TY - JOUR
T1 - Cross-Cultural Adaptation and Psychometric Evaluation of the Neonatal Eating Assessment Tool–Breastfeeding Into Tamil
AU - Jayapradha, Gopalakrishnan
AU - Venkatesh, Lakshmi
AU - Amboiram, Prakash
AU - Sudalaimani, Prabha
AU - Balasubramanium, Radish Kumar
AU - Pados, Britt Frisk
N1 - Funding Information:
Supported by the Founder Chancellor Shri N.P.V. Ramasamy Udayar Fellowship, Sri Ramachandra Institute of Higher Education and Research (Gopalakrishnan Jayapradha).
Publisher Copyright:
© 2022 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
PY - 2022/7
Y1 - 2022/7
N2 - Objective: To adapt the Neonatal Eating Assessment Tool–Breastfeeding (NeoEAT-Breastfeeding) into Tamil, a language spoken in several South Asian countries, to identify the tool's factor structure, and to assess its psychometric properties. Design: Cross-sectional. Setting: Tertiary care hospital in South India. Participants: A cohort of 323 mothers of infants ages 1 week to 7 months, including infants with and without feeding difficulties. Method: To adapt the English tool to Tamil, we followed standard procedures specified by the tool developers and international guidelines for tool translation and adaptation, including pilot testing and personal interviews with participants who had infants younger than 7 months. Participants completed the NeoEAT-Breastfeeding (Tamil) after assessment of breastfeeding by professionals. The 62-item tool involves rating each item on a 6-point scale, and higher scores indicate increased feeding difficulties. Results: After exploratory factor analysis, we divided the tool into five subscales in the Tamil version compared to the seven subscales in the original English version. The Tamil version demonstrated high internal consistency reliability (Cronbach's α = 0.97) and test–retest reliability (intraclass correlation = 0.99) for the total scores. Infants with feeding concerns demonstrated significantly higher total and subscale scores on the NeoEAT-Breastfeeding (Tamil) than infants without feeding concerns (p = .000; construct validity). Conclusion: The NeoEAT-Breastfeeding (Tamil) holds promise as a culturally appropriate, clinically useful parent-report tool with evidence for initial reliability and validity for identifying feeding-related concerns among infants younger than 7 months in the Tamil-speaking population.
AB - Objective: To adapt the Neonatal Eating Assessment Tool–Breastfeeding (NeoEAT-Breastfeeding) into Tamil, a language spoken in several South Asian countries, to identify the tool's factor structure, and to assess its psychometric properties. Design: Cross-sectional. Setting: Tertiary care hospital in South India. Participants: A cohort of 323 mothers of infants ages 1 week to 7 months, including infants with and without feeding difficulties. Method: To adapt the English tool to Tamil, we followed standard procedures specified by the tool developers and international guidelines for tool translation and adaptation, including pilot testing and personal interviews with participants who had infants younger than 7 months. Participants completed the NeoEAT-Breastfeeding (Tamil) after assessment of breastfeeding by professionals. The 62-item tool involves rating each item on a 6-point scale, and higher scores indicate increased feeding difficulties. Results: After exploratory factor analysis, we divided the tool into five subscales in the Tamil version compared to the seven subscales in the original English version. The Tamil version demonstrated high internal consistency reliability (Cronbach's α = 0.97) and test–retest reliability (intraclass correlation = 0.99) for the total scores. Infants with feeding concerns demonstrated significantly higher total and subscale scores on the NeoEAT-Breastfeeding (Tamil) than infants without feeding concerns (p = .000; construct validity). Conclusion: The NeoEAT-Breastfeeding (Tamil) holds promise as a culturally appropriate, clinically useful parent-report tool with evidence for initial reliability and validity for identifying feeding-related concerns among infants younger than 7 months in the Tamil-speaking population.
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U2 - 10.1016/j.jogn.2022.03.005
DO - 10.1016/j.jogn.2022.03.005
M3 - Article
AN - SCOPUS:85130895776
SN - 0884-2175
VL - 51
SP - 450
EP - 460
JO - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
JF - JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
IS - 4
ER -