Evidence map›Paper›PMID 32517707›Full record

ArticleInternational breastfeeding journal2020

Validation of the Arabic version of the breastfeeding behavior questionnaire among Lebanese women.

Lama Charafeddine, Saadieh Masri, Lama Shamsedine, Lilian Ghandour, Hani Tamim, Nathalie El Khoury, Zahraa Hachem, Mona Nabulsi

Abstract readValidation Study
In one paragraph

Article in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lama CharafeddineDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon.
Saadieh MasriDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon.
Lama ShamsedineDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon.
Lilian GhandourDepartment of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
Hani TamimClinical Research Institute, Biostatistics Unit, American University of Beirut, Beirut, Lebanon.
Nathalie El KhouryFaculty of Arts and Sciences, American University of Beirut, Beirut, Lebanon.
Zahraa HachemFaculty of Arts and Sciences, American University of Beirut, Beirut, Lebanon.
Mona NabulsiDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon. mn04@aub.edu.lb.ORCID 0000-0001-7415-6436

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Breastfeeding Behavior Questionnaire (BBQ) assesses women's perceptions of their breastfeeding behavior. It was adapted to several languages and used in different settings, but has not been validated in Arabic-speaking populations. None of the previous studies that used the BBQ in other cultures examined its ability to predict the actual breastfeeding behaviors of mothers postpartum. This study validated the BBQ in a cohort of Lebanese pregnant women between December 2013 and January 2016, and examined whether it can predict exclusive breastfeeding at one, three and six months.

methodsThe internal consistency reliability and construct validity of the Arabic BBQ (BBQ-A) were tested on 354 pregnant women. Its predictive ability was assessed by correlating the women's BBQ-A scores with their breastfeeding outcomes at one, three and six months post-delivery.

resultsThe BBQ-A had a good internal consistency reliability (Cronbach's alpha = 0.78). Exploratory factor analysis revealed that it is unidimensional. Inter-item correlations ranged between - 0.016 and 0.934, with corrected-item total correlations ranging from 0.273 to 0.678. Perceived positive breastfeeding behavior correlated with positive breastfeeding attitudes, good breastfeeding knowledge and stronger breastfeeding intention supporting its external validity. However, in binomial multivariate logistic regression analysis, the BBQ-A did not predict exclusive breastfeeding at one, three or six months.

conclusionsThe BBQ-A is a reliable and valid instrument to assess women's perceptions of their breastfeeding behavior in an Arab context. Availability of this instrument is important for investigators conducting breastfeeding research in the Arab world. However, the BBQ-A does not predict exclusive breastfeeding at one, three or six months. Further research on the Breastfeeding Behavior Questionnaire is needed to examine its predictive validity in other cultures.

Indexed as

Health Knowledge, Attitudes, PracticeAdultArabsBreast FeedingClinical Trials as TopicFeeding BehaviorFemaleHumansLebanonPregnancyPsychometricsReproducibility of ResultsSurveys and QuestionnairesYoung AdultAttitudesBreastfeeding behaviorLebanonPerceptions

Identifiers

PMID32517707
PMCPMC7282113

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.