Reliability and Validity of the Japanese Version of the Iowa Infant Feeding Attitude Scale: A Longitudinal Study

Reliability and Validity of the Japanese Version of the Iowa Infant Feeding Attitude Scale: A Longitudinal Study
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DOI:
10.1177/0890334414534321
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发表时间:
2014-08-01
影响因子:
2.6
通讯作者:
Jimba, Masamine
Jimba, Masamine
中科院分区:
医学4区
文献类型:
--
作者:
Nanishi, Keiko;Jimba, Masamine

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背景:17项爱荷华州婴儿喂养态度量表(IIFAS)在衡量各国婴儿喂养态度方面显示出良好的信度和效度。它也被认为与母乳喂养的意图和排他性有关。然而,IIFAS尚未在日本女性中进行心理测量学测试。目的:本研究旨在编制日文版的IIFAS- j量表,并对其信度和效度进行评估。方法:对日本4家医院的781名妇女进行了纵向研究。翻译后的IIFAS在孕晚期对参与者进行管理。在产后4周和12周使用随访问卷自我报告婴儿喂养状况。通过检查怀孕期间IIFAS-J评分与产后4周和12周婴儿喂养状况之间的关系来确定预测有效性。结果:主成分分析后剔除1项。因此,IIFAS-J由16个项目组成。IIFAS-J的Cronbach's alpha为0.66。妊娠晚期较高的IIFAS-J评分与产后4周较高的出院后纯母乳喂养率相关(B = 0.05;调整优势比= 1.05;95%可信区间为1.01-1.10)。结论:日文版IIFAS量表有16个条目,是一份可靠、有效的孕期母乳喂养态度量表。
Background: The 17-item Iowa Infant Feeding Attitude Scale (IIFAS) has shown good reliability and validity to measure attitudes toward infant feeding in various countries. It is also known to be associated with breastfeeding intention and exclusivity. However, the IIFAS has not been psychometrically tested among Japanese women.Objective: This study aimed to develop the Japanese version of the IIFAS (IIFAS-J) and assess its reliability and validity.Methods: This longitudinal study was conducted with 781 women at 4 hospitals in Japan. The translated IIFAS was administered to participants during their third trimester. Infant feeding status was self-reported at 4 and 12 weeks postpartum using follow-up questionnaires. The predictive validity was determined by examining the association between the IIFAS-J score during pregnancy and infant feeding status at 4 and 12 weeks postpartum.Results: One item was removed after a principal components analysis. Therefore, the IIFAS-J consisted of 16 items. Cronbach's alpha of the IIFAS-J was 0.66. A higher IIFAS-J score during the third trimester was associated with a higher postdischarge exclusive breastfeeding rate at 4 weeks postpartum (B = 0.05; adjusted odds ratio = 1.05; 95% confidence interval, 1.01-1.10).Conclusion: The 16-item Japanese version of the IIFAS is a reliable and valid scale for measuring maternal infant-feeding attitudes during pregnancy.