Centro de Atención Primaria (CAP) Sant Ildefons, Cornellá de Llobregat, Barcelona, Spain.
Centro de Atención Primaria (CAP) Sant Ildefons, Cornellá de Llobregat, Barcelona, Spain.
An Pediatr (Engl Ed). 2022 Apr;96(4):286-293. doi: 10.1016/j.anpede.2021.04.009. Epub 2022 Apr 16.
The observation of a feeding by a professional is important to strengthen breastfeeding. The Bristol Breastfeeding Assessment Tool (BBAT) was translated into Spanish and validated.
Translation and back-translation of the original scale was done. Six pediatricians and six pediatric nurses collaborated. At the newborn's first visit, a feeding was observed and the pediatrician and nurse scored the BBAT scale independently. The nurse also scored the LATCH Breastfeeding Assessment (LATCH) and each mother filled out the Breastfeeding Self-Efficacy Scale (BSES-SF). Mothers were appointed a week later and the nurse re-scored the BBAT.
A total of 62 mothers participated. There was good internal consisitency for the BBAT (Cronbach's alpha = 0.83 in the assessment made by the nurses and Cronbach's alpha = 0.79 in the assessment made by the pediatricians). Inter-rater consistency showed an intra-class correlation coefficient of 0.91, while for the test-retest was 0.67. Concurrent validity with the BSES-SF scale was good and with the LATCH scale very good. The factor analysis showed the one-dimensional character of the scale and a good homogeneity of the 4 items (positioning = 0.771, attachment = 0.852, sucking = 0.856 and swallowing = 0.679).
The scale obtained in Spanish shows good reliability and validity. The BBAT is an easy-to-use tool that allows breastfeeding assessment and determines the aspects that need to be improved.
观察专业人员的喂养情况对于加强母乳喂养非常重要。布里斯托母乳喂养评估工具（BBAT）已被翻译成西班牙语并经过验证。
对原始量表进行了翻译和回译。六名儿科医生和六名儿科护士参与了合作。在新生儿的第一次就诊时，观察了一次喂养，儿科医生和护士独立对 BBAT 量表进行了评分。护士还对 LATCH 母乳喂养评估（LATCH）进行了评分，每位母亲都填写了母乳喂养自我效能量表（BSES-SF）。一周后，母亲们被指定，护士重新对 BBAT 进行了评分。
共有 62 位母亲参与了研究。BBAT 的内部一致性良好（护士评估的 Cronbach's alpha = 0.83，儿科医生评估的 Cronbach's alpha = 0.79）。评分者间的一致性显示出 0.91 的组内相关系数，而测试-重测的组内相关系数为 0.67。与 BSES-SF 量表的同时效度良好，与 LATCH 量表的效度非常好。因子分析表明，该量表具有一维特征，且 4 个项目具有良好的同质性（定位 = 0.771，附着 = 0.852，吮吸 = 0.856，吞咽 = 0.679）。
西班牙语版量表具有良好的信度和效度。BBAT 是一种易于使用的工具，可用于评估母乳喂养，并确定需要改进的方面。
