Chipojola Roselyn, Dennis Cindy-Lee, Kuo Shu-Yu
School of Nursing, College of Nursing, Taipei Medical University, Taipei.
Kamuzu University of Health Sciences, Lilongwe, Malawi.
J Hum Lact. 2022 Feb;38(1):28-36. doi: 10.1177/08903344211065036. Epub 2021 Dec 19.
Only 61% of Malawian women exclusively breastfeed to the recommended 6 months. Paternal support is predictive of exclusive breastfeeding, and significantly related to paternal breastfeeding self-efficacy, defined as fathers' confidence in their ability to assist mothers with breastfeeding.
To (1) examine the psychometric properties of the Paternal Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) in Malawian fathers, including internal consistency reliability, test-retest reliability, construct validity using Confirmatory Factor Analysis (CFA), and convergent validity; and (2) assess the relationship between the BSES-SF and paternal demographic and health factors.
A cross-sectional study was conducted at a maternity hospital in Lilongwe, Malawi, and 180 fathers whose partners had delivered a singleton infant were included. Participants completed the Breastfeeding Self-Efficacy Scale and Quality of Life with confirmatory factor analysis performed to assess the construct validity. The internal consistency reliability and test-retest reliability were evaluated using Cronbach's alpha coefficient and intra-class correlations. Convergent validity was also assessed.
A unidimensional factorial structure of the Malawian Paternal BSES-SF was identified using confirmatory factor analysis. The scale had an excellent Cronbach's alpha of .90 and a test-retest reliability of .93. Participants' breastfeeding self-efficacy was significantly correlated with the Quality of Life domains of psychological health ( = .23; < .01), social relationships ( = .28; < .001), and environmental health ( = .30; < .001). Participants who were older, married, and with ≥ two children had significantly higher breastfeeding self-efficacy and were more confident in their ability to support their partner's breastfeeding.
The Paternal Breastfeeding Self-Efficacy Scale-Short Form was a valid and reliable measure to assess fathers' confidence in their ability to assist mothers with breastfeeding in Malawi.
在马拉维，只有61%的女性进行纯母乳喂养至推荐的6个月。父亲的支持可预测纯母乳喂养情况，且与父亲的母乳喂养自我效能显著相关，母乳喂养自我效能被定义为父亲对自己协助母亲进行母乳喂养能力的信心。
（1）检验马拉维父亲群体中《父亲母乳喂养自我效能量表简版》（BSES-SF）的心理测量特性，包括内部一致性信度、重测信度、使用验证性因子分析（CFA）的结构效度和收敛效度；（2）评估BSES-SF与父亲人口统计学及健康因素之间的关系。
在马拉维利隆圭的一家妇产医院进行了一项横断面研究，纳入了180名伴侣分娩了单胎婴儿的父亲。参与者完成了母乳喂养自我效能量表和生活质量量表，并进行验证性因子分析以评估结构效度。使用克朗巴哈α系数和组内相关系数评估内部一致性信度和重测信度。还评估了收敛效度。
通过验证性因子分析确定了马拉维父亲BSES-SF的单维因子结构。该量表的克朗巴哈α系数为0.90，重测信度为0.93。参与者的母乳喂养自我效能与心理健康（r = 0.23；p < 0.01）、社会关系（r = 0.28；p < 0.001）和环境健康（r = 0.30；p < 0.001）等生活质量领域显著相关。年龄较大、已婚且育有≥两个孩子的参与者母乳喂养自我效能显著更高，并且对自己支持伴侣母乳喂养的能力更有信心。
《父亲母乳喂养自我效能量表简版》是评估马拉维父亲对自己协助母亲进行母乳喂养能力信心的有效且可靠的测量工具。
