Psychometric evaluation of the Afaan Oromo version of the exclusive breastfeeding social support scale among Ethiopian women

IF 2.6 3区医学 Q1 NURSING Midwifery Pub Date : 2024-08-22 DOI:10.1016/j.midw.2024.104154

Reta Tsegaye Gayesa , Yao Jie Xie , Fei Wan Ngai

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Abstract

Problem

There is a lack of validated tools for assessing social support for Exclusive Breastfeeding (EBF) practice in Ethiopia.

Background

Validating instruments ensures culturally appropriate and reliable data collection for effective research and interventions.

Aim

This study aimed to translate the exclusive breastfeeding social support scale into the Afaan Oromo language (EBFSS-AO) and test its psychometric properties among Ethiopian women.

Methods

The scale was first subjected to forward and backward translation before undergoing psychometric evaluation. Then, a cross-sectional study was conducted on convenience sample of 160 postpartum women. Content validity was assessed via Content Validity Index (CVI), and construct validity was tested using confirmatory factor analysis (CFA) with maximum likelihood estimation. The scale's reliability was measured using Cronbach's alpha and intraclass correlation coefficient (ICC).

Findings

The CFA verified that the EBFSS-AO for Ethiopian women is a three-dimensional scale with satisfactory fit indices; $x^{2}$ /df: 2.76; Comparative fit index: 0.917; Tucker-Lewis Index: 0.902; Standardized Root Mean square residual: 0.061; and Root mean square error of approximation: 0.105. Item-level CVI ranged from 0.86 to 1.00, and scale-level CVI was 0.98. The overall scale had a Cronbach's alpha of 0.95 while instrumental, emotional, and informational support subscales had a Cronbach's alpha of 0.89, 0.92, and 0.93 respectively. After a 4-week re-test, the ICC yielded a value of 0.94. Partner support on EBF showed no socio-demographic differences except for income.

Conclusion

The EBFSS-AO showed satisfactory psychometric properties, suitable for assessing social support among Ethiopian women in both research and clinical contexts.

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埃塞俄比亚妇女纯母乳喂养社会支持量表阿法安-奥罗莫语版的心理计量学评估

背景对工具进行验证可确保为有效的研究和干预收集到文化适宜且可靠的数据。本研究旨在将纯母乳喂养社会支持量表翻译成阿法安奥罗莫语（EBFSS-AO），并在埃塞俄比亚妇女中测试其心理测量特性。然后，对 160 名方便抽样的产后妇女进行了横断面研究。内容效度通过内容效度指数（CVI）进行评估，而构造效度则通过采用最大似然估计的确证因子分析（CFA）进行检验。研究结果：CFA 证实埃塞俄比亚妇女 EBFSS-AO 是一个三维量表，其拟合指数令人满意；x2/df：2.76；比较拟合指数：0.917；Tucker-Learn 拟合指数：0.917：0.917；Tucker-Lewis 指数0.902；标准化均方根残差：0.061；均方根近似误差：0.105：0.105.项目级 CVI 为 0.86 至 1.00，量表级 CVI 为 0.98。总量表的 Cronbach's alpha 为 0.95，而工具支持、情感支持和信息支持子量表的 Cronbach's alpha 分别为 0.89、0.92 和 0.93。经过 4 周的重新测试，ICC 值为 0.94。结论 EBFSS-AO 显示出令人满意的心理测量特性，适合在研究和临床环境中评估埃塞俄比亚妇女的社会支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.