Evidence map›Paper›PMID 34419097›Full record

ArticleInternational breastfeeding journal2021

Validation of the Arabic Maternal Breastfeeding Evaluation Scale (MBFES-A) among Lebanese women.

Mona Nabulsi, Hanan Smaili, Hani Tamim, Marya Wahidi, Carine El-Jamal

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Article in International breastfeeding journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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6citing 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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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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

5 authors.

Mona NabulsiDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon. mn04@aub.edu.lb.ORCID 0000-0001-7415-6436
Hanan SmailiDepartment of Pediatrics and Adolescent Medicine, American University of Beirut, Beirut, Lebanon.
Hani TamimClinical Research Institute, Biostatistics Unit, American University of Beirut, Beirut, Lebanon.
Marya WahidiFaculty of Arts and Sciences, Medical Research Volunteer Program (MRVP), American University of Beirut, Beirut, Lebanon.
Carine El-JamalFaculty of Arts and Sciences, Medical Research Volunteer Program (MRVP), American University of Beirut, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal satisfaction with the breastfeeding experience is an important determinant of breastfeeding success. There is currently no valid tool to measure perceived maternal satisfaction with breastfeeding in the Arab context.

methodsThis cohort study tested the Maternal Breastfeeding Evaluation Scale (MBFES) on 450 healthy Lebanese mothers for internal consistency reliability and construct validity. Participants were recruited between April 2018 and February 2020.

resultsThe Cronbach's alpha reliability coefficient of the Arabic MBFES (MBFES-A) was 0.87. Exploratory factor analysis revealed that it has three components: Infant Satisfaction/Growth, Maternal Enjoyment/Role Attainment, and Lifestyle/Body Image with reliability coefficients of 0.88, 0.87, and 0.68, respectively. Four items were deleted because of low factor loadings and three items were relocated to the Infant Satisfaction/Growth subscale based on their factor loadings. Participants who were exclusively breastfeeding at one and/or 3 months had higher mean MBFES-A total and Infant Satisfaction/Growth and Maternal Enjoyment/Role Attainment subscale scores than participants who were partially breastfeeding, and significantly higher mean scores than mothers who were not breastfeeding (all p values < 0.001), findings that support the scale's construct validity. Moreover, scores on the Infant Satisfaction/Growth subscale correlated with exclusive breastfeeding at one (r = 0.37, p < 0.001) and 3 months (r = 0.31, p < 0.001). The MBFES-A score had positive modest correlations with maternal attitude towards breastfeeding (r = 0.30, p < 0.001), exclusive breastfeeding at one (r = 0.27) and at 3 months (r = 0.26, p < 0.001 for both), as well as with the longest previous exclusive breastfeeding (r = 0.27, p < 0.001).

conclusionsThe 26-item MBFES-A is a reliable and valid instrument to use in future breastfeeding research in Middle East North Africa countries. There is a need for replication of our findings in other Arab contexts using new constructs to establish stronger construct validity.

Indexed as

Breast FeedingNursing ResearchCohort StudiesFemaleHumansInfantReproducibility of ResultsSurveys and QuestionnairesArab countriesBreastfeeding evaluationExclusive breastfeedingInfant growthInfant satisfactionInstrument validationMaternal satisfaction

Identifiers

PMID34419097
PMCPMC8379770

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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.