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Adölesan Annelerde Emzirme Destek İhtiyaçları Ölçeği Türkçe Formunun Geçerlilik ve Güvenirlik Çalışması

Yıl 2025, Cilt: 28 Sayı: 3, 223 - 232, 24.09.2025
https://doi.org/10.17049/jnursology.1463002

Öz

Amaç: Bu çalışma “Adölesan Annelerde Emzirme Destek İhtiyaçları Ölçeği” nin Türkçe’ ye uyarlanması, geçerlik ve güvenirliğinin belirlenmesi amacıyla yapılmıştır.

Yöntemler: Kesitsel ve metodolojik tasarımda yürütülen çalışmaya 15-20 yaş aralığında 140 adölesan anne dahil edilmiştir. Türkiye'nin Güneydoğu Anadolu bölgesindeki bir ikinci basamak sağlık kuruluşunda uygulanan çalışmada örneklem seçimi, gönüllülük esasına dayalı olarak gerçekleştirilmiştir. Veriler, Tanımlayıcı Bilgi Formu ve Adölesan Annelerde Emzirme Destek İhtiyaçları Ölçeği kullanılarak toplanmıştır. Ölçeğin dil geçerliliği uzman görüşleri ile sağlanmış ve kapsam geçerliliği değerlendirilmiştir. Verilerin değerlendirilmesinde faktör analizi, Cronbach alfa ve madde analizleri uygulanmıştır.

Bulgular: Analizler sonucunda ölçek 17 madde ve üç alt boyuttan oluşmuştur. Alt boyutlar (1) Değerlendirme ve Bilgilendirme, (2) Emzirme Davranışına Destek ve (3) Bireysel Emzirme Desteği olarak isimlendirilmiştir. Doğrulayıcı faktör analizine göre, model uyum indeksleri x²⁄SD=2,579, GFI=0,805, CFI=0,865, NFI=0,800, RMSEA=0,076 olarak hesaplanmış ve modelin iyi uyum gösterdiği saptanmıştır. Maddelerin faktör yükleri 0,486-0,855 arasındadır. Ölçeğin Cronbach Alfa katsayısı 0,911 olarak bulunmuş olup, korelasyon katsayıları 0,326 ile 0,762 arasında değişmektedir.

Sonuç: Analizler, ölçeğin Türkçe formunun geçerli ve güvenilir bir araç olduğunu göstermektedir. Bu ölçek, adölesan annelerin emzirme sürecindeki destek ihtiyaçlarını belirlemek ve sağlık çalışanlarının bu ihtiyaçları ne ölçüde karşıladığını değerlendirmek için uygun bir araç olabilir.

Destekleyen Kurum

No

Proje Numarası

No

Teşekkür

The authors would like to acknowledge the kind support of the maternity staffs at Obstetrics Clinic and the pregnant women who provided the database of our work

Kaynakça

  • 1. World Health Organization. WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience. Geneva, Switzerland: World Health Organization, 2018. Date Accessed December 15,2023. Accessed:https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf;jsessionid=7E800B590A164DC7FC879E73B480D6FC?sequence=1
  • 2. Norton M, Chandra-Mouli V, Lane C. Interventions for preventing unintended, rapid repeat pregnancy among adolescents: a review of the evidence and lessons from high-quality evaluations. GHSP. 2017;5(4):547-570. https://doi.org/10.9745/GHSP-D-17-00131
  • 3. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, 2019. Ankara, Turkey. https://www.dhsprogram.com/pubs/pdf/FR372/FR372.pdf
  • 4. Pentecost R, Grassley JS. Adolescents’ needs for nurses’ support when initiating breastfeeding. J Hum Lact. 2019;30: 224-228. https://doi.org/10.1177/0890334413510358
  • 5. Çelik R, Törüner EK. Nutrition with Breast Milk, Growth and Nursing Care of Infants of Adolescent Mothers’. GÜSBD. 2019;8:460-467. https://dergipark.org.tr/tr/download/article-file/913362
  • 6. Uzun AK, Orhon FS, Baskan S, et al. A comparison between adolescent mothers and adult mothers in terms of maternal and infant outcomes at follow-ups. J Matern Fetal Neonatal Med. 2013;26:454-458. https://doi.org/10.3109/14767058.2012.733748
  • 7. MacQuarrie C, Bryanton J, Greaves L, et al. Adolescents’ experiences of smoking and their transitions to motherhood. Youth & Society. 2019;51:1054-1080. https://doi.org/10.1177/0044118X17720367
  • 8. Yılmaz E, Yılmaz Z, Isık H, et al. Factors associated with breastfeeding initiation and exclusive breastfeeding rates in Turkish adolescent mothers. Breastfeed Med. 2016;11:315-320. https://doi.org/10.1089/bfm.2016.0012
  • 9. Hunter L, Magill-Cuerden J, McCourt C. Disempowered, passive and isolated: how teenage mothers' postnatal inpatient experiences in the UK impact on the initiation and continuation of breastfeeding. Matern Child Nutr. 2015;11:47-58. https://doi.org/10.1111/mcn.12150
  • 10. Tucker CM, Wilson EK, Samandari G. Infant feeding experiences among teen mothers in North Carolina: findings from a mixed-methods study. Int Breastfeed J. 2011;6: 14. https://doi.org/10.1186/1746-4358-6-14
  • 11. Nuampa S, Chanprapaph P, Tilokskulchai F, et al. Breastfeeding challenges among Thai adolescent mothers: Hidden breastfeeding discontinuation experiences. J. Health Res. 2022; 36: 12-22. https://doi.org/10.1108/JHR-01-2020-0011
  • 12. Wambach KA, Aaronson L, Breedlove G, et al. A randomized controlled trial of breastfeeding support and education for adolescent mothers. West. J. Nurs. Res. 2011; 33: 486-505. https://doi.org/10.1177/0193945910380408
  • 13. Çınar N, Alvur TM, Menekşe D, et al. First Breastfeeding Experience of Adolescent Mothers: A Qualitative Study. Journal of HSP. 2019;6: 329-341. http://doi.org/10.17681/hsp.470571
  • 14. Chopel A, Soto D, Joiner BJ, et al. Multilevel factors influencing young mothers’ breastfeeding: a qualitative CBPR study. J Hum Lact. 2019;35(2):301-317. https://doi.org/10.1177/0890334418812076
  • 15. Yas A, Karimi FZ, Khadivzadeh T. Breastfeeding Needs in Adolescent Mothers: A systematic review. Sultan Qaboos Univ Med J. 2024;24(3):306-316. https://doi.org/10.18295/squmj.12.2023.092
  • 16. Grassley JS, Spencer BS, Bryson D. The development and psychometric testing of the Supportive Needs of Adolescents Breastfeeding Scale. J. Adv.Nurs. 2013; 69: 708-716. https://doi.org/10.1111/j.1365-2648.2012.06119.x
  • 17. Pituch KA, Stevens JP. Applied multivariate statistics for the social sciences: Analyses with SAS and IBM's SPSS. Routledge 2015. Accessed: https://digilibadmin.unismuh.ac.id/upload/26551-Full_Text.pdf
  • 18. Büyüköztürk Ş. Data analysis handbook for social sciences. Ankara 2017: Pegem Academy.
  • 19. Tavşancıl E. Measurement of Attitudes and Data Analysis with SPSS, Nobel Publications, Ankara 2019.
  • 20. Hertzog MA. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008;31(2):180-191. https://doi.org/10.1002/nur.20247
  • 21. Viechtbauer W, Smits L, Kotz D, et al. A simple formula for the calculation of sample size in pilot studies. J Clin Epidemiol. 2015;68(11):1375-1379. https://doi.org/10.1016/j.jclinepi.2015.04.014
  • 22. World Health Organization. “Process of translation and adaptation of instruments” 2019 Accessed: https://www.who.int/substance_abuse/research_tools/translation/en/
  • 23. Yeşilyurt S, Çapraz C. A road map for content validity used in scale development studies. EUJEF. 2018;20:251-264. https://doi.org/10.17556/erziefd.297741
  • 24. Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Res Nurs Health (RINAH). 2006; 29: 489–497. https://doi.org/10.1002/nur.20147
  • 25. Koyuncu İ, Kılıç AF. The Use of Exploratory and Confirmatory Factor Analyses: A Document Analysis. Education and Science. 2019;44:198. http://dx.doi.org/10.15390/EB.2019.7665
  • 26. Adawi M, Bragazzi NL, Argumosa-Villar L, et al. Translation and validation of the Nomophobia Questionnaire in the Italian language: Exploratory factor analysis. JMIR mHealth uHealth. 2018;6:e9186. https://doi.org/10.2196/mhealth.9186.
  • 27. Kyngäs H, Mikkonen K, Kääriäinen M. (Eds.) The application of content analysis in nursing science research. Springer Nature 2019.
  • 28. Wicaksana AL, Pramono RB, Irianti SR, et al. Screening for psychological distress on Indonesian type 2 diabetes: A validation study. Int. J. Nurs. Pract. 2021;27:e12999. https://doi.org/10.1111/ijn.12999
  • 29. Aktürk B, Bal MD. The Effect of Online Breastfeeding Counseling Given to Primiparous Women in the Postpartum Period on Breastfeeding Self-Efficacy and Time to Start Supplementary Food. Gümüşhane University Journal of Health Sciences. 2023;13(3):1242-51. https://doi.org/10.37989/gumussagbil.1366932
  • 30. Güngör D. A Guide to scale development and adaptation in psychology. Turkish Psychology Articles. 2016;19: 104-112. https://psikolog.org.tr/tr/yayinlar/dergiler/1031828/tpy1301996120160000m000041.pdf
  • 31. Jamie K, O’Neill R, Bows H, et al. Healthcare practitioner relationships, cultural health capital and breastfeeding support for adolescent mothers. Health Education Journal (HEJ). 2020;79(8):901-913. https://doi.org/10.1177/0017896920915945
  • 32. Rohini AM, Elavally S, Saradakutty G. Effectiveness of breastfeeding education compared to standard hospital information on exclusive breastfeeding among mothers: A systematic review. J Educ Health Promot. 2022;11:125. https://doi.org/10.4103/jehp.jehp_708_21
  • 33. Karakoç F, Dönmez L. Basic Principles in Scale Development Studies. The World of Medical Education. 2014;40:39-49. https://doi.org/10.25282/ted.228738
  • 34. Seçer İ. Psychological Test Development and Adaptation Process, SPSS and LISREL Applications. Anı Publishing, 2nd Edition. Ankara 2018.
  • 35. Pınar G, Pınar T. Satisfaction of women who gave birth with nurses/midwives on expectations related to empathic communication. TAD. 2009;7:132-140. https://search.trdizin.gov.tr/tr/yayin/detay/116236/yeni-dogum-yapmis-kadinlarin-empatik-iletisim-beklentilerinin-ebehemsireler-tarafindan-karsilanma-durumu

Turkish Version of Supportive Needs of Adolescents Breastfeeding Scale: A Reliability and Validity Study

Yıl 2025, Cilt: 28 Sayı: 3, 223 - 232, 24.09.2025
https://doi.org/10.17049/jnursology.1463002

Öz

Objective: To adapt the “Supportive Needs of Adolescents Breastfeeding Scale (SNAB)” into Turkish and determine its validity and reliability.

Methods: This cross-sectional and methodological study was conducted with 140 adolescent mothers aged 15-20. The sample selection in the study, which was conducted in a secondary health care institution in the Southeastern Anatolia region of Türkiye, was carried out on a voluntary basis. The data were collected using a descriptive information form and the Supportive Needs of Adolescents Breastfeeding Scale. The language validity of the scale was ensured through expert opinions, and content validity was evaluated. Factor analysis, Cronbach's Alpha analysis, and item analysis were used to evaluate the data.

Results: As a result of the analysis, the scale consisted of 17 items and three sub-dimensions. The sub-dimensions were named as (1) Evaluation and Information, (2) Support for Breastfeeding Behavior and (3) Individual Breastfeeding Support. According to confirmatory factor analysis, model fit indices were calculated as x²⁄SD=2.579, GFI=0.805, CFI=0.865, NFI=0.800, and RMSEA=0.076 and the model showed good fit. The factor loadings of the items were between 0.486 and 0.855. The Cronbach's alpha coefficient of the scale was found to be 0.911 and the correlation coefficients ranged between 0.326 and 0.762.

Conclusion: The analyses have showed that the Turkish version of the SNAB scale is a valid and reliable instrument. This scale may be an appropriate tool to determine the support needs of adolescent mothers during breastfeeding and to assess the extent to which health professionals meet these needs.

Etik Beyan

Jane S. Grasley’s approval was obtained through e-mail to use the SNAB scale. Besides, ethical approval was priorly received from the Local Ethics Committee of Ministry of Health Tepecik Training and Research Hospital (Date: 17.08.2017; Decision No: 25). Relevant organizations granted permission to implement the research and mothers who agreed to participate in the study gave verbal and written informed consent.

Destekleyen Kurum

No

Proje Numarası

No

Teşekkür

The authors would like to acknowledge the kind support of the maternity staffs at Obstetrics Clinic and the pregnant women who provided the database of our work

Kaynakça

  • 1. World Health Organization. WHO Recommendations: Intrapartum Care for a Positive Childbirth Experience. Geneva, Switzerland: World Health Organization, 2018. Date Accessed December 15,2023. Accessed:https://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf;jsessionid=7E800B590A164DC7FC879E73B480D6FC?sequence=1
  • 2. Norton M, Chandra-Mouli V, Lane C. Interventions for preventing unintended, rapid repeat pregnancy among adolescents: a review of the evidence and lessons from high-quality evaluations. GHSP. 2017;5(4):547-570. https://doi.org/10.9745/GHSP-D-17-00131
  • 3. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK, 2019. Ankara, Turkey. https://www.dhsprogram.com/pubs/pdf/FR372/FR372.pdf
  • 4. Pentecost R, Grassley JS. Adolescents’ needs for nurses’ support when initiating breastfeeding. J Hum Lact. 2019;30: 224-228. https://doi.org/10.1177/0890334413510358
  • 5. Çelik R, Törüner EK. Nutrition with Breast Milk, Growth and Nursing Care of Infants of Adolescent Mothers’. GÜSBD. 2019;8:460-467. https://dergipark.org.tr/tr/download/article-file/913362
  • 6. Uzun AK, Orhon FS, Baskan S, et al. A comparison between adolescent mothers and adult mothers in terms of maternal and infant outcomes at follow-ups. J Matern Fetal Neonatal Med. 2013;26:454-458. https://doi.org/10.3109/14767058.2012.733748
  • 7. MacQuarrie C, Bryanton J, Greaves L, et al. Adolescents’ experiences of smoking and their transitions to motherhood. Youth & Society. 2019;51:1054-1080. https://doi.org/10.1177/0044118X17720367
  • 8. Yılmaz E, Yılmaz Z, Isık H, et al. Factors associated with breastfeeding initiation and exclusive breastfeeding rates in Turkish adolescent mothers. Breastfeed Med. 2016;11:315-320. https://doi.org/10.1089/bfm.2016.0012
  • 9. Hunter L, Magill-Cuerden J, McCourt C. Disempowered, passive and isolated: how teenage mothers' postnatal inpatient experiences in the UK impact on the initiation and continuation of breastfeeding. Matern Child Nutr. 2015;11:47-58. https://doi.org/10.1111/mcn.12150
  • 10. Tucker CM, Wilson EK, Samandari G. Infant feeding experiences among teen mothers in North Carolina: findings from a mixed-methods study. Int Breastfeed J. 2011;6: 14. https://doi.org/10.1186/1746-4358-6-14
  • 11. Nuampa S, Chanprapaph P, Tilokskulchai F, et al. Breastfeeding challenges among Thai adolescent mothers: Hidden breastfeeding discontinuation experiences. J. Health Res. 2022; 36: 12-22. https://doi.org/10.1108/JHR-01-2020-0011
  • 12. Wambach KA, Aaronson L, Breedlove G, et al. A randomized controlled trial of breastfeeding support and education for adolescent mothers. West. J. Nurs. Res. 2011; 33: 486-505. https://doi.org/10.1177/0193945910380408
  • 13. Çınar N, Alvur TM, Menekşe D, et al. First Breastfeeding Experience of Adolescent Mothers: A Qualitative Study. Journal of HSP. 2019;6: 329-341. http://doi.org/10.17681/hsp.470571
  • 14. Chopel A, Soto D, Joiner BJ, et al. Multilevel factors influencing young mothers’ breastfeeding: a qualitative CBPR study. J Hum Lact. 2019;35(2):301-317. https://doi.org/10.1177/0890334418812076
  • 15. Yas A, Karimi FZ, Khadivzadeh T. Breastfeeding Needs in Adolescent Mothers: A systematic review. Sultan Qaboos Univ Med J. 2024;24(3):306-316. https://doi.org/10.18295/squmj.12.2023.092
  • 16. Grassley JS, Spencer BS, Bryson D. The development and psychometric testing of the Supportive Needs of Adolescents Breastfeeding Scale. J. Adv.Nurs. 2013; 69: 708-716. https://doi.org/10.1111/j.1365-2648.2012.06119.x
  • 17. Pituch KA, Stevens JP. Applied multivariate statistics for the social sciences: Analyses with SAS and IBM's SPSS. Routledge 2015. Accessed: https://digilibadmin.unismuh.ac.id/upload/26551-Full_Text.pdf
  • 18. Büyüköztürk Ş. Data analysis handbook for social sciences. Ankara 2017: Pegem Academy.
  • 19. Tavşancıl E. Measurement of Attitudes and Data Analysis with SPSS, Nobel Publications, Ankara 2019.
  • 20. Hertzog MA. Considerations in determining sample size for pilot studies. Res Nurs Health. 2008;31(2):180-191. https://doi.org/10.1002/nur.20247
  • 21. Viechtbauer W, Smits L, Kotz D, et al. A simple formula for the calculation of sample size in pilot studies. J Clin Epidemiol. 2015;68(11):1375-1379. https://doi.org/10.1016/j.jclinepi.2015.04.014
  • 22. World Health Organization. “Process of translation and adaptation of instruments” 2019 Accessed: https://www.who.int/substance_abuse/research_tools/translation/en/
  • 23. Yeşilyurt S, Çapraz C. A road map for content validity used in scale development studies. EUJEF. 2018;20:251-264. https://doi.org/10.17556/erziefd.297741
  • 24. Polit DF, Beck CT. The content validity index: Are you sure you know what's being reported? Critique and recommendations. Res Nurs Health (RINAH). 2006; 29: 489–497. https://doi.org/10.1002/nur.20147
  • 25. Koyuncu İ, Kılıç AF. The Use of Exploratory and Confirmatory Factor Analyses: A Document Analysis. Education and Science. 2019;44:198. http://dx.doi.org/10.15390/EB.2019.7665
  • 26. Adawi M, Bragazzi NL, Argumosa-Villar L, et al. Translation and validation of the Nomophobia Questionnaire in the Italian language: Exploratory factor analysis. JMIR mHealth uHealth. 2018;6:e9186. https://doi.org/10.2196/mhealth.9186.
  • 27. Kyngäs H, Mikkonen K, Kääriäinen M. (Eds.) The application of content analysis in nursing science research. Springer Nature 2019.
  • 28. Wicaksana AL, Pramono RB, Irianti SR, et al. Screening for psychological distress on Indonesian type 2 diabetes: A validation study. Int. J. Nurs. Pract. 2021;27:e12999. https://doi.org/10.1111/ijn.12999
  • 29. Aktürk B, Bal MD. The Effect of Online Breastfeeding Counseling Given to Primiparous Women in the Postpartum Period on Breastfeeding Self-Efficacy and Time to Start Supplementary Food. Gümüşhane University Journal of Health Sciences. 2023;13(3):1242-51. https://doi.org/10.37989/gumussagbil.1366932
  • 30. Güngör D. A Guide to scale development and adaptation in psychology. Turkish Psychology Articles. 2016;19: 104-112. https://psikolog.org.tr/tr/yayinlar/dergiler/1031828/tpy1301996120160000m000041.pdf
  • 31. Jamie K, O’Neill R, Bows H, et al. Healthcare practitioner relationships, cultural health capital and breastfeeding support for adolescent mothers. Health Education Journal (HEJ). 2020;79(8):901-913. https://doi.org/10.1177/0017896920915945
  • 32. Rohini AM, Elavally S, Saradakutty G. Effectiveness of breastfeeding education compared to standard hospital information on exclusive breastfeeding among mothers: A systematic review. J Educ Health Promot. 2022;11:125. https://doi.org/10.4103/jehp.jehp_708_21
  • 33. Karakoç F, Dönmez L. Basic Principles in Scale Development Studies. The World of Medical Education. 2014;40:39-49. https://doi.org/10.25282/ted.228738
  • 34. Seçer İ. Psychological Test Development and Adaptation Process, SPSS and LISREL Applications. Anı Publishing, 2nd Edition. Ankara 2018.
  • 35. Pınar G, Pınar T. Satisfaction of women who gave birth with nurses/midwives on expectations related to empathic communication. TAD. 2009;7:132-140. https://search.trdizin.gov.tr/tr/yayin/detay/116236/yeni-dogum-yapmis-kadinlarin-empatik-iletisim-beklentilerinin-ebehemsireler-tarafindan-karsilanma-durumu
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Hemşirelik (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Aysun Ekşioğlu 0000-0002-8769-3289

Yeşim Yeşil 0000-0003-2847-6978

Ceren Sel 0009-0005-1509-0242

Esın Turfan 0000-0003-2505-4913

Proje Numarası No
Erken Görünüm Tarihi 31 Temmuz 2025
Yayımlanma Tarihi 24 Eylül 2025
Gönderilme Tarihi 1 Nisan 2024
Kabul Tarihi 18 Nisan 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 28 Sayı: 3

Kaynak Göster

AMA Ekşioğlu A, Yeşil Y, Sel C, Turfan E. Adölesan Annelerde Emzirme Destek İhtiyaçları Ölçeği Türkçe Formunun Geçerlilik ve Güvenirlik Çalışması. Journal of Nursology. Eylül 2025;28(3):223-232. doi:10.17049/jnursology.1463002

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