Cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modified for preterm mothers in Brazil

Denobi, Clarice Borges Lucas; Silva, Lorena Maria Fernandes da; Curan, Gabriela Ramos Ferreira; Dennis, Cindy-Lee; Oriá, Mônica Oliveira Batista; Rossetto, Edilaine Giovanini

doi:10.1590/0034-7167-2022-0497

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (5) • 2023 • https://doi.org/10.1590/0034-7167-2022-0497 copy

Cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modified for preterm mothers in Brazil

Adaptação transcultural da Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modificada para mães de prematuros no Brasil

Adaptación transcultural de la Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modificada para madres de prematuras en Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to conduct a cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) for mothers of ill and/or preterm infants among Portuguese-speaking mothers in Brazil.

Methods:

a methodological study was completed, including the translation of the tool, synthesis of translations, review by experts, synthesis, reassessment of experts, back-translation, pre-test, and validation of the content. The study involved 19 participants, including a translator and experts. In addition, 18 mothers from the target population were included in the pre-test.

Results:

the equivalences of the opinion obtained by the committee of experts were semantic (85%), idiom (89%), cultural (86%), and conceptual (94%). The content validation coefficient (CVC) on the scale was 0.93 for clarity and understanding; 0.89 for practical relevance; 0.92 for relevance; and the average overall CVC was 0.91.

Conclusions:

the scale was translated and adapted to the Brazilian Portuguese language, which maintained the equivalences and confirmed the content validity.

Descriptors:
Breastfeeding; Self-efficacy; Validation Study; Premature Newborn; Methodological Research in Nursing.

Item	English term	Conflicting terms	Suggestions	Consensus of researchers
Scale title	Ill	Doente	No suggestions	Doente
Instructions	Baby Mark	Recém-nascido Assinale	Bebê Marque	Bebê Marque
Score	Confident Not very confident	Confiante Não muito confiante	Confiante Pouco confiante	Confiante Muito pouco confiante
Item 1	Pump	Retirar	Extrair/Ordenhar	Retirar
Item 2	Breast pumping Time consuming	Retirada de leite Ser demorado	Extração do leite Ordenha do leite Consumir muito tempo	Retirar leite Ser demorados
Item 3	Pumping Challenging	Retirada de leite Desafiadoras	Extração do leite Ordenha do leite Difíceis	Retirada de leite Difíceis
Item 4	My satisfaction	Me sinto satisfeita	Que eu me sinta satisfeita	Que eu me sinta satisfeita
Item 5	Keep wanting	Continuo desejando	Ainda desejo Continuo querendo	Continuo querendo
Item 6	With my	Com minha	Com a minha	Com a minha
Item 7	If and / or when	Se/quando	Se e/ou quando Se eu precisar (ou quando precisar)	Se eu precisar (ou quando precisar)
2ª session	To actually	-	Efetivamente	Realmente
Item 8	Determine EDF	Determinar Alimentado	Saber Amamentado Receber leite	Saber Amamentado
Item 10	Enough milk	Leite suficiente	Leite suficiente na mamada Leite suficiente durante a amamentação Sugando adequadamente	Leite suficiente no meu peito
Item 11	Able to manage to breastfeed	Capaz de lidar com a amamentação	Capaz de amamentar Capaz de iniciar a amamentação	Capaz de amamentar
Item 12	Supplement Formula	Complemento Outro leite	Suplemento Leite em pó Fórmula infantil	Complemento Outros tipos de leite
Item 13	Members Comfortably	Membros Confortavelmente	Pessoas Tranquilamente	Pessoas Confortavelmente
Item 14	Finish feeding Before switching to the other	Terminar de amamentar Antes de mudar para o outro	Esvaziar o peito Antes de mudar para o outro peito	Esvaziar o peito Antes de mudar para o outro
Item 15	Every feeding	Todas as vezes	Todas as mamadas Todas as vezes	Em todas as mamadas
Item 16	Demands	Demanda	Demandas Necessidade	Necessidades
Item 17	Tell	Reconhecer	Dizer	Reconhecer
Item 18	I will be able to switch from mostly pumping to mostly or completely breastfeeding my baby	Eu serei capaz de trocar a retirada do leite, na maioria das vezes, pela amamentação, na maioria das vezes ou em todas as vezes, para alimentar meu bebê	Many suggestions were put forward	Eu serei capaz de trocar a retirada do leite das mamas pela amamentação, na maioria das mamadas ou em todas elas

Main subject of the item	CVCi
Main subject of the item	Clarity	Practical relevance	Relevance
Getting enough milk by pumping	0.88	0.80	0.92
Pumping and breastfeeding are time-consuming	0.92	0.92	0.92
Dealing with breastfeeding in the same way as with other difficult tasks	0.80	0.92	0.88
Dealing with breastfeeding and feeling satisfied	0.96	0.88	0.92
Continuing wanting to breastfeed	0.96	0.88	0.96
Satisfaction with the experience	0.92	0.88	0.88
Getting help with breastfeeding	0.96	0.84	0.96
Recognizing the baby’s need to be breastfeed	0.96	0.88	0.92
Ensuring a proper latch	0.96	0.92	0.92
Knowing if the baby is getting enough milk	0.96	0.92	0.96
Breastfeeding with baby crying	0.96	0.88	0.92
Breastfeeding my baby without using formula	0.96	0.88	0.92
Breastfeeding with family members present	0.92	0.88	0.88
Feeding the baby on one breast before switching to the other breast	0.96	0.92	0.96
Breastfeeding the baby for every feeding	0.96	0.92	0.92
Meet baby’s breastfeeding needs	0.88	0.88	0.88
Recognizing when the baby has finished breastfeeding	0.96	0.92	0.92
Switching from mostly pumping to mostly or completely breastfeeding	0.92	0.92	0.92
Total	0.9148	Pej 0.00032	0.9145

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[1] Corresponding author: Clarice Borges Lucas Denobi, E-mail: clariceblucas@hotmail.com