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Updated: Jan 9, 2026

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Assessing Breastfeeding and Family-Centered Care: A Delphi-Based Scale and Its Prediction of Child Psychological

Yafei Yang1, Na Sun1, Mengke Wang1

  • 1Department of Pediatrics, South China Hospital, Medical School, Shenzhen University, Shenzhen, 518116, People's Republic of China.

Journal of Multidisciplinary Healthcare
|December 10, 2025
PubMed

Insights

Developing the Breastfeeding and Family-Centered Care Assessment Scale (ScaleSc) shows its value in predicting child psychological status. Higher ScaleSc scores indicate better psychological well-being in children.

Area of Science:

  • Child Psychology
  • Pediatrics
  • Health Sciences

Background:

  • Breastfeeding and family-centered care are crucial for child development.
  • Assessing these factors' impact on psychological status requires validated tools.
  • Existing methods may not fully capture the nuances of these early-life influences.

Purpose of the Study:

  • To develop and validate the Breastfeeding and Family-Centered Care Assessment Scale (ScaleSc) using the Delphi method.
  • To evaluate the association between ScaleSc scores and child psychological status.
  • To explore the predictive utility of ScaleSc in computational models.

Main Methods:

  • The Delphi method was employed for scale development through expert consultation.
  • Children aged 6-14 years were enrolled as participants.
  • Support vector machine (SVM) and decision tree models were utilized for analysis.

Main Results:

  • Higher ScaleSc scores were significantly associated with better child psychological status.
  • The ScaleSc demonstrated substantial predictive importance in computational models.
  • School bullying (SchBull) was identified as a significant risk factor for poor psychological status (OR=43.982).

Conclusions:

  • The ScaleSc was successfully developed and clinically validated.
  • The ScaleSc is a valuable tool for assessing child psychological status.
  • Breastfeeding and family-centered care significantly influence child psychological development.
Abstract

Keywords:
Delphi methodbreastfeedingchild psychologyfamily-centered caremodel constructionscale development

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