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Development and Validation of the Breastfeeding Literacy Assessment Instrument (BLAI) for Obstetric Women

Author

Listed:
  • María Jesús Valero-Chillerón

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain)

  • Rafael Vila-Candel

    (Department of Nursing, Universitat de València, 46007 Valencia, Spain
    Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Valencia, Spain
    Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO-SP), 46020 Valencia, Spain)

  • Desirée Mena-Tudela

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain)

  • Francisco Javier Soriano-Vidal

    (Department of Nursing, Universitat de València, 46007 Valencia, Spain
    Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO-SP), 46020 Valencia, Spain
    Department of Nursing, University of Alicante, 03080 Alicante, Spain
    Department of Obstetrics and Gynaecology, Hospital Luis Alcanyis, 46800 Xàtiva, Spain)

  • Víctor M. González-Chordá

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain
    Nursing and Healthcare Research Unit (Investén-Isciii), Institute of Health Carlos III, 28029 Madrid, Spain)

  • Laura Andreu-Pejo

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain)

  • Aloma Antolí-Forner

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain)

  • Lledó Durán-García

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain)

  • Miryam Vicent-Ferrandis

    (Department of Maternity, Hospital General Universitario, 12004 Castelló, Spain)

  • María Eugenia Andrés-Alegre

    (Department of Obstetrics and Gynaecology, Hospital Universitario de la Ribera, 46600 Valencia, Spain)

  • Águeda Cervera-Gasch

    (Department of Nursing, Universitat Jaume I, Av de Vicent Sos Baynat, 12071 Castelló, Spain)

Abstract

Background: Despite international efforts to protect and promote exclusive breastfeeding (EBF) for infants up to six months of age, global rates of EBF continue to fall short of the targets proposed by the WHO for 2025. Previous studies have shown a relationship between the level of health literacy and the duration of EBF, although this relationship was not determinant, probably due to the use of a generic health literacy questionnaire. Therefore, this study aims to design and validate the first specific breastfeeding literacy instrument. Methods: A Breastfeeding Literacy instrument was developed. Content validation was carried out by a group of 10 experts in health literacy, breastfeeding or instrument validation, obtaining a Content Validity index in Scale (S-CVI/Ave) of 0.912. A multicentre cross-sectional study was carried out in three Spanish hospitals to determine the psychometric properties (construct validity and internal consistency). The questionnaire was administered to 204 women during the clinical puerperium. Results: The Kaiser-Meier-Oklin Test (KMO = 0.924) and Bartlett’s Test of Sphericity ( X 2 = 3119.861; p ≤ 0.001) confirmed the feasibility of the Exploratory Factor Analysis, which explained 60.54% of the variance with four factors. Conclusions: The Breastfeeding Literacy Assessment Instrument (BLAI) consisting of 26 items was validated.

Suggested Citation

  • María Jesús Valero-Chillerón & Rafael Vila-Candel & Desirée Mena-Tudela & Francisco Javier Soriano-Vidal & Víctor M. González-Chordá & Laura Andreu-Pejo & Aloma Antolí-Forner & Lledó Durán-García & Mi, 2023. "Development and Validation of the Breastfeeding Literacy Assessment Instrument (BLAI) for Obstetric Women," IJERPH, MDPI, vol. 20(5), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3808-:d:1075463
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    References listed on IDEAS

    as
    1. Pablo Rogers, 2022. "Best Practices for Your Exploratory Factor Analysis: A Factor Tutorial," RAC - Revista de Administração Contemporânea (Journal of Contemporary Administration), ANPAD - Associação Nacional de Pós-Graduação e Pesquisa em Administração, vol. 26(6), pages 210085-2100.
    2. María Jesús Valero-Chillerón & Desirée Mena-Tudela & Águeda Cervera-Gasch & Víctor Manuel González-Chordá & Francisco Javier Soriano-Vidal & José Antonio Quesada & Enrique Castro-Sánchez & Rafael Vila, 2022. "Influence of Health Literacy on Maintenance of Exclusive Breastfeeding at 6 Months Postpartum: A Multicentre Study," IJERPH, MDPI, vol. 19(9), pages 1-13, April.
    3. Safoura Taheri & Mahmoud Tavousi & Zohre Momenimovahed & Ashraf Direkvand-Moghadam & Azita Tiznobaik & Zainab Suhrabi & Ziba Taghizadeh, 2020. "Development and psychometric properties of maternal health literacy inventory in pregnancy," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-14, June.
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