Predictive capacity for breastfeeding and determination of the best cut-off point for the breastfeeding self-efficacy scale-short form

Balaguer-Martínez, Josep Vicent; García-Pérez, Rubén; Gallego-Iborra, Ana; Sánchez-Almeida, Elena; Sánchez-Díaz, María Dolores; Ciriza-Barea, Edurne

doi:10.1016/j.anpede.2020.12.018

Cited by 5 publications

(11 citation statements)

References 23 publications

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“…Our cohort had low bother scores, high confidence in themselves and their partners with regard to the ability to settle their baby, and high breastfeeding confidence throughout ( Table 3 ). Mean total bother scores were <18 across all time points (score range 9 to 45), and mean BSES-SF scores were ≥60 after discharge from hospital (score range 14 to 70, low confidence < 58) [ 27 ]. The early breastfeeding success of mothers in this cohort is likely explained by high breastfeeding self-efficacy and longer breastfeeding intentions that are both associated with continued breastfeeding, while other constructs of the Theory of Planned Behaviour such as attitudes and subjective norms have little to no effect [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Mean total bother scores were <18 across all time points (score range 9 to 45), and mean BSES-SF scores were ≥60 after discharge from hospital (score range 14 to 70, low confidence < 58) [ 27 ]. The early breastfeeding success of mothers in this cohort is likely explained by high breastfeeding self-efficacy and longer breastfeeding intentions that are both associated with continued breastfeeding, while other constructs of the Theory of Planned Behaviour such as attitudes and subjective norms have little to no effect [ 27 , 28 ]. It is possible that associations between maternal bother, feeding method and infant settling and sleep may differ for women with low breastfeeding confidence and/or high degrees of bother.…”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding and Maternal Perceptions of Infant Sleep, Settle and Cry Patterns in the First 9 Months

Perrella

Dix-Matthews²,

Williams³

et al. 2022

IJERPH

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This study evaluated relationships between maternal perceptions of infant sleep, settling and crying patterns and breastfeeding. A prospective observational study of 91 mothers of healthy, term infants was conducted with follow ups over 9 months after discharge from a Western Australian maternity hospital. Feeding information, sleep, settle and cry behaviours, maternal bother at infant behaviours and confidence were measured using the Sleep and Settle Questionnaire. Breastfeeding confidence was measured using the Breastfeeding Self-Efficacy Scale—Short Form. Questionnaires were administered at 2 and 6 weeks, 3, 6 and 9 months. Linear mixed models were used to assess associations between maternal bother, feeding method and infant characteristics. The feeding method was not associated with maternal bother, and cessation of breastfeeding did not result in a change in bother scores (p = 0.34). Duration of infant crying in the day, evening and night, frequency of night waking and duration of settling to sleep in the day were associated with increased bother scores. Higher breastfeeding self-efficacy and maternal confidence were associated with lower bother scores (both p < 0.01). Maternal bother is associated with infant behaviours that require parental input, but not breastfeeding status. Resources that address parental expectations regarding infant sleep while providing strategies to support maternal wellbeing and breastfeeding are needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breastfeeding and Maternal Perceptions of Infant Sleep, Settle and Cry Patterns in the First 9 Months

Perrella

Dix-Matthews²,

Williams³

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The weighted mean BSES‐SF score was 43.7 (95% CI: 39.3–48.1; Figure S4). The mean was significantly within the at‐risk range based on either of two demonstrated risk thresholds; previous studies identified BSES‐SF scores of 58 or 50 as significant cutoffs, where scores below these thresholds predict cessation of exclusive breastfeeding (EBF) within 1–3 months 72,73 …”

Section: Resultsmentioning

confidence: 95%

“…We hypothesize that the physical and emotional symptoms above likely contributed to low maternal breastfeeding self‐efficacy, consistent with our BSES‐SF meta‐analysis results. Our BSES‐SF meta‐analysis indicated that dyads with ankyloglossia are typically at risk of EBF cessation within 1–3 months 72,73 …”

Section: Discussionmentioning

confidence: 95%

“…Our BSES-SF meta-analysis indicated that dyads with ankyloglossia are typically at risk of EBF cessation within 1-3 months. 72,73 The American Academy of Paediatrics (AAP) recommends EBF for at least 6 months, followed by two or more years of continued breastfeeding while introducing complementary foods. 83 Breastfeeding has neurodevelopmental and protective benefits for the infant.…”

Section: Discussionmentioning

confidence: 99%

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Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis

et al. 2022

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Aim:To evaluate breastfeeding symptoms associated with ankyloglossia/tongue-tie.Methods: Databases included PubMed, Embase, CINAHL, PsycINFO, Web of Science, and Google Scholar. Eligible studies reported baseline breastfeeding symptoms/severity from tongue-tied infants. Two reviewers independently screened studies, extracted data, and assessed quality. Low-quality studies were excluded. Main outcomes were weighted mean severity scores for dyads with ankyloglossia relative to reference values for successful breastfeeding. Meta-analyses used inverse-varianceweighted random-effects models. Results:Of 1328 screened studies, 39 were included (5730 infants with ankyloglossia). The mean LATCH score for patients with untreated ankyloglossia, 7.1 (95% CI: 6.7-7.4), was significantly below the good-breastfeeding threshold. The mean Infant Breastfeeding Assessment Tool score, 10.0 (8.2-11.7), was not significantly below the good-breastfeeding threshold. The mean Infant-Gastroesophageal Reflux Questionnaire-Revised score, 18.2 (10.5-26.0), was consistent with gastroesophageal reflux disease. The mean Breastfeeding Self-Efficacy Scale-Short Form score, 43.7 (39.3-48.1), indicated significant risk of cessation of exclusive breastfeeding within 1-3 months. Mean nipple pain was 4.9 (4.1-5.7) on a 0-10 scale, greater than typical scores for breastfeeding mothers without nipple damage. Total prevalence of breastfeeding difficulties was 49.3% (95% CI: 47.3-51.4%). Early, undesired weaning occurred in 20.3% (18.5-22.2%) of cases before intervention. Conclusion:Ankyloglossia is adversely associated with breastfeeding success and maternal well-being.

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Psychometrics of the breastfeeding self-efficacy scale and short form: a systematic review

Dennis,

McQueen,

Dol

et al. 2024

BMC Public Health

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Background The Breastfeeding Self-Efficacy Scale and its short-form were developed in Canada and have been used internationally among numerous maternal populations. However, the psychometric properties of the scales have not been reviewed to confirm their appropriateness in measuring breastfeeding self-efficacy in culturally diverse populations. The purpose of this research was to critically appraise and synthesize the psychometric properties of the scales via systematic review. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. Three databases (EMBASE, MEDLINE, and PsycINFO) were searched from 1999 (original publication of the Scale) until April 27, 2022. The search was updated on April 1, 2023. Studies that assessed the psychometric properties of the BSES or BSES-SF were included. Two researchers independently extracted data and completed the quality appraisals. Results Forty-one studies evaluated the psychometrics of the BSES (n = 5 studies) or BSES-SF (n = 36 studies) among demographically or culturally diverse populations. All versions of the instrument demonstrated good reliability, with Cronbach's alphas ranging from .72 to .97. Construct validity was supported by statistically significant differences in mean scores among women with and without previous breastfeeding experience and by correlations between the scales and theoretically related constructs. Predictive validity was demonstrated by statistically significant lower scores among women who ultimately discontinued breastfeeding compared to those who did not. Conclusion The BSES and BSES-SF appear to be valid and reliable measures of breastfeeding self-efficacy that may be used globally to (1) assess women who may be at risk of negative breastfeeding outcomes (e.g., initiation, duration and exclusivity), (2) individualize breastfeeding support, and (3) evaluate the effectiveness of breastfeeding interventions.

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Predictive capacity for breastfeeding and determination of the best cut-off point for the breastfeeding self-efficacy scale-short form

Cited by 5 publications

References 23 publications

Breastfeeding and Maternal Perceptions of Infant Sleep, Settle and Cry Patterns in the First 9 Months

Breastfeeding and Maternal Perceptions of Infant Sleep, Settle and Cry Patterns in the First 9 Months

Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis

Psychometrics of the breastfeeding self-efficacy scale and short form: a systematic review

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