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J Perinat Neonatal Nurs. 2007 Jul-Sep;21(3):216-24.

Predicting breast-feeding attrition: adapting the breast-feeding attrition prediction tool.

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1
School of Nursing, University of Texas Health Science Center at San Antonio, TX 78229, USA. gills@uthscsa.edu

Abstract

CONTEXT:

Current breast-feeding rates fall short of the recommendations set forth in Health People 2010. The Breast-feeding Attrition Prediction Tool (BAPT), administered in the postpartum period, has been useful in predicting breast-feeding attrition. However, assessing a woman's intention to breast-feed prior to birth would identify women at risk for breast-feeding attrition.

PURPOSE:

The purpose of this study was to describe a revised BAPT, administered antepartally that measures intention to breast-feed.

METHODS:

The BAPT, comprising 94 items on a 6-point Likert-type scale, was translated into Spanish and back-translated for accuracy. The BAPT was then revised by reducing the number of items to 35 (32 were used for analysis) and contracting the 6-point scale to 3 categories. A Bayesian item response model provided the psychometric properties of the revised BAPT.

RESULTS:

The revised BAPT was completed by 143 Mexican American pregnant women. Items, some reverse scored, were recoded as "agree" versus "disagree." Item analyses indicated a wide range of item discriminabilities, with most items being useful measures of intention to breast-feed. Person analyses provided scores for intention to breast-feed. A simpler scoring system was devised for applications.

CONCLUSIONS:

The revised BAPT shows promise as a measure of intention to breast-feed. The scoring system also indicates which women may need additional interventions to promote breast-feeding.

[Indexed for MEDLINE]

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