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Development and Psychometric Testing of the Prenatal Breast-feeding Self-efficacy Scale

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Objective: To develop and evaluate the psychometric properties of a scale measuring prenatal breast-feeding self-efficacy. Methods: A 20-item scale was administered to a sample of 279 low-income pregnant women. Results: Results from this study provide evidence for internal consistency (Cronbach's alpha = .89) and validity of this measure of prenatal breast-feeding self-efficacy in this population. A factor analysis of the scale indicated 4 themes. The instrument distinguished between women who intended to breast-feed and those who intended to formula feed. Conclusion: A valid and reliable scale measuring self-efficacy for breast-feeding during pregnancy may help health care providers design interventions to increase breast-feeding rates

Keywords: breast-feeding; intention; prenatal; scale; self-efficacy

Document Type: Research Article


Affiliations: 1: Department of Psychology, University of South Florida, Tampa, FL. 2: Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. 3: Grady Health System, Nutrition Services Department, Atlanta, GA.

Publication date: March 1, 2006

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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