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

Author:

Radwan Hadia1,Fakhry Randa2,Boateng Godfred O.3ORCID,Metheny Nick45,Bani issa Wegdan2,Faris MoezAlIslam E.1,Obaid Reyad Shaker1,Al Marzooqi Suad6,Al Ghazal Hessa7,Dennis Cindy-Lee8

Affiliation:

1. Department of Clinical Nutrition and Dietetics, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates

2. Department of Nursing, College of Health Sciences, Research Institute of Medical and Health Sciences(RIMHS), University of Sharjah, Sharjah, United Arab Emirates

3. Department of Kinesiology, College of Nursing and Health Innovation, The University of Texas at Arlington, Arlington, TX, USA

4. School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA

5. Affiliate Scientist, MAP Centre for Urban Health Solutions, St Michael’s Hospital, Toronto, ON Canada

6. Department of Psychology, Al Ain, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab Emirates

7. Sharjah Child-Friendly Office, Sharjah, United Arab Emirates

8. Department of Psychiatry, University of Toronto, Toronto, ON, Canada

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.

Funder

Sheikh Hamdan Bin Rashid Al Maktoum Award for Medical Sciences

Vice-Chancellor Research and Graduate Studies Office/University of Sharjah grant

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

Reference38 articles.

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4. Bayyenat S., Ghazizade Hashemi S. A., Purbaferani A., Saeidi M., Khodaee G. H. (2014). The importance of breastfeeding in Holy Quran. International Journal of Pediatrics, 2(4.1), 339–347. http://ijp.mums.ac.ir/article_3396.html

5. Significance tests and goodness of fit in the analysis of covariance structures.

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