Translation, Cultural Adaptation and Validation of the Persian Version of Bristol Breastfeeding Assessment Tool

Saeid  Morovvati; Maryam  Tarameshlu; Leila  Ghelichi; Arash  Bordbar

doi:10.18502/jimc.v9i1.20478

Saeid Morovvati Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Maryam Tarameshlu Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Leila Ghelichi Department of Speech and Language Pathology, Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran
Arash Bordbar Department of Neonatology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jimc.v9i1.20478

Keywords: Breastfeeding, Cross-cultural, Infants, Persian, Reli-ability, Validity

Abstract

Background: The Bristol Breastfeeding Assessment Tool (BBAT) is a useful tool to evaluate breastfeeding status in infants. This study aimed to cross-culturally adaptation of the BBAT to the Persian language and to determine its reliability and validity.

Methods: A cross-sectional study was conducted to translate and cross-culturally adapt the BBAT to Persian language following steps described in guidelines. A total of 106 infants participated in this study. Psychometric properties of internal consistency reliability, test–retest reliability, inter-rater reliability, Standard Error of Measurement (SEM), Smallest Detectable Change (SDC), and construct validity were tested. Factor analysis was performed to determine BBAT-Persian structure.

Results: There were no floor or ceiling effects that indicate the content and responsiveness of BBAT-Persian. Internal consistency was high (Cronbach’s α 0.8). Item–total correlations exceeded acceptable standard of 0.3 for the all items (0.71–0.78). The inter-rater reliability was excellent (k=0.80, SE=0.05; p<0.001). SEM and SDC were 0.756 and 2.41, respectively. Construct validity was supported by a significant correlation between the BBAT-Persian score and the Infant Breastfeeding Assessment Tool (IBFAT) total score (r=0.88). Explanatory factor analysis revealed 2 Components for the BBAT-Persian.

Conclusion: The BBAT was cross-culturally adapted to Persian and confirmed to be a reliable and valid tool to measure breastfeeding quickly and easily in infants.