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Table 2 Translation methods and modifications for all included studies

From: Psychometrics of the breastfeeding self-efficacy scale and short form: a systematic review

Author Year

Translated Language

Forward Translation

Back Translation

Pilot-Testing

Other Modifications

Breastfeeding Self-Efficacy Scale (BSES)

 Creedy 2003 [26]

NA

NA

NA

NA

None

 Dai 2003 [30]

Mandarin Chinese

Yes, by one professional translator

Yes, by two bilingual lay-people

Yes, n = 21

Minor wording changes to eight items and removal of one item “I can always keep my baby awake at my breast during a feeding”

 Eksioglu 2011 [31]

Turkish

Yes, by five bilingual health professionals

Yes, by a linguist

Yes, n = 25

Minor wording changes to three items

 Molina Torres 2003 [32]

Spanish

Yes, by three professional translators

Yes, by two bilingual lay-people

Yes, n = NR

None

 Oriá 2009 [33]

Portuguese

Yes, by two bilingual translators

Yes, two bilingual translators

Yes, n = 15 pregnant and n = 15 postpartum women

Minor wording changes and changes to Likert response options

Breastfeeding Self-Efficacy Scale- Short Form (BSES-SF)

 Amini 2019 [28]

Persian

Yes, by two bilingual translators

Yes, by one bilingual translator

No

None

 Asgarian 2020 [34]

Iranian Farsi

Yes, by two bilingual researchers

Yes, by one bilingual translator

Yes, n = 10

Minor wording changes to two items

 Balaguer- Martinez 2022 [35]

Spanish

NR

NR

NR

NR

 Basu 2020 [36]

Hindi

Yes, by one bilingual translator

Yes, by one native translator

Yes, n = 10

Sample size included women up to 1 year postpartum; 50% conducted via interview at the request of participants

 Boateng 2019 [37]

Acholi and Langi

Yes, by four experts on nutrition, public health, breastfeeding, and medicine

Yes, the same four experts

No

Initially, two items were modified and five items were added to reflect EBF; then up analysis, 7 from the original items and 3 from the added items were dropped, resulting in a 9-items scale

 Brandão 2018 [38]

Portuguese

Yes, by two independent bilingual translators

Yes, by two independent bilingual translators

Yes, n = 15

Antenatal version (e.g., items stem changes from “I can” to “I think I can”)

 Chipojola 2022 [18]

ChiPacewa

Yes, by one bilingual speaker

Yes, by one bilingual speaker

Yes, n = 20 fathers

Paternal version minor word changes

 Dennis 2011 [39]

NA

NA

NA

NA

Antenatal version: Stem of each question changed from “I can” to “I think I can”

 Dennis 2018 [19]

NA

NA

NA

NA

Paternal version: All item stems were changed from “I can always” to “I can always help mom”; the word “my baby” was changed to “our baby”; and finally, an item was changed to acknowledge that the mother breastfeeds

 Dodt 2012 [40]

Brazilian Portuguese

NR

NR

NR

NR

 Dos Santos 2016 [41]

Brazilian Portuguese

NR

NR

NR

NR

 Gerhardsson 2014 [42]

Swedish

Yes, by four breastfeeding experts

Yes, by a professional translator

Yes, n = 5

None

 Gregory 2008 [43]

NA

NA

NA

NA

None

 Handayani 2013 [24]

Indonesia

Yes, by five bilingual translators

Yes, but unclear

No

None

 Husin 2017 [27]

Malay

Yes, by two bilingual translators

Yes, by one bilingual translator

Yes, n = NR

None

 Iliadou 2020 [44]

Greek

NR

NR

NR

NR

 Ip 2012 [45]

Hong Kong Chinese

Yes, by 1 of the authors, with reference to Chinese version of the original BSES (Dai and Dennis)

No

Yes, n = 12

Minor modifications (unspecified)

 Ip 2016 [46]

Mandarin Chinese

NA

NA

Yes, n = 10

None – relevant items for the BSES-SF taken from the validated Mandarin version of the full scale

 Küçükoğlu 2023 [20]

Turkish

Yes, by three bilingual translators

Yes, by three bilingual translators

Yes, n = 20 fathers

None

 Maurer (n.d.) (Maurer, et al.: The breastfeeding self-efficacy scale - short form (BSES): German translation and psychometric assessment, unpublished)

German

Yes, by three independent teams

Yes

Yes, by breastfeeding experts (n = 7) and breastfeeding mothers (n = 11)

None

 McCarter-Spaulding 2010 [47]

NA

NA

NA

NA

None

 McQueen 2013 [48]

NA

NA

NA

NA

None

 Mituki 2017 [25]

Kiswahili

Yes, by one native speaker

Yes, by one native speaker

NR

Minor wording changes to seven items and the Likert scale phases were modified

 Oliver-Roig 2012 [49]

Spanish

Yes, by two bilingual translators

Yes, by two bilingual translators

Yes, n = 9

Minor changes, e.g., changed “confidence” in the English version to “self-confidence” in the Spanish version

 Otsuka 2008 [50]

Japanese

Yes, separately by first author and a bilingual breastfeeding mother

Yes, by two bilingual translators

Yes, n = 11

Two minor wording modifications

 Pavicic-Bosnjak 2012 [51]

Croatian

Yes, by two bilingual translators

Yes, by two bilingual lay translators

Yes, n = 20

Minor wording modifications on 2 items, and change of Likert-scale from “very confident / not confident” to “strongly agree / strongly disagree”

 Petrozzi 2016 [52]

Italian

Yes, by the authors

Yes, by an English-speaker fluent in Italian

Yes, n = NR

None

 Radwan 2022 [53]

Arabic

Yes, by one bilingual translator

Yes, by two bilingual translators

Yes, n = 10

Yes, some questions reworded for clarity

 Sandhi 2022 [29]

Bahasa Indonesia

Yes, by one bilingual translator

Yes, by one bilingual translator

Yes, n = 10

None

 Tokat 2010 [54]

Turkish

Yes, by three bilingual translators

Yes, by one lay bilingual translator

Yes, n = 11 pregnant and n = 16 postpartum women

Minor change to one item

 Tokat 2020 [21]

Turkish

Yes, by three bilingual translators

Yes, by one bilingual translator

Yes, n = 12

None

 Wheeler 2013 [22]

NA

NA

NA

Yes, n = 10

Preterm version: 4 items added to make scale applicable to mothers with ill or pre-term infants

 Witten 2020 [55]

Setswana

Yes, by two bilingual translators

Yes, by two bilingual translators

Yes, n = 6

Minor wording changes to Likert scale

 Wutke 2007 [56]

Polish

Yes, by 5 bilingual graduate students not associated with the project

Yes, by 5 different bilingual graduate students

Yes, n = 31

Wording modified for some items to improve clarity

 Yang 2020 [23]

Chinese

Yes, by 2 bilingual translators

Yes, by 2 bilingual translators

Yes, n = 15

None

 Zubaran 2010 [57]

Brazilian Portuguese

Yes, by 2 bilingual investigators

Yes, by the same two investigators

Yes, n = 10

None

  1. BSES Breastfeeding Self-Efficacy Scale, BSES-SF Breastfeeding Self-Efficacy Scale-Short Form, NA Not Applicable (Scale was in English or not translated), NR Not Reported, EBF Exclusive Breastfeeding