Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model

Breastfeeding during the COVID-19 pandemic is challenging. Strong intention and good knowledge on the risk and benefit of breastfeeding are important for a woman to breastfeed her child during this period. This study aims to develop and validate a Malay language questionnaire in order to measure Mal...

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Main Authors: Muhd Helmi, Muhd Alwi, Mohd Nor, Mohd Zali, Tengku Ismail, Tengku Alina, Zainal Abidin, Muhammad 'Adil, Hasan, Taufiq Hidayat
Format: Article
Language:English
Published: Malaysian Public Health Physicians' Association 2022
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Online Access:http://irep.iium.edu.my/100278/7/100278_Development%20and%20validation%20of%20knowledge.pdf
http://irep.iium.edu.my/100278/
http://mjphm.org/index.php/mjphm/article/view/1592/527
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spelling my.iium.irep.1002782022-09-27T08:45:18Z http://irep.iium.edu.my/100278/ Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model Muhd Helmi, Muhd Alwi Mohd Nor, Mohd Zali Tengku Ismail, Tengku Alina Zainal Abidin, Muhammad 'Adil Hasan, Taufiq Hidayat RJ101 Child Health. Child health services Breastfeeding during the COVID-19 pandemic is challenging. Strong intention and good knowledge on the risk and benefit of breastfeeding are important for a woman to breastfeed her child during this period. This study aims to develop and validate a Malay language questionnaire in order to measure Malaysian women's knowledge and intention about breastfeeding during the pandemic. The items were developed based on an extensive review of literature as well as breastfeeding guidelines and suggestions from experts, followed by an assessment of content and face validity that involved nine and 30 reviewers respectively. A pilot study was conducted on 90 respondents and the reliability assessment was performed using Rasch analysis. Exploratory factor analysis (EFA) was used to determine the number of latent factors within the intention dimension. Among 29 knowledge items and 36 intention items, 19 knowledge items remained with a person separation (person reliability) as well as item separation (item reliability) of 1.73(0.75) and 3.97(0.94). The final intention domain had 17 items with a person separation (person reliability) as well as item separation (item reliability) of 1.54(0.70) and 3.87(0.94). Three latent factors were identified within the intention questionnaire. The final 17 items explained 53.7% of the variance with an overall Kaiser-Meyer-Olkin measure of sampling adequacy of 0.70, χ2 = 623.40 (136), p<0.001. Using the framework of the theory of planned behaviour, the drafted questionnaire is reliable and valid based on the Rasch measurement model to measure the knowledge and intention about breastfeeding during an infection outbreak. Malaysian Public Health Physicians' Association 2022-08-20 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/100278/7/100278_Development%20and%20validation%20of%20knowledge.pdf Muhd Helmi, Muhd Alwi and Mohd Nor, Mohd Zali and Tengku Ismail, Tengku Alina and Zainal Abidin, Muhammad 'Adil and Hasan, Taufiq Hidayat (2022) Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model. Malaysian Journal of Public Health Medicine, 22 (2). pp. 16-26. ISSN 1675-0306 E-ISSN 2590-3829 http://mjphm.org/index.php/mjphm/article/view/1592/527
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RJ101 Child Health. Child health services
spellingShingle RJ101 Child Health. Child health services
Muhd Helmi, Muhd Alwi
Mohd Nor, Mohd Zali
Tengku Ismail, Tengku Alina
Zainal Abidin, Muhammad 'Adil
Hasan, Taufiq Hidayat
Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
description Breastfeeding during the COVID-19 pandemic is challenging. Strong intention and good knowledge on the risk and benefit of breastfeeding are important for a woman to breastfeed her child during this period. This study aims to develop and validate a Malay language questionnaire in order to measure Malaysian women's knowledge and intention about breastfeeding during the pandemic. The items were developed based on an extensive review of literature as well as breastfeeding guidelines and suggestions from experts, followed by an assessment of content and face validity that involved nine and 30 reviewers respectively. A pilot study was conducted on 90 respondents and the reliability assessment was performed using Rasch analysis. Exploratory factor analysis (EFA) was used to determine the number of latent factors within the intention dimension. Among 29 knowledge items and 36 intention items, 19 knowledge items remained with a person separation (person reliability) as well as item separation (item reliability) of 1.73(0.75) and 3.97(0.94). The final intention domain had 17 items with a person separation (person reliability) as well as item separation (item reliability) of 1.54(0.70) and 3.87(0.94). Three latent factors were identified within the intention questionnaire. The final 17 items explained 53.7% of the variance with an overall Kaiser-Meyer-Olkin measure of sampling adequacy of 0.70, χ2 = 623.40 (136), p<0.001. Using the framework of the theory of planned behaviour, the drafted questionnaire is reliable and valid based on the Rasch measurement model to measure the knowledge and intention about breastfeeding during an infection outbreak.
format Article
author Muhd Helmi, Muhd Alwi
Mohd Nor, Mohd Zali
Tengku Ismail, Tengku Alina
Zainal Abidin, Muhammad 'Adil
Hasan, Taufiq Hidayat
author_facet Muhd Helmi, Muhd Alwi
Mohd Nor, Mohd Zali
Tengku Ismail, Tengku Alina
Zainal Abidin, Muhammad 'Adil
Hasan, Taufiq Hidayat
author_sort Muhd Helmi, Muhd Alwi
title Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
title_short Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
title_full Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
title_fullStr Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
title_full_unstemmed Development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
title_sort development and validation of knowledge and intention to breastfeed during pandemic questionnaire using exploratory factor analysis and rasch model
publisher Malaysian Public Health Physicians' Association
publishDate 2022
url http://irep.iium.edu.my/100278/7/100278_Development%20and%20validation%20of%20knowledge.pdf
http://irep.iium.edu.my/100278/
http://mjphm.org/index.php/mjphm/article/view/1592/527
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score 13.211869