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Development and Validation of the Lactation Psychological Needs Scale.
Kelsie R Barta1,2, Misty M Richmond3, Becky Spencer2
1University of Houston, Andy and Barbara Gessner College of Nursing, University Boulevard, Sugar Land, TX, USA.
A new scale measures psychological need satisfaction during lactation, linking autonomy, competence, and relatedness to improved breastfeeding well-being. This tool aids understanding of lactation experiences and maternal mental health outcomes.
Area of Science:
- Psychology
- Human Development
- Maternal Health
Background:
- Self-determination theory posits that satisfying autonomy, competence, and relatedness fosters human flourishing.
- These psychological needs have not been studied in the context of lactation.
- Understanding need satisfaction may explain variations in breastfeeding outcomes and maternal well-being.
Purpose of the Study:
- To develop and preliminarily validate an instrument measuring psychological need satisfaction specifically related to lactation.
- The instrument aims to assess autonomy, competence, and relatedness in lactating individuals.
Main Methods:
- Developed initial items based on literature review and content validity testing.
- Administered an online cross-sectional survey to 634 lactating individuals in the United States in two phases.
- Utilized exploratory and confirmatory factor analyses to assess validity and reliability.
Main Results:
- A 12-item, three-factor (autonomy, competence, relatedness) scale demonstrated excellent model fit.
- The Lactation Psychological Needs Scale showed acceptable internal consistency reliability (0.856 full scale, 0.790-0.861 subscales).
- Scores correlated positively with maternal lactation satisfaction and negatively with depression scores.
Conclusions:
- Preliminary psychometric support exists for the novel Lactation Psychological Needs Scale.
- Self-determination theory offers a new framework for understanding lactation behavior and well-being.
- Further validation of the instrument is recommended.
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