Adaptation of a Breastfeeding Motivational Instructional Measurement Scale into a Thai Cultural Setting

Lesley Dornan, Marlene Sinclair, George Kernohan, Doreen Stockdale, Varangthip Khuwuthyakorn, Fuanglada Tongprasert, Watcharee Tantiprapa

Research output: Contribution to journalArticlepeer-review


The aim of this study was to achieve a Thai version of a breastfeeding motivational instructional measurement scale. Methods: Following WHO translation and adaptation guidelines the breastfeeding scale was adapted into a Thai cultural setting and pilot-tested in an urban University hospital. Findings: The scale correctly measured the motivational constructs. Pre-testing of the Thai version showed the initial translation of the scale was too literal and required more clarity in the instructions. Some women found the 51 items scale too long and complicated. Cultural values influenced their understanding of concepts and their responses to the questions. Lessons learned for the adaptation of other behaviour measurement tools include a well-defined process and the value of the involvement of experts, staff and mothers in the process for additional insight into cultural adaptation process. Conclusions: Successful adaptation of a breastfeeding measurement scale requires a rigorous process, a clear understanding of the cultural setting and stakeholder involvement to ensure validity, reliability and effectiveness.
Original languageEnglish
Pages (from-to)16-22
JournalInternational Proceedings of Social and Behavioral Sciences
Issue number1
Publication statusPublished (in print/issue) - 3 Dec 2014


  • Breastfeeding
  • Motivation
  • Measurement tool
  • Culture
  • Translation
  • Systematic approach
  • Stakeholder.


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