Gerencia de Servicios Sanitarios del Área de Salud de Lanzarote, Servicio Canario de la Salud, Lanzarote, Spain.
Grup en Salut Vascular de Girona (ISV-Girona), Fundació Institut Universitari per a la recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Girona, Spain.
J Hum Lact. 2024 Nov;40(4):512-521. doi: 10.1177/08903344241271360. Epub 2024 Sep 19.
The number of validated questionnaires that assess the level of breastfeeding competence of primary care professionals who attend lactating mothers is limited.
To validate the CAPA (Competència en l'Atenció Primària sobre Alletament [Breastfeeding Competence in Primary Care]) questionnaire into Spanish in collaboration with professionals from the primary care services of the Comunidad de Madrid (Spain).
In this multicentric study, four bilingual healthcare professionals translated the CAPA questionnaire into Spanish and back-translated it into Catalan. The cross-cultural adaptation included a discussion by an expert committee, a review by a philologist, and a pilot study that involved 13 healthcare residents. We randomly selected professionals from specialties involved in breastfeeding. The re-test was conducted 3 weeks later, aiming to avoid changes in the studied population. We performed a factor analysis to identify underlying constructs and hypothesis-testing to assess the validity of the questionnaire and estimated the Cronbach Alpha and intraclass correlation coefficient (ICC) to assess its reliability.
A total of 198 professionals participated by responding to the questionnaire. Factorial analysis showed that the questionnaire was unidimensional. Hypothesis testing showed that, of all the considered professional groups, midwives achieved the highest mean score ( = 131.7, = 10.9, < 0.001). Amongst the other professionals, only 26.5% achieved a basic level of breastfeeding competence. The Cronbach alpha and ICC were 0.852 (95% CI [0.821, 0.880]) and 0.890 (95% CI [0.800. 0.937]).
The Spanish CAPA questionnaire is a valid and reliable tool for assessing breastfeeding basic competence among primary care professional groups who attend lactating mothers.
评估初级保健专业人员母乳喂养能力水平的经过验证的问卷数量有限，这些专业人员负责照顾哺乳期母亲。
与马德里社区（西班牙）的初级保健服务专业人员合作，将 CAPA（在初级保健中进行母乳喂养的能力）问卷验证为西班牙语。
在这项多中心研究中，四名双语医疗保健专业人员将 CAPA 问卷翻译成西班牙语，并将其回译为加泰罗尼亚语。跨文化适应包括一个专家委员会的讨论、语言学家的审查以及涉及 13 名医疗保健住院医师的试点研究。我们随机选择参与母乳喂养相关专业的专业人员。重新测试在 3 周后进行，旨在避免研究人群的变化。我们进行了因子分析以确定潜在的结构，并进行假设检验以评估问卷的有效性，并估计 Cronbach Alpha 和组内相关系数（ICC）以评估其可靠性。
共有 198 名专业人员通过回答问卷参与了研究。因子分析表明问卷是单维的。假设检验表明，在所有考虑的专业群体中，助产士的平均得分最高（=131.7，=10.9，<0.001）。在其他专业人员中，只有 26.5%达到了母乳喂养基本能力水平。Cronbach alpha 和 ICC 分别为 0.852（95%CI [0.821，0.880]）和 0.890（95%CI [0.800. 0.937]）。
西班牙语 CAPA 问卷是评估照顾哺乳期母亲的初级保健专业人员群体母乳喂养基本能力的有效且可靠的工具。
