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Factor Structure and Psychometric Properties of the Neonatal Eating Assessment Tool-Breastfeeding

Britt Frisk Pados, Suzanne M Thoyre, Hayley H Estrem

    Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
    |April 13, 2018
    PubMed

    Insights

    The Neonatal Eating Assessment Tool-Breastfeeding (NeoEAT-Breastfeeding) is a reliable and valid parent-report measure for assessing infant breastfeeding from birth to 7 months. This tool demonstrates good psychometric properties for evaluating infant feeding behaviors.

    Area of Science:

    • Pediatrics
    • Infant Nutrition
    • Psychometrics

    Background:

    • Assessing infant breastfeeding is crucial for early detection of feeding issues.
    • Validated tools are needed to support parents and clinicians in evaluating breastfeeding.
    • The Neonatal Eating Assessment Tool-Breastfeeding (NeoEAT-Breastfeeding) aims to address this need.

    Purpose of the Study:

    • To determine the factor structure of the NeoEAT-Breastfeeding.
    • To evaluate the psychometric properties of the NeoEAT-Breastfeeding, including reliability and validity.
    • To establish the NeoEAT-Breastfeeding as a robust assessment tool for infant breastfeeding.

    Main Methods:

    • Exploratory factor analysis was performed on data from 402 parents of infants under 7 months.
    • Internal consistency reliability was assessed using Cronbach's alpha.
    • Test-retest reliability, concurrent validity (with established questionnaires), and known-groups validity were evaluated.

    Main Results:

    • A 62-item, seven-subscale structure for the NeoEAT-Breastfeeding was identified.
    • The tool demonstrated acceptable internal consistency (Cronbach's α = .92) and test-retest reliability (r = .91).
    • Evidence of concurrent validity was found with the Infant Gastroesophageal Reflux Questionnaire (r = .69) and Infant Gastrointestinal Symptoms Questionnaire (r = .62).
    • Infants with feeding problems scored significantly higher on the NeoEAT-Breastfeeding than typically feeding infants (p < .001).

    Conclusions:

    • The NeoEAT-Breastfeeding is a parent-report measure for infants aged 0-7 months.
    • The tool shows initial evidence of good reliability and validity for assessing breastfeeding.
    • The NeoEAT-Breastfeeding can be utilized to identify infants experiencing breastfeeding difficulties.

    Keywords:
    breastfeedingfeeding behaviorinfantnewbornsurveys and questionnaires

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