Cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modified for preterm mothers in Brazil.
Clarice Borges Lucas Denobi, Lorena Maria Fernandes da Silva, Gabriela Ramos Ferreira Curan and 3 others
PMID 38018612WHAT IT FOUND
A Brazilian Portuguese version of a breastfeeding confidence questionnaire for mothers of preterm infants was adapted and rated clear and easy to use by 18 mothers and expert reviewers.
It is a translated assessment tool, not proof that using it improves breastfeeding.
Key findings
01The adapted scale was pre-tested with 18 mothers, and 83.4% rated the response options very good or excellent, 94.4% rated the instructions very good or excellent, and 78% rated item understanding and ease very good or excellent.
02Mothers rated word comprehension 83% very good or excellent, item 6 clarity and ease 94.4% very good or excellent, and time to complete 83.3% very good or excellent.
03Expert judges reported average agreement of 85% on word meaning, 89% on everyday expressions, 86% on cultural fit, and 94% on the underlying concept, with an overall average of 88%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 18 mothers pre-tested the scale, and they were recruited by convenience from one hospital region. The pre-test included mothers of preterm infants with corrected gestational age of at least 33 weeks, so it does not show how mothers of babies younger than 33 weeks or term sick infants would use it. The study did not include expert judges from the North and Midwest of Brazil. The scale was tested only while mothers and babies were hospitalized, not after discharge. The study checked translation, clarity and expert content validity, but not construct validity or reliability.
Declared interests
The study was supported by the CAPES Social Demand Program at the State University of Londrina. The supplied text does not report author conflicts of interest.
The easy way to misread this
Do not read this as proof that the adapted scale is fully validated for all Brazilian mothers or that using it improves breastfeeding. The study tested translation, expert content validity and clarity in 18 mothers, and the authors say construct validity and reliability still need future studies.