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Bristol Breastfeeding Assessment Tool-Thai Version: Translation, Validity, and Reliability
Kochaporn Singhala1, Andrew C Mills1,2, Choochart Wong-Anuchit1
1Faculty of Nursing, Mahasarakham University, Mahasarakham, Thailand.
Summary
A new Thai version of the Bristol Breastfeeding Assessment Tool was developed and validated. This tool helps assess breastfeeding practices objectively for mothers and newborns in Thailand.
Area of Science:
- Maternal and Child Health
- Nursing Research
- Health Services Research
Background:
- Exclusive breastfeeding rates in Thailand were low in 2019 (14.0% up to 6 months).
- Objective assessment tools are needed to help healthcare providers identify breastfeeding challenges for new mothers.
Purpose of the Study:
- Translate the Bristol Breastfeeding Assessment Tool (BBAT) into Thai.
- Evaluate the reliability and validity of the Thai BBAT.
- Examine the link between maternal self-efficacy and breastfeeding success.
Main Methods:
- Methodological study involving 302 new mothers in Thailand.
- Translation and cross-cultural adaptation of the BBAT into Thai.
- Confirmatory factor analysis for structural validity; assessment of concurrent and convergent validity using Thai LATCH and Thai Breastfeeding Self-Efficacy Scale.
Main Results:
- The Thai BBAT demonstrated strong inter-item correlations and acceptable internal reliability (Cronbach's alpha).
- The tool showed positive and strong correlations with the Thai LATCH instrument, indicating acceptable concurrent validity.
- Confirmatory factor analysis confirmed an excellent model fit for the Thai BBAT data.
Conclusions:
- The Thai Bristol Breastfeeding Assessment Tool is a reliable and valid instrument, equivalent to its English original.
- This validated tool offers an objective method for assessing and monitoring breastfeeding practices among Thai mothers.
- The Thai BBAT can support healthcare providers in improving breastfeeding support and outcomes for newborns.
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