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Breastfeeding Self-Efficacy Scale to Measure Exclusive Breastfeeding (BSES-EBF)

The Breastfeeding Self-Efficacy Scale to Measure Exclusive Breastfeeding (BSES-EBF) is a nine-item measure intended to capture a young parent's perceived ability to exclusively breastfeed their newborn child/ren. This measure is shorter version of the Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF), and is valid for use in a setting with low rates of exclusive breastfeeding. Through two subscales, It captures cognitive as well as behavioral skills associated with breastfeeding.

Categories

Geographies Tested: Uganda

Populations Included: Female

Age Range: Adolescents, Adults

Items:

Tell me how you would rank your confidence on a scale of 1 to 5 for each statement.

Cognitive Subscale

  1. I can always give my baby only breast milk without using animal milk, formula, or other liquids or foods as a supplement.
  2. I can continue exclusively breastfeeding for as long as I want.
  3. I can always exclusively breastfeed without my baby receiving even a drop of water or any other liquid.
  4. I can always stop someone from trying to feed my baby liquids or foods other than breast milk, including purchased baby foods (e.g. infant formula, milk, porridge, juice, tea [whatever is given]), before 6 months of age.

Functional Subscale

  1. I can always determine that my baby is getting enough milk.
  2. I can always be satisfied with my breastfeeding experience.
  3. I can always deal with the fact that breastfeeding can be time consuming.
  4. I can always continue to breastfeed my baby for every feeding.
  5. I can always manage to keep up with my baby’s breastfeeding demands.

Response Options
Not at all confident - 1
Not very confident - 2
Sometimes confident - 3
Confident - 4
Very confident - 5

Scoring Procedures

Not Available

Original Citation

Boateng, G. O., Martin, S. L., Tuthill, E. L., Collins, S. M., Dennis, C. L., Natamba, B. K., & Young, S. L. (2019). Adaptation and psychometric evaluation of the breastfeeding self-efficacy scale to assess exclusive breastfeeding. BMC Pregnancy Childbirth, 19(1), 73. https://doi.org/10.1186/s12884-019-2217-7


Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

KEY

Ease of Use

Readability

Scoring Clarity

Length

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