Psychometric properties of the original and short Hungarian version of the Iowa infant feeding attitude scale.

Publisher: BioMed Central Country of Publication: England NLM ID: 101251562 Publication Model: Electronic Cited Medium: Internet ISSN: 1746-4358 (Electronic) Linking ISSN: 17464358 NLM ISO Abbreviation: Int Breastfeed J Subsets: MEDLINE

Original Publication: [London] : BioMed Central, 2006-

Health Knowledge, Attitudes, Practice*; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Hungary ; Infant ; Psychometrics ; Reproducibility of Results

Background: The Iowa Infant Feeding Attitude Scale (IIFAS) is a widely used tool to assess attitudes towards infant feeding. Attitudes towards breastfeeding are one of the main influencing factors of feeding choice and breastfeeding duration. Adaptation of the IIFAS to the Hungarian context provides an opportunity for cross-cultural comparisons and helps to target breastfeeding support interventions. The growing number of shortened scales in various fields of research, demonstrates the necessity to adapt to a changing context of data collection to avoid fatigue and dropout among respondents. However, international comparisons are difficult due to the lack of a consensual shortened form of the scale. The aim of our study was to examine the psychometric properties of the Hungarian version of the IIFAS (IIFAS-H) and propose an 8-item short version that has appropriate construct validity.
Methods: The original IIFAS was translated into Hungarian and then translated back to English. A cross-sectional study based on an internet survey in 2019 was conducted among 553 mothers whose most recent child's age was between 6 and 36 months. Psychometric properties of the Hungarian IIFAS were determined and compared with international results. In order to obtain a shorter version of the Hungarian scale, we preferably kept those items that are common with other international abbreviated IIFAS versions and deleted items with a corrected item-total correlation or factor loading of less than 0.3, where factor loadings came from a principal component analysis forcing the extraction of one principal component (factor).
Results: The 17-item IIFAS-H showed good psychometric properties with a Cronbach's alpha of0.73. Further analyses proved that the examined three shortened versions of the IIFAS consisting of 11, 9, and 8 items also showed good properties (Cronbach's alpha = 0.79, 0.79, 0.76, respectively).
Conclusions: The Hungarian version of the original 17-item long IIFAS proved to be a good measurement tool with good psychometric properties. Based on our analyses, we suggest the use of the 8-item short version (IIFAS-H8) of the scale.
(© 2021. The Author(s).)

Lancet. 2016 Jan 30;387(10017):491-504. (PMID: 26869576)
J Hum Lact. 2014 May 13;30(3):346-352. (PMID: 24828780)
J Hum Lact. 2018 Feb;34(1):20-29. (PMID: 29182888)
Asia Pac J Clin Nutr. 2013;22(2):261-5. (PMID: 23635371)
Contemp Nurse. 2013 Apr;44(1):11-20. (PMID: 23721383)
J Subst Abuse Treat. 2011 Oct;41(3):305-12. (PMID: 21700411)
Birth. 2004 Jun;31(2):125-31. (PMID: 15153132)
J Obstet Gynecol Neonatal Nurs. 2010 Jul-Aug;39(4):386-400. (PMID: 20629926)
Breastfeed Med. 2012 Feb;7(1):3-9. (PMID: 22168906)
J Obstet Gynecol Neonatal Nurs. 2016 Sep-Oct;45(5):e26-40. (PMID: 27519823)
J Hum Lact. 2017 Feb;33(1):21-47. (PMID: 28135474)
J Hum Lact. 2016 May;32(2):309-14. (PMID: 25944647)
Semin Fetal Neonatal Med. 2006 Feb;11(1):48-53. (PMID: 16310423)
Appl Nurs Res. 1992 Feb;5(1):48-53. (PMID: 1570961)
Int Breastfeed J. 2020 Apr 9;15(1):24. (PMID: 32272963)
Breastfeed Rev. 2007 Nov;15(3):17-25. (PMID: 18062138)
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD003517. (PMID: 22895934)
PLoS One. 2013 Jul 09;8(7):e67912. (PMID: 23874465)
WHO Chron. 1981;35(4):112-7. (PMID: 7281637)
J Hum Lact. 2019 Aug;35(3):413-417. (PMID: 31084575)
Birth. 2015 Mar;42(1):78-85. (PMID: 25339304)
Int Breastfeed J. 2013 Jul 08;8(1):7. (PMID: 23835065)
Health Educ Res. 2007 Aug;22(4):561-70. (PMID: 17041021)
J Hum Lact. 2016 May;32(2):315-23. (PMID: 26151966)
Adv Neonatal Care. 2017 Jun;17(3):203-208. (PMID: 28030366)
Int Breastfeed J. 2014 Sep 21;9:16. (PMID: 25285151)
Lancet. 2016 Jan 30;387(10017):475-90. (PMID: 26869575)
Acta Paediatr. 2008 Sep;97(9):1194-9. (PMID: 18627591)
Croat Med J. 2010 Oct;51(5):396-405. (PMID: 20960589)

Keywords: Attitudes; Breastfeeding duration; Hungary; IIFAS; Infant feeding; Psychometric properties; Reliability; Short version

Date Created: 20210717 Date Completed: 20211025 Latest Revision: 20211025

20221213

PMC8284002

10.1186/s13006-021-00403-2

34271964