 母亲开发和验证一种评估可能有助于/限制除 BM 之外提供水的心理社会和环境因素的问卷。使用了三步法。进行了 10 次焦点小组讨论（FGD），以确定与 eTPB 的四个构念中的每一个相关的重要信念。从 FGD 中收集的数据用于开发一个由 88 个项目组成的问卷，并对 428 位母亲进行了调查。进行了探索性因素分析，以确定每个构念的潜在因素。对另一个 300 位母亲的样本进行了问卷的简短版本测试。进行了验证性因素分析（CFAs）。汉考克和穆勒的 H 可靠性指数用于评估最终模型的工具的有效性和可靠性。最终问卷包括 57 个项目。对于所有四个最终模型，验证性因素分析的拟合指标大多符合标准。每个构念的可靠性系数均等于或高于 0.90。这项研究提供了一种工具，可以用来调查 CU6M 母亲除 BM 之外提供水的决定因素。在其他情况下需要进一步验证。
