Iifas iowa infant feeding attitude scale acronymfinder. Determining clinically relevant cutoff scores for the iowa infant. Crosspromotion of infant formula and toddler milks information note 10. Women in the highest quartile of iowa infant feeding attitude scale score were 4. The original 17item iowa infant feeding attitude scale iifas has. Infant and young child feeding world vision international. The scale ranges from 1 strongly disagree to 5 strongly agree. The iowa infant feeding attitude scale iifas is used to evaluate this factor. Predicting length of treatment involvement of substance. Demographic information was collected by facetoface interview and the method of feeding at discharge from hospital was obtained from medical records.
Questionnaires incorporating the iowa infant feeding attitude scale at 33 weeks gestation baseline, 6 weeks and 6 months. A complex breastfeeding promotion and support intervention in. For an example, see community management of uncomplicated acute malnutrition in infants pdf bottlefeeding. Additional attitude questions were related to the chinese breastfeeding culture and context, 14, 16, 29, 30 and mothers views on the irish breastfeeding environment. Factors influencing exclusive breastfeeding at 4 months. Total knowledge scores between groups differed modestly p. Iowa infant feeding attitude scale breastfeeding attitudes psychometrics properties reliability validity rosa tomasalmarcha, md, is a general practitioner and chief medical of. Prediction of initiation and cessation of breastfeeding. Breastfeeding attitudes and confidence among mothers in a. Mothers with an iifas score of 65 were approximately twice as likely to be exclusively breastfeeding at six months, and breastfeeding at any intensity to 12 months. The mothers of infants, coming to a tertiary care centre, ahmedabad, on outpatient basis were interviewed using a predesigned questionnaire.
Virginia commonwealth university vcu scholars compass. Attitudes towards breastfeeding the iowa infant feeding. Wed like to understand how you use our websites in order to improve them. The scale was designed to cover various dimensions of infant feeding. As infants grow their stomachs hold more, and they will eat less. A convenience sample of 1,354 pregnant women was recruited. Pdf the iowa infant feeding attitude scale iifas has been shown to have good psychometric properties for englishspeaking populations. It consists of 17 questions and the mother will be asked to give their opinion based on a scale from 1 strongly disagree to 5 strongly agree. The iifas has been demonstrated to be both reliable and valid 9, 15 and consists of 17 items that are scored on a 5point likert scale. They will have smaller appetites and may eat less than before. The iifasa score is between 17 and 85 points, with higher scores reflecting more positive attitudes towards breastfeeding. In study 1, a set of 17 items was selected on the basis of.
Expectant mothers and their partners n 108 couples completed the 17 item iowa infant feeding attitude scale. Prevalence and predictors of infant feeding practices in. The attitude towards lactation is one of the best predictors of breastfeeding. Breastfeeding is a recognized means of ensuring optimal nutrition for the infant. A modifiable factor related to breastfeeding is breastfeeding attitudes. For those who initiated breastfeeding n233, the strongest predictors of stopping were low intention to breastfeed from tpb, low iifas score and nonmanagerial. Article information, pdf download for determining clinically. Behaviour tpbbased questionnaire, higher iowa infant feeding assessment scale iifas score as well as living with a husband or partner. Validation of the iowa infant feeding attitude scale citeseerx.
And lois dusdieker lllilet\iii 01 lol infant feeding. Mothers those who were currently breast feeding 58. Attitude scores did not differ significantly between groups. Selfefficacy is an important determinant of breastfeeding behaviors. Simultaneous multiple regression analysis was used to evaluate potential predictors of. Analyses of the reliability and validity were then conducted. Generally speaking, the tables were constructed by the order of questions in each questionnaire and grouped under a total of 9 different chapters. Evaluating a preventionfocused, groupbased model of. Infant feeding attitude scales among prenatal women in canada. Together with interpersonal communication and community mobilization, mass communication, and the strategic use of data, the four.
The iowa infant feeding attitude scale iifas has not been validated in the canadian population. Parents of breastfed infants had more positive attitudes towards. Infantdriven feeding, llc feeding readiness score description. The iowa infant feeding attitude scale iifas psychology. Adaptation and validation of the iowa infant feeding attitude scale. Japanese mothers breastfeeding knowledge and attitudes. Nearly all of the 72 mothers were breastfeeding at discharge after the birth of their infant 94%. Development of a questionnaire to assess maternal attitudes.
This study was conducted in newfoundland and labrador, a canadian province with low breastfeeding rates. Exclusive breastfeeding is defined as feeding an infant child breast milk only, and for optimal nutrition it is recommended that infants be exclusively breastfed for the first 6 months of life. Any behavioural interventions need to target maternal attitudes and infant feeding practices, this paper describes the development and preliminary validation of a questionnaire to assess maternal attitudes towards infant growth and milk feeding practices. An electronic survey, based on the iowa infant feeding attitude scale and the breastfeeding knowledge questionnaire, was administered. Attitudes towards breastfeeding the iowa infant feeding attitude. Data on birth experience and initial breastfeeding experience will be collected postnatally using. Increasing the prevalence of optimal breastfeeding practices, including exclusive breastfeeding for 6 months, could prevent an estimated 823,000 child deaths annually. Maternal attitudes toward breastfeeding is the best predictor of breastfeeding behaviour, and can be assessed using the validated 17item iowa infant feeding attitude scale iifas. Reliability and validity of the reduced spanish version of.
Jul 31, 2006 development of the iowa infant feeding attitude scale iifas is described. Knowledge, attitude and practices k ap of mothers toward. These were the iowa infant feeding attitude scale iifasa, the infant feeding intention scale ifia, the infant breastfeeding knowledge questionnaire bfka, and the breastfeeding behavior questionnaire bbqa. We will use a breastfeeding knowledge, attitude, and behavior questionnaire bkab that will be developed and adapted from the following validated instruments. A multicomponent intervention to support breastfeeding in.
Aug 21, 2015 infant feeding attitude was measured using the iowa infant feeding attitude scale iifas, and a score of 65 was considered positive towards breastfeeding. The present work presents the validation of a spanish version of the iowa infant feeding attitude scale. Some breastfeeding attitude questions were adopted from the iowa infant feeding attitude scale iifas, which has been used in several different populations 22, 2628. Objectives validation of a spanish version of the iowa infant feeding attitude scale.
Assessing infant feeding attitudes of expectant women in a. Iowa department of public health iowa wic program, 2008 feeding toddler your between the ages of 1 and 3 years, children grow at a slower rate than they did as babies. An exploration of the knowledge and attitudes towards. While mothers have good knowledge on breast feeding 12.
Significant predictors of initiating breastfeeding were older age, parity, greater intention to breastfeed from a theory of planned behaviour tpbbased questionnaire, higher iowa infant feeding assessment scale iifas score as well as living with a husband or partner. Breastfeeding attitudes and knowledge in bachelor of. The iowa infant feeding attitude scale iifas has been used to assess attitudes towards breastfeeding prenatally and is predictive of breastfeeding decisions in certain population groups. Feeding position ensure adequat hold the infant during feeding and elevate the infants head slightly. Reliability and validity of the greek version of the iowa infant. Feedings go more smoothly if you recognize the signs of hunger before the hunger cries begin. Open access research prediction of initiation and cessation. Present study was conducted to assess the knowledge, attitude and practices of mothers towards infant feeding practices. Additional attitude questions were related to the chinese breastfeeding culture and context , 14, 16, 29, 30 and mothers views on the irish breastfeeding environment. This study aimed to translate and validate a chinese simplified version of the iowa infant feeding attitude scale iifas and compare the infant feeding attitudes of chinese mothers living in perth australia and in chengdu p. Nov 23, 2010 some breastfeeding attitude questions were adopted from the iowa infant feeding attitude scale iifas, which has been used in several different populations 22, 2628. The main recommendations for infant feeding, including the introduction of solid. Also, maternal breastfeeding attitudes were the only predictive factor of the breastfeeding duration. However, existing measures do not specifically assess exclusive breastfeeding selfefficacy, but rather selfefficacy for any breastfeeding.
The attitude of the mother is a determining factor for the duration of breastfeeding, and there are several ways to quantify this. Jul 14, 2017 perception towards infant feeding and the mothers goal for breastfeeding will be assessed when the participants are still pregnant using the iowa infant feeding attitude scale iifas, completed straight after enrolment at the antenatal clinic. Coparenting breastfeeding support and exclusive breastfeeding. Factors affecting intention to breastfeed among syrian and. Iowa infant feeding attitude scale iowa state university.
The iowa infant feeding attitudes scale iifas is a valid and reliable measure that evaluates breastfeeding knowledge and attitudes in crosscultural settings. Infant feeding attitude was measured using the iowa infant feeding attitude scale iifas, and a score of 65 was considered positive towards breastfeeding. Effects of relaxation therapy on maternal psychological state. Reliability and validity of the reduced spanish version. Infant feeding practices study ii ifps ii about 300 web tables were created to describe the preliminary findings from ifps ii. Sociodemographic, knowledge, attitude and work place factors. Maternal sociodemographic characteristics and the use of.
To translate the iowa infant feeding scale iifas into spanish, to test its psychometric properties, and to explore item reduction for the spanish version. Iowa infant feeding attitude scale was used to collect data on ebf attitude. In study 1, a set of 17 items was selected on the basis of responses by 125 postpartum women. The assessment of bottlefeeding includes evaluation of the. Knowledge, attitude and support for exclusive breastfeeding. Partner behaviours improving breastfeeding outcomes. Pdf infant feeding attitudes and practices of spanish lowrisk. Development of the iowa infant feeding attitude scale iifas is described. A survey was undertaken on 200 chinese mothers living in perth and 1620 mothers living in chengdu. Without workplace support, exclusive breastfeeding is difficult for working mothers who return to work. Logistic regression was used to determine relationship between ebf and. Iowa infant feeding attitudes scale iifas is used to measure the. Additionally, comparisons of pretest and posttest scores of survey items related to applying.
This integrated set of infant and young child feeding national counselling cards was designed for use by facility level health workers, both. Maternal sociodemographic characteristics and the use of the. Breastfeeding and familyfriendly policies global breastfeeding collective 26 july 2019. Look for hunger cues such as tongue thrusting, lip smacking, head turning and rooting, and sucking on fingers or fists. In a cohort of pregnant latina women recruited from two hospitals in the san francisco bay area n185, we administered the iifas prior to delivery. Japanese mothers breastfeeding knowledge and attitudes assessed by the iowa infant feeding attitudes scale. The iowa infant feeding attitude scale iifas has been shown to have good. We assessed this outcome at baseline and 6 weeks postpartum by using the iowa infant feeding attitude scale, a 17item selfreport instrument. In study 2, these analyses were replicated using data from an independent sample of postpartum women. Items were rated on a 5point scale to produce a summative score ranging. Analysis of reliability and validity1 article pdf available in journal of applied social psychology 2911. These normal changes can make mealtime a challenge.
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