Translation and validation of the Breastfeeding Motivation Scale in China

Abstract Background There are several versions of the Breastfeeding Motivation Scale (BMS), which have been shown to measure maternal breastfeeding motivation, but there is not a Chinese version yet. The study aimed to translate the BMS into Chinese and subsequently assess its psychometric propertie...

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Main Authors: Yanfei Yu, Lu Zhang, Ying Liu, Lan Zhang, Nafei Guo
Format: Article
Language:English
Published: BMC 2024-01-01
Series:International Breastfeeding Journal
Subjects:
Online Access:https://doi.org/10.1186/s13006-023-00610-z
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author Yanfei Yu
Lu Zhang
Ying Liu
Lan Zhang
Nafei Guo
author_facet Yanfei Yu
Lu Zhang
Ying Liu
Lan Zhang
Nafei Guo
author_sort Yanfei Yu
collection DOAJ
description Abstract Background There are several versions of the Breastfeeding Motivation Scale (BMS), which have been shown to measure maternal breastfeeding motivation, but there is not a Chinese version yet. The study aimed to translate the BMS into Chinese and subsequently assess its psychometric properties among Chinese mothers during the postpartum period. Methods The study was composed of two phases. The translation of BMS closely followed the principals of good practices. Phase 1 included a comprehensive translation, back-translation, cross-cultural adaptation, and pretest to develop the Chinese version of the BMS. From 1 December 2021 to 1 July 2022, the Chinese version of the BMS was administered to 206 postnatal mothers in our maternity wards to assess its psychometric properties. Phase 2 involved psychometric property testing, including testing of the internal consistency, test–retest reliability, content validity, construct validity, convergent validity and discriminant validity. Results Minor modifications in four items were recommended after translations. The Cronbach's α coefficient of the Chinese version of the BMS was .887, and the intraclass correlation coefficient was .897 (P < 0.001). The model fit was acceptable (χ2/df = 2.40, P < 0.001, RMSEA = 0.08, CFI = 0.91, IFI = 0.92 and TLI = 0.90) according to the confirmatory factor analysis. The composite reliability values corresponding to each latent variable were 0.733 ~ 0.926, and the average variance extracted values were 0.476 ~ 0.653. The correlations among the five measured variables were all lower than .85 and the square roots of average variance extracted from the variable were greater than the interconstruct correlations among the five measured variables in the model. Conclusions The Chinese version of the BMS has good reliability and validity and provides a reliable assessment tool for measuring maternal breastfeeding motivation. It also provides support to develop culturally sensitive interventions for Chinese mothers’ who are breastfeeding.
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spelling doaj.art-f526be2c90c04826a5fe8098317931282024-01-07T12:48:55ZengBMCInternational Breastfeeding Journal1746-43582024-01-0119111210.1186/s13006-023-00610-zTranslation and validation of the Breastfeeding Motivation Scale in ChinaYanfei Yu0Lu Zhang1Ying Liu2Lan Zhang3Nafei Guo4Nursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of MedicineNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of MedicineNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of MedicineNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of MedicineNursing Department, Shanghai First Maternity and Infant Hospital, Tongji University School of MedicineAbstract Background There are several versions of the Breastfeeding Motivation Scale (BMS), which have been shown to measure maternal breastfeeding motivation, but there is not a Chinese version yet. The study aimed to translate the BMS into Chinese and subsequently assess its psychometric properties among Chinese mothers during the postpartum period. Methods The study was composed of two phases. The translation of BMS closely followed the principals of good practices. Phase 1 included a comprehensive translation, back-translation, cross-cultural adaptation, and pretest to develop the Chinese version of the BMS. From 1 December 2021 to 1 July 2022, the Chinese version of the BMS was administered to 206 postnatal mothers in our maternity wards to assess its psychometric properties. Phase 2 involved psychometric property testing, including testing of the internal consistency, test–retest reliability, content validity, construct validity, convergent validity and discriminant validity. Results Minor modifications in four items were recommended after translations. The Cronbach's α coefficient of the Chinese version of the BMS was .887, and the intraclass correlation coefficient was .897 (P < 0.001). The model fit was acceptable (χ2/df = 2.40, P < 0.001, RMSEA = 0.08, CFI = 0.91, IFI = 0.92 and TLI = 0.90) according to the confirmatory factor analysis. The composite reliability values corresponding to each latent variable were 0.733 ~ 0.926, and the average variance extracted values were 0.476 ~ 0.653. The correlations among the five measured variables were all lower than .85 and the square roots of average variance extracted from the variable were greater than the interconstruct correlations among the five measured variables in the model. Conclusions The Chinese version of the BMS has good reliability and validity and provides a reliable assessment tool for measuring maternal breastfeeding motivation. It also provides support to develop culturally sensitive interventions for Chinese mothers’ who are breastfeeding.https://doi.org/10.1186/s13006-023-00610-zBreastfeedingMotivationMotherMaternalReliabilityValidity
spellingShingle Yanfei Yu
Lu Zhang
Ying Liu
Lan Zhang
Nafei Guo
Translation and validation of the Breastfeeding Motivation Scale in China
International Breastfeeding Journal
Breastfeeding
Motivation
Mother
Maternal
Reliability
Validity
title Translation and validation of the Breastfeeding Motivation Scale in China
title_full Translation and validation of the Breastfeeding Motivation Scale in China
title_fullStr Translation and validation of the Breastfeeding Motivation Scale in China
title_full_unstemmed Translation and validation of the Breastfeeding Motivation Scale in China
title_short Translation and validation of the Breastfeeding Motivation Scale in China
title_sort translation and validation of the breastfeeding motivation scale in china
topic Breastfeeding
Motivation
Mother
Maternal
Reliability
Validity
url https://doi.org/10.1186/s13006-023-00610-z
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AT lanzhang translationandvalidationofthebreastfeedingmotivationscaleinchina
AT nafeiguo translationandvalidationofthebreastfeedingmotivationscaleinchina