Breastfeeding Measurement Instruments: A COSMIN Review and Recommendation
Bingjie Liu1, Fen Zhou1,2, Yunpeng Lv3
1Beijing University of Chinese Medicine, China.
Summary
This study comprehensively evaluated breastfeeding measurement tools, finding significant gaps in reliability and validity data. Seven instruments are recommended, but future research must address evidence deficiencies for better clinical application.
Area of Science:
- Breastfeeding research
- Health measurement instruments
- Psychometrics
Background:
- Breastfeeding assessment tools vary widely in quality and findings.
- Previous reviews lacked a contemporary, comprehensive evaluation using the COSMIN framework.
- A need exists for a robust assessment to guide instrument selection.
Purpose of the Study:
- To systematically evaluate the quality of current breastfeeding measurement instruments.
- To provide evidence-based recommendations for selecting appropriate tools.
Main Methods:
- Systematic literature search of 10 databases (inception-Sept 2024) following COSMIN guidelines.
- Independent dual-reviewer screening, data extraction, and quality assessment.
- Synthesis of evidence and formulation of recommendations based on predefined criteria.
Main Results:
- 54 studies assessed 24 instruments, revealing major gaps in measurement properties.
- Reliability data were absent for 52% of instruments; validity and responsiveness were poorly assessed.
- No instrument had established minimal important change or smallest detectable change values.
- Seven instruments for self-efficacy, support needs, and behavior prediction received Grade A recommendations.
Conclusions:
- The review provides a validated evidence base for selecting breastfeeding measurement instruments.
- Future research must address identified evidence gaps, especially in reliability and clinically meaningful change.
- Prioritizing validation research is crucial for improving measurement tools in this field.
Keywords:
anatomybreastfeedingbreastfeeding assessmentbreastfeeding assessment instrumentsbreastfeeding attrition prediction toolinfant/neonatematernalMore Related Videos
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