Instrument Development and Validation of an Attitude Scale for Breastfeeding in Pregnancy and Tandem Nursing

Authors

  • Fatma Koruk PhD, MSN, BSN, Professor, Harran University Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Sanliurfa, Turkey
  • Zeliha Turan MSN, BSN, Lecturer, Harran University Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Sanliurfa, Turkey
  • Burcu Beyazgül MD, PhD, Assoc. Prof., Harran University Faculty of Medicine, Public Health Department, Sanliurfa, Turkey
  • Feyyaz Barlas MD, Assistant, Harran University Faculty of Medicine, Public Health Department, Sanliurfa, Turkey
  • Hatice Nur Özgen MSN, BSN, Lecturer, Harran University Faculty of Health Sciences, Department of Obstetrics and Gynecology Nursing, Sanliurfa, Turkey
  • İbrahim Koruk MD, PhD, Professor, Harran University Faculty of Medicine, Public Health Department, Sanliurfa, Turkey

DOI:

https://doi.org/10.3329/bjms.v24i4.85347

Keywords:

Breastfeeding; Breastfeeding During Pregnancy; Tandem Breastfeeding; Scale Development; Attitudes

Abstract

Introduction Globally, breastfeeding duration often falls short of recommendations, partly due to women becoming pregnant while still nursing. Although breastfeeding during pregnancy and tandem breastfeeding are supported, these practices lack widespread acceptance. Assessing women’s attitudes towards these practices is essential for promoting sustained breastfeeding, yet no standardized tool currently exists for this purpose.

Objective This study aimed to develop a scale to evaluate women’s attitudes toward breastfeeding during pregnancy and tandem breastfeeding.

Method An initial item pool was developed and refined using the Davis Technique. The scale was tested through two pilot studies (each with 100 participants), followed by a main study with 318 participants. The scale’s psychometric properties were assessed through validity and reliability analyses.

Results and Conclusion The final scale is a five-point Likert-type instrument, explaining 50.01% of the total variance across two factors (breastfeeding during pregnancy and tandem breastfeeding) with 13 items. It demonstrated strong internal consistency with a Cronbach’s alpha of 0.87.

BJMS, Vol. 24 No. 04 October’25 Page : 1228-1236

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Published

2025-11-02

How to Cite

Koruk, F., Turan, Z., Beyazgül, B., Barlas, F., Özgen, H. N., & Koruk, İbrahim. (2025). Instrument Development and Validation of an Attitude Scale for Breastfeeding in Pregnancy and Tandem Nursing. Bangladesh Journal of Medical Science, 24(4), 1228–1236. https://doi.org/10.3329/bjms.v24i4.85347

Issue

Vol. 24 No. 4 (2025)

Section

Original Articles

License

Copyright (c) 2025 Fatma Koruk, Zeliha Turan, Burcu Beyazgül, Feyyaz Barlas, Hatice Nur Özgen, İbrahim Koruk

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