Translation and Psychometric Evaluation of the Arabic Version of the Breastfeeding Self-Efficacy Scale-Short Form Among Women in the United Arab Emirates

Hadia Radwan, Randa Fakhry, Godfred O. Boateng, Nick Metheny, Wegdan Bani issa, Moez Al Islam E. Faris, Reyad Shaker Obaid, Suad Al Marzooqi, Hessa Al Ghazal, Cindy Lee Dennis

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Background: Breastfeeding self-efficacy as a construct has been theoretically and empirically linked to exclusive breastfeeding in studies globally using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). However, its application in the Middle East and North Africa region is limited, as it has not been validated. Research Aims: To psychometrically validate the BSES-SF among a sample of mothers in the United Arab Emirates. Methods: We psychometrically evaluated the Arabic version of the BSES-SF using a sample of mothers (N = 457) residing in the United Arab Emirates. We used translation techniques, item-test and item-total correlations, confirmatory factor analysis, tests of reliability, and tests of validity. Results: Item-test correlations of scale items ranged from 0.67 to 0.84, while item-total correlations ranged from 0.58 to 0.81. The confirmatory factor model assessed the 14-item scale to be unidimensional with satisfactory model fit indices. Our findings suggested the Arabic-language version of the BSES-SF was a reliable measure (α = 0.95) with strong construct and discriminant validity. BSES-SF scores significantly predicted exclusive breastfeeding (aOR = 1.04; 95% CI [1.02, 1.08]) and exclusive duration (β =.06; 95% CI [0.4, 0.08]), which suggested strong predictive, validity after adjusting for parity, maternal age, maternal education, and study site. Conclusions: We have provided rigorous evidence that the BSES-SF is a valid and reliable measure of breastfeeding self-efficacy among Arabic-speaking women in the UAE. Interventions designed specifically to increase breastfeeding self-efficacy among Arabic-speaking women may be a mechanism to increase the suboptimal rates of breastfeeding exclusivity occurring in much of the MENA region.

Original languageEnglish
JournalJournal of Human Lactation
DOIs
Publication statusAccepted/In press - 2022

Keywords

  • breastfeeding
  • breastfeeding assessment
  • breastfeeding promotion
  • Breastfeeding Self-Efficacy Scale–Short Form
  • maternal behavior
  • psychometric evaluation
  • self-efficacy
  • United Arab Emirates

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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