Breastfeeding Self-Efficacy: A Systematic Review of Psychometric Properties Using COSMIN

Author:

Borona Giulia1,Gualdana Giulia1,Maga Giulia2ORCID,Del Bo Elsa3,Arrigoni Cristina1,Brigante Lia45,Daniele Marina6,Caruso Rosario78,Magon Arianna7

Affiliation:

1. Department of Public Health, Experimental and Forensic Medicine, Section of Hygiene, University of Pavia, Pavia, Italy

2. Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy

3. Department of Clinical–Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

4. Department of Women’s and Children’s Health, Faculty of Life Sciences and Medicine, King’s College London, London, UK

5. Royal College of Midwives, London, UK

6. Department of Midwifery and Radiography, School of Health and Psychological Sciences, City, University of London, London, UK

7. Health Professions Research and Development Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy

8. Department of Biomedical Sciences for Health, University of Milan, Milan, Italy

Abstract

Background: Breastfeeding self-efficacy has been proven to play a predictive role in enhancing breastfeeding initiation and continuation. Breastfeeding self-efficacy measurement tools have facilitated healthcare professionals’ early identification and support of women at higher risk of early discontinuation of breastfeeding. Research Aim: The aim of this study was to assess the psychometric properties of breastfeeding self-efficacy measurement tools. Method: A systematic review was carried out in three phases. Phase One comprised a systematic literature review performed in PubMed, SCOPUS, Web of Science, and Cochrane Database of Systematic Reviews from February 2021 to January 2023, including 36 studies for final analysis. Phase Two provided a quality appraisal of the psychometric properties of each of the seven breastfeeding self-efficacy measurement tools, according to COnsensus-based Standards for the selection of health Measurement Instrument checklist (COSMIN) guidelines. Phase Three summarized and graded the overall quality of evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) modified approach. Result: The included articles comprised 9,225 participants and seven breastfeeding self-efficacy measurement tools. The Breastfeeding Self-Efficacy Scale, Breastfeeding Self-Efficacy Scale – Short Form (BSES-SF), and Prenatal Breastfeeding Self-Efficacy Scale were supported by Grade A evidence sustaining their validity and reliability to assess breastfeeding self-efficacy in the continuum of maternity care. The BSES-SF is the most feasible tool in clinical practice and the most utilized internationally, available in 15 languages. Conclusion: This systematic review provided a Grade A recommendation on breastfeeding measurement tools that will be helpful both for clinical and research purposes. Registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42021238450)

Publisher

SAGE Publications

Subject

Obstetrics and Gynecology

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