Psychometric Properties (Validity and Reliability) of the Arabic Version of the Preterm Infant Feeding Survey (PIFS) Instrument

International Journal of Nursing and Health Science
© 2020 by SSRG - IJNHS Journal
Volume 6 Issue 2
Year of Publication : 2020
Authors : Amel Abouelfettoh, Assma Mahfouz
How to Cite?

Amel Abouelfettoh, Assma Mahfouz, "Psychometric Properties (Validity and Reliability) of the Arabic Version of the Preterm Infant Feeding Survey (PIFS) Instrument," SSRG International Journal of Nursing and Health Science, vol. 6,  no. 2, pp. 9-14, 2020. Crossref,


The current study examines the validity and reliability of the Arabic version of the Preterm Infant Feeding Survey (PIFS) instrument. The original instrument was developed based on the Breastfeeding Attrition Scale and demonstrated adequate reliability and validity. Cross-culture validation was performed in three phases: Forward-Backward translation, pilot testing, and estimation of reliability and validity. A sample of 200 mothers and their preterm newborn infants were recruited from NICU at a tertiary level teaching hospital. Cronbach's α coefficient was calculated (Reliability). Factor analysis was used for the construct validity, and Principal Component Analysis and Varimax Rotation method were used for analyzing the factor structures. The final translated instrument included 70 items. Reliability for the Arabic PIFS instrument Cronbach's alpha was 0.895, with the Individual subscale's Cronbach alpha values ranged from 0.857 to 0.945. Factor analysis demonstrated 55 items in the 5-factor solution; these factors explained 54.85% of the variance. In conclusion, the Arabic-translated PIFS instrument showed satisfactory internal consistency and proved to be a valid and reliable tool that can be used to assess the factors contributing to maternal decision to breastfeed or not among mothers of preterm infants in Arabic-speaking populations.


Infant Feeding Survey, Instrument, Validity, Reliability.


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