Research Article
BibTex RIS Cite

Year 2025, Volume: 15 Issue: 2, 272 - 279, 30.06.2025
https://doi.org/10.33808/clinexphealthsci.1440560

Abstract

References

  • Mercan Y, Tari-Selçuk K. Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. Plos One. 2021;16(4):1-12. https://doi.org/10.1371/journal.pone.0249538
  • Victora, CG, Bahl R, Barros AJD, Farnça GVA, Horton S, Krasevec J, Murch, SM, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387(30):475-490. https://doi.org/10.1016/S0140-6736(15)01024-7
  • World Health Organization (WHO). Breastfeeding Advocacy Initiative. Geneva, Switzerland, 2015. Published [20 May 2015]. Accessed [2 April 2023]. https://iris.who.int/bitstream/handle/10665/152891/WHO_NMH_NHD_15.1_eng.pdf
  • World Health Organization (WHO). 10 Facts on Breastfeeding, 2015. Published [20 May 2015]. Updated [20 May 2018]. Accessed [21 February 2023]. http://www.who.int/features/factfiles/breastfeeding/facts/en/
  • World Health Organization (WHO). Global Breastfeeding Scorecard, 2022. Published [7 December 2022]. Accessed [21 February 2023]. https://www.who.int/nutrition/publications/infantfeeding/
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Türkiye Nüfus ve Sağlık Araştırması, 2018. Published [2 November 2019]. Accessed [21 February 2023]. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/ (Turkish)
  • Maleki-Saghooni N, Amel Barez M, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. The Journal of Maternal-Fetal & Neonatal Medicine 2020;33(18):3097-3102. https://doi.org/10.1080/14767058.2019.1568986
  • Spiby H, McCormick F, Wallace L, Renfrew MJ, D’Souza L, Dyson L. A systematic review of education and evidence-based practice interventions with health professionals and breast feeding counsellors on duration of breast feeding. Midwifery 2009;25(1):50–61. https://doi.org/10.1016/j.midw.2007.01.006
  • Schwab-Reese LM, Schafer EJ, Ashida S. Associations of social support and stress with postpartum maternal mental health symptoms: main effects, moderation, and mediation. Women Health. 2017;57(6):723-740. https://doi.org/10.1080/03630242.2016
  • Mashayekh-Amiri S, Hosseinzadeh M, Jafarabadi MA, Soltani S, Mirghafourvand M. Examining psychometric properties of the Iranian version of exclusive breastfeeding social support scale (EBFSS). BMC Psychology. 2023;11(1):234. https://doi.org/10.1186/s40359-023-01262-8
  • Isiguzo C, Mendez DD, Demirci JR, Youk A, Mendez G, Davis EM. Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding. Matern Child Nutr. 2023;19(2):1-14. https://doi.org/10.1111/mcn.13459
  • Schindler-Ruwisch JM, Roess A, Robert RC, Napolitano MA, Chiang S. Social support for breastfeeding in the era of mHealth: a content analysis. Journal of Human Lactation 2018;34(3): 543-555. https://doi.org/10.1177/0890334418773302
  • Li F, Huang C, Lin Q, Xi Y, Xiang C, Yong C, et al. Maternal characteristics, intention, self-efficacy perceived social support, and exclusive breastfeeding practice: Structural equation modeling approaches. Healthcare 2023;11(87):1-12. https://doi.org/10.3390/healthcare11010087
  • He J, Yimyam S, Namprom N. Breastfeeding self-efficacy, social support, an breastfeeding among Chinese mothers with late preterm infants. Journal of Neonatal Nursing 2022;28(1):21-25. https://doi.org/10.1016/j.jnn.2021.07.005
  • Jalal M, Dolatian M, Mahmoodi Z, Aliyari R. The relationship between psychological factors and maternal social support to breastfeeding process. Electronic Physician. 2017;9(1):3561-3569. https://doi.org/10.19082/3561
  • Alidadi-Shamsabadi E, Savabi-Esfahani M. The relationship between maternal perception of social support and breastfeeding patterns. Journal of Education and Health Promotion 2022;11(30):1-6. https://doi.org/10.4103/jehp.jehp_1467_20
  • Boateng GO, Martin SL, Collins SM, Natamba NK, Young SL. Measuring exclusive breastfeeding social support: Scale development and validation in Uganda. Matern Child Nutr. 2018;14(3):1-12. https://doi.org/10.1111/mcn.12579
  • Kottner J, Audigé L, Brorson S, Donner A, Gajewski BJ, Hróbjartsson A, Roberts C, Shoukri M, Streiner DL. Guidelines for reporting reliability and agreement studies (GRRAS) were proposed. International Journal of Nursing Studies 2011;48(6):661-671. https://doi.org/10.1016/j.ijnurstu.2011.01.016.
  • Tavşancıl E. Measurement of attitudes and data analysis with SPSS (5th ed.). Nobel, Ankara, Turkey, 2014.
  • Büyüköztürk Ş. Factor analysis: Basic concepts and its use in scale development. Educational Management in Theory and Practice 2002;32(32):470-483.
  • Aydın M, Uzun C, Kulakaç N. Hemşirelik öğrencilerinin e-öğrenmeye yönelik tutum ölçeği: Metodolojik bir çalışma. Türkiye Klinikleri J Nurs Sci. 2022;14(2):464-471. https://doi.org/10.5336/nurses.2021-84651 (Turkish)
  • Morgado FFR, Meireles JFF, Neves CM, Amaral ACS, Ferreire MC. Scale development: Ten main limitations and recommendations to improve future research practices. Psicologia: Reflexao e Critica. 2017;30(1):1-20. https://doi.org/10.1186/s41155-016-0057-1
  • Davis, LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research. 1992;5(4):194-197. https://doi.org/10.1016/S0897-1897(05)80008-4
  • Şencan H. Sosyal ve davranışsal ölçümlerde güvenilirlik ve geçerlilik. Ankara: Seçkin Yayınları (2005). (Turkish)
  • Gözüm S, Aksayan S. A guide for trans-cultural scale adaptation, II: psychometric characteristics and cross-cultural comparisons. Turkish J Nurs Res. 2003;5(1):3-14.
  • Demirtas B, Banu E, Taskin L. Breastfeeding experiences of Turkish women. Journal of Clinical Nursing. 2012;21(7):1109-1118. https://doi.org/10.1111/j.1365-2702.2011.03848.x
  • Esin MN. Data collection methods and tools-reliability and validity of data collection tools. Research, process practice and critical in nursing. Erdoğan S, Nahcivan N, Esin MN, editors. İstanbul: Nobel Medical Bookstores; 2021. pp.193-235.
  • Gaskin CJ, Happell B. On exploratory factor analysis: A review of recent evidence, an assessment of current practice, and recommendations for future use. IJNS. 2014;51(3):511-521. https://doi.org/10.1016/j.ijnurstu.2013.10.005
  • Karasar N. Scientific research method concepts principles techniques with scientific will perception framework. Ankara: Nobel Academy; 2020.
  • DeVellis Robert F, Carolyn T. Thorpe. Scale development: Theory and applications. Sage Publications; 2021.
  • Hayran M, Hayran M. Basic statistics for health research. Ankara TR; 2011. pp.30-35.
  • Çam MO, Baysan-Arabacı L. Qualitative and quantitative steps on attitude scale construction. Journal of Research and Development in Nursing 2010;12(2):59-71.
  • Seçer İ. Psychological test development and adaptation process: SPSS and LISREL applications. Anı Publishing; 2015.
  • Hughes RB. The development of an instrument to measure perceived emotional, instrumental, and informational support in breastfeeding mothers. Issues in Comprehensive Pediatric Nursing 1984;7(6):357–362. https://doi.org/10.3109/01460868409009772
  • Özdamar K. Scale and test development applied structural equation modeling IBM SPSS, IBM SPSS AMOS and MINTAB. Eskişehir: Nisan Bookstore; 2017. pp.78-79.
  • Tavşancıl E. Tavşancıl, Ezel. Tutumların ölçülmesi ve SPSS ile veri analizi. 2005. pp.93-124.(Turkish)

Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale

Year 2025, Volume: 15 Issue: 2, 272 - 279, 30.06.2025
https://doi.org/10.33808/clinexphealthsci.1440560

Abstract

Objective: This study aimed to evaluate the psychometric properties of the Turkish version of the Exclusive Breastfeeding Social Support Scale, which was designed to determine the social support perceived by mothers of infants aged 0–6 months who use any method of exclusive breastfeeding.
Methods: This methodological research involved 290 mothers and their infants aged 0–6 months. Data were collected using a sociodemographic and breastfeeding-related information form and the Exclusive Breastfeeding Social Support Scale. Thereafter, content and construct validities were assessed; item and confirmatory factor analyses were conducted; and internal consistency was evaluated. The study adhered to the Guidelines for Reporting Reliability and Agreement Studies.
Results: The Turkish version of the Exclusive Breastfeeding Social Support Scale achieved a content validity index of 0.94. The correlations between the item scores and total scale scores ranged from 0.56 to 0.87. The confirmatory factor analysis confirmed the scale’s 16-item, three-factor structure, with factor loadings exceeding 0.30 and fit indices above 0.80. The scale demonstrated a Cronbach’s alpha coefficient of 0.95.
Conclusions: The Turkish version of the Exclusive Breastfeeding Social Support Scale is proven to be a valid and reliable measurement tool. This scale facilitates the assessment of perceived social support levels among mothers who exclusively breastfeed their infants for the first 6 months after birth.

Ethical Statement

This study was approved by Ethics Committee of Erzincan Bianli Yıldırım University, Noninvasive Clinic Ethics Committee (Approval date: 31.08.2022; Number:07-08/10)

Supporting Institution

No competing financial interests exist.

Thanks

No

References

  • Mercan Y, Tari-Selçuk K. Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. Plos One. 2021;16(4):1-12. https://doi.org/10.1371/journal.pone.0249538
  • Victora, CG, Bahl R, Barros AJD, Farnça GVA, Horton S, Krasevec J, Murch, SM, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. The Lancet. 2016;387(30):475-490. https://doi.org/10.1016/S0140-6736(15)01024-7
  • World Health Organization (WHO). Breastfeeding Advocacy Initiative. Geneva, Switzerland, 2015. Published [20 May 2015]. Accessed [2 April 2023]. https://iris.who.int/bitstream/handle/10665/152891/WHO_NMH_NHD_15.1_eng.pdf
  • World Health Organization (WHO). 10 Facts on Breastfeeding, 2015. Published [20 May 2015]. Updated [20 May 2018]. Accessed [21 February 2023]. http://www.who.int/features/factfiles/breastfeeding/facts/en/
  • World Health Organization (WHO). Global Breastfeeding Scorecard, 2022. Published [7 December 2022]. Accessed [21 February 2023]. https://www.who.int/nutrition/publications/infantfeeding/
  • Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Türkiye Nüfus ve Sağlık Araştırması, 2018. Published [2 November 2019]. Accessed [21 February 2023]. http://www.hips.hacettepe.edu.tr/tnsa2018/rapor/ (Turkish)
  • Maleki-Saghooni N, Amel Barez M, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. The Journal of Maternal-Fetal & Neonatal Medicine 2020;33(18):3097-3102. https://doi.org/10.1080/14767058.2019.1568986
  • Spiby H, McCormick F, Wallace L, Renfrew MJ, D’Souza L, Dyson L. A systematic review of education and evidence-based practice interventions with health professionals and breast feeding counsellors on duration of breast feeding. Midwifery 2009;25(1):50–61. https://doi.org/10.1016/j.midw.2007.01.006
  • Schwab-Reese LM, Schafer EJ, Ashida S. Associations of social support and stress with postpartum maternal mental health symptoms: main effects, moderation, and mediation. Women Health. 2017;57(6):723-740. https://doi.org/10.1080/03630242.2016
  • Mashayekh-Amiri S, Hosseinzadeh M, Jafarabadi MA, Soltani S, Mirghafourvand M. Examining psychometric properties of the Iranian version of exclusive breastfeeding social support scale (EBFSS). BMC Psychology. 2023;11(1):234. https://doi.org/10.1186/s40359-023-01262-8
  • Isiguzo C, Mendez DD, Demirci JR, Youk A, Mendez G, Davis EM. Stress, social support, and racial differences: Dominant drivers of exclusive breastfeeding. Matern Child Nutr. 2023;19(2):1-14. https://doi.org/10.1111/mcn.13459
  • Schindler-Ruwisch JM, Roess A, Robert RC, Napolitano MA, Chiang S. Social support for breastfeeding in the era of mHealth: a content analysis. Journal of Human Lactation 2018;34(3): 543-555. https://doi.org/10.1177/0890334418773302
  • Li F, Huang C, Lin Q, Xi Y, Xiang C, Yong C, et al. Maternal characteristics, intention, self-efficacy perceived social support, and exclusive breastfeeding practice: Structural equation modeling approaches. Healthcare 2023;11(87):1-12. https://doi.org/10.3390/healthcare11010087
  • He J, Yimyam S, Namprom N. Breastfeeding self-efficacy, social support, an breastfeeding among Chinese mothers with late preterm infants. Journal of Neonatal Nursing 2022;28(1):21-25. https://doi.org/10.1016/j.jnn.2021.07.005
  • Jalal M, Dolatian M, Mahmoodi Z, Aliyari R. The relationship between psychological factors and maternal social support to breastfeeding process. Electronic Physician. 2017;9(1):3561-3569. https://doi.org/10.19082/3561
  • Alidadi-Shamsabadi E, Savabi-Esfahani M. The relationship between maternal perception of social support and breastfeeding patterns. Journal of Education and Health Promotion 2022;11(30):1-6. https://doi.org/10.4103/jehp.jehp_1467_20
  • Boateng GO, Martin SL, Collins SM, Natamba NK, Young SL. Measuring exclusive breastfeeding social support: Scale development and validation in Uganda. Matern Child Nutr. 2018;14(3):1-12. https://doi.org/10.1111/mcn.12579
  • Kottner J, Audigé L, Brorson S, Donner A, Gajewski BJ, Hróbjartsson A, Roberts C, Shoukri M, Streiner DL. Guidelines for reporting reliability and agreement studies (GRRAS) were proposed. International Journal of Nursing Studies 2011;48(6):661-671. https://doi.org/10.1016/j.ijnurstu.2011.01.016.
  • Tavşancıl E. Measurement of attitudes and data analysis with SPSS (5th ed.). Nobel, Ankara, Turkey, 2014.
  • Büyüköztürk Ş. Factor analysis: Basic concepts and its use in scale development. Educational Management in Theory and Practice 2002;32(32):470-483.
  • Aydın M, Uzun C, Kulakaç N. Hemşirelik öğrencilerinin e-öğrenmeye yönelik tutum ölçeği: Metodolojik bir çalışma. Türkiye Klinikleri J Nurs Sci. 2022;14(2):464-471. https://doi.org/10.5336/nurses.2021-84651 (Turkish)
  • Morgado FFR, Meireles JFF, Neves CM, Amaral ACS, Ferreire MC. Scale development: Ten main limitations and recommendations to improve future research practices. Psicologia: Reflexao e Critica. 2017;30(1):1-20. https://doi.org/10.1186/s41155-016-0057-1
  • Davis, LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research. 1992;5(4):194-197. https://doi.org/10.1016/S0897-1897(05)80008-4
  • Şencan H. Sosyal ve davranışsal ölçümlerde güvenilirlik ve geçerlilik. Ankara: Seçkin Yayınları (2005). (Turkish)
  • Gözüm S, Aksayan S. A guide for trans-cultural scale adaptation, II: psychometric characteristics and cross-cultural comparisons. Turkish J Nurs Res. 2003;5(1):3-14.
  • Demirtas B, Banu E, Taskin L. Breastfeeding experiences of Turkish women. Journal of Clinical Nursing. 2012;21(7):1109-1118. https://doi.org/10.1111/j.1365-2702.2011.03848.x
  • Esin MN. Data collection methods and tools-reliability and validity of data collection tools. Research, process practice and critical in nursing. Erdoğan S, Nahcivan N, Esin MN, editors. İstanbul: Nobel Medical Bookstores; 2021. pp.193-235.
  • Gaskin CJ, Happell B. On exploratory factor analysis: A review of recent evidence, an assessment of current practice, and recommendations for future use. IJNS. 2014;51(3):511-521. https://doi.org/10.1016/j.ijnurstu.2013.10.005
  • Karasar N. Scientific research method concepts principles techniques with scientific will perception framework. Ankara: Nobel Academy; 2020.
  • DeVellis Robert F, Carolyn T. Thorpe. Scale development: Theory and applications. Sage Publications; 2021.
  • Hayran M, Hayran M. Basic statistics for health research. Ankara TR; 2011. pp.30-35.
  • Çam MO, Baysan-Arabacı L. Qualitative and quantitative steps on attitude scale construction. Journal of Research and Development in Nursing 2010;12(2):59-71.
  • Seçer İ. Psychological test development and adaptation process: SPSS and LISREL applications. Anı Publishing; 2015.
  • Hughes RB. The development of an instrument to measure perceived emotional, instrumental, and informational support in breastfeeding mothers. Issues in Comprehensive Pediatric Nursing 1984;7(6):357–362. https://doi.org/10.3109/01460868409009772
  • Özdamar K. Scale and test development applied structural equation modeling IBM SPSS, IBM SPSS AMOS and MINTAB. Eskişehir: Nisan Bookstore; 2017. pp.78-79.
  • Tavşancıl E. Tavşancıl, Ezel. Tutumların ölçülmesi ve SPSS ile veri analizi. 2005. pp.93-124.(Turkish)
There are 36 citations in total.

Details

Primary Language English
Subjects Infant and Child Health
Journal Section Articles
Authors

Gülsün Ayran 0000-0002-1069-2683

Semra Köse 0000-0003-3828-8874

Early Pub Date June 27, 2025
Publication Date June 30, 2025
Submission Date February 20, 2024
Acceptance Date May 12, 2025
Published in Issue Year 2025 Volume: 15 Issue: 2

Cite

APA Ayran, G., & Köse, S. (2025). Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale. Clinical and Experimental Health Sciences, 15(2), 272-279. https://doi.org/10.33808/clinexphealthsci.1440560
AMA Ayran G, Köse S. Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale. Clinical and Experimental Health Sciences. June 2025;15(2):272-279. doi:10.33808/clinexphealthsci.1440560
Chicago Ayran, Gülsün, and Semra Köse. “Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale”. Clinical and Experimental Health Sciences 15, no. 2 (June 2025): 272-79. https://doi.org/10.33808/clinexphealthsci.1440560.
EndNote Ayran G, Köse S (June 1, 2025) Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale. Clinical and Experimental Health Sciences 15 2 272–279.
IEEE G. Ayran and S. Köse, “Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale”, Clinical and Experimental Health Sciences, vol. 15, no. 2, pp. 272–279, 2025, doi: 10.33808/clinexphealthsci.1440560.
ISNAD Ayran, Gülsün - Köse, Semra. “Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale”. Clinical and Experimental Health Sciences 15/2 (June2025), 272-279. https://doi.org/10.33808/clinexphealthsci.1440560.
JAMA Ayran G, Köse S. Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale. Clinical and Experimental Health Sciences. 2025;15:272–279.
MLA Ayran, Gülsün and Semra Köse. “Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale”. Clinical and Experimental Health Sciences, vol. 15, no. 2, 2025, pp. 272-9, doi:10.33808/clinexphealthsci.1440560.
Vancouver Ayran G, Köse S. Psychometric Properties of the Turkish Version of the Exclusive Breastfeeding Social Support Scale. Clinical and Experimental Health Sciences. 2025;15(2):272-9.

14639   14640