Validation of the Iowa Infant Feeding Attitude Scale
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Abstract
Background: A significant decrease in breastfeeding in favor of the use of milk substitutes was observed around the turn of the 20th century, leading to changes in child health. Attempts have been made to reverse this trend, but with little success. The attitude of the mother is a determining factor for the duration of breastfeeding, and there are several ways to quantify this. The present work presents the validation of a Spanish version of the Iowa Infant Feeding Attitude Scale.
Objectives: Validation of a Spanish version of the Iowa Infant Feeding Attitude Scale.
Method: A methodological study was used for the semantic and linguistics validation of a scale for the psychometric measurement of the attitudes to breastfeeding. This included a double translation process, in English and Spanish, a semantic validation, and the measurement of the predictive validity and internal consistency using 136 women of a high social level and after childbirth in the city of Bogotá. A follow up telephone survey was conducted 6 weeks after childbirth to evaluate the duration of breastfeeding and the feeding method at that point in time.
Results: In the telephone survey at 6 weeks, the women had a positive attitude toward maternal breastfeeding, independent from the way of feeding. The Cronbach alpha index was 0.704.
Conclusions: The present study suggests that the version adapted to Spanish (Colombia) of the Iowa Infant Feeding Attitude Scale can be considered valid to evaluate attitudes towards breastfeeding. Its validation needs to be carried out in other social and cultural contexts.
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