Predicting breast-feeding attrition: Adapting the breast-feeding attrition prediction tool

Sara L. Gill, Elizabeth Reifsnider, Joseph F. Lucke, Angela R. Mann

Research output: Contribution to journalReview articlepeer-review

25 Scopus citations


CONTEXT: Current breast-feeding rates fall short of the recommendations set forth in Health People 2010. The Breast-feeding Attrition Prediction Tool (BAPT), administered in the postpartum period, has been useful in predicting breast-feeding attrition. However, assessing a woman's intention to breast-feed prior to birth would identify women at risk for breast-feeding attrition. PURPOSE: The purpose of this study was to describe a revised BAPT, administered antepartally that measures intention to breast-feed. METHODS: The BAPT, comprising 94 items on a 6-point Likert-type scale, was translated into Spanish and back-translated for accuracy. The BAPT was then revised by reducing the number of items to 35 (32 were used for analysis) and contracting the 6-point scale to 3 categories. A Bayesian item response model provided the psychometric properties of the revised BAPT. RESULTS: The revised BAPT was completed by 143 Mexican American pregnant women. Items, some reverse scored, were recoded as "agree" versus "disagree." Item analyses indicated a wide range of item discriminabilities, with most items being useful measures of intention to breast-feed. Person analyses provided scores for intention to breast-feed. A simpler scoring system was devised for applications. CONCLUSIONS: The revised BAPT shows promise as a measure of intention to breast-feed. The scoring system also indicates which women may need additional interventions to promote breast-feeding.

Original languageEnglish (US)
Pages (from-to)216-224
Number of pages9
JournalJournal of Perinatal and Neonatal Nursing
Issue number3
StatePublished - Jul 2007
Externally publishedYes


  • Bayesian item response model
  • Breast-feeding Attrition Prediction Tool
  • Breast-feeding attrition
  • Infant feeding
  • Instrument revision
  • Intention to breast-feed

ASJC Scopus subject areas

  • Pediatrics
  • Critical Care
  • Maternity and Midwifery


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