Measurement Properties and Quality of Maternal Breastfeeding Instruments: A Scoping Review
Seyedeh Samira Mokhlesi1, Vidanka Vasilevski1,2, Kolsoom Safari3
1School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Burwood, VIC, Australia.
Summary
This study evaluated maternal breastfeeding questionnaires, finding only six instruments possess satisfactory measurement properties for reliable results. Further research is needed to improve the quality and validity of most available breastfeeding assessment tools.
Area of Science:
- Reproductive Health
- Psychometrics
- Maternal and Child Health
Background:
- Numerous questionnaires exist to assess breastfeeding behavior and success factors.
- Ensuring satisfactory measurement properties is crucial before utilizing these instruments.
Purpose of the Study:
- To evaluate, compare, and summarize the measurement properties and quality of original maternal breastfeeding questionnaires.
- To identify reliable instruments for assessing breastfeeding behavior.
Main Methods:
- Systematic review using PRISMA-ScR guidelines.
- Included peer-reviewed studies on the development and psychometric evaluation of breastfeeding instruments.
- Assessed methodological quality and measurement properties using COSMIN methodology.
Main Results:
- Identified 25 relevant papers from 3,850 abstracts.
- Only six instruments showed sufficient content validity and internal consistency, recommended for use.
- Sixteen instruments had indeterminate content validity, requiring further research.
- No instruments reported cross-cultural validity, measurement error, or responsiveness.
Conclusions:
- Most breastfeeding instruments require further research to improve their measurement properties.
- Specific areas needing investigation include cross-cultural validity, measurement error, and criterion validity.
- Enhancing instrument quality is essential for accurate breastfeeding behavior assessment.
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