Development and validation of paternal breastfeeding attitude scale
Aysu Buldum1, Devrim Alıcı2, Duygu Vefikuluçay Yılmaz3
1Faculty of Nursing, Obstetrics and Women's Health Diseases Nursing Department, Mersin University, Çiftlikköy Campus, Mersin, 33343, Turkey. aysukoptur@mersin.edu.tr.
BMC Nursing
|July 15, 2025
Summary
A new scale effectively measures fathers' attitudes toward breastfeeding, showing it is a valid and reliable tool. This can help promote positive paternal views on breastfeeding through targeted interventions.
Area of Science:
- Health Sciences
- Psychometrics
- Family Studies
Background:
- Measuring paternal attitudes towards breastfeeding is crucial for understanding and promoting breastfeeding success.
- Existing instruments may not adequately capture the nuances of fathers' perspectives.
Purpose of the Study:
- To develop and validate the Paternal Breastfeeding Attitude Scale (PBAS).
- To provide a reliable instrument for assessing fathers' attitudes concerning breastfeeding.
Main Methods:
- Basic research design with two independent groups of fathers (children aged 0-24 months).
- Development of a 32-item scale, refined to 14 items, using a five-point Likert scale.
- Statistical analyses included Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA).
Main Results:
- EFA identified a 14-item scale with a Kaiser-Meyer Olkin value of 0.864.
- Subscale reliability (Cronbach's alpha) ranged from 0.68 to 0.85.
- CFA confirmed the scale's validity with statistically significant factor loadings and acceptable model fit indices.
Conclusions:
- The Paternal Breastfeeding Attitude Scale is a valid and reliable instrument for measuring fathers' attitudes towards breastfeeding.
- Findings suggest that breastfeeding training and counseling can enhance positive paternal attitudes.
- The scale can be utilized by healthcare professionals, particularly women's health nurses, to support breastfeeding dyads.
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