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Journal of Human Lactation
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Predicting Early Breastfeeding Attrition

Margaret J. Dick, RN, PhD

University of North Carolina at Greensboro School of Nursing, PO Box 26172, Greensboro, NC 27402-6172, USA

Marilyn L. Evans, RN, PhD

Janet B. Arthurs, RN, MSN

Janta K. Barnes, RN, MSN

Robin S. Caldwell, RN, MSN

Sophie S. Hutchins, RN, MSN

Linda K. Johnson, RN, MSN

The Breastfeeding Attrition Prediction Tool (BAPT) is based on the theory of planned behavior, which explains behavior as a function of attitudes, subjective norm, and perceived control. The BAPT subscales are positive and negative attitudes toward breastfeeding, family and professional expectations, and perceived ability to be successful. The purpose of this studywas to test the reliability and validity of the BAPT among269 women who planned to breastfeed for at least 8 weeks. Subjects completed the BAPT in the hospital and duringa telephone interview at 8 weeks. Based on factor analysis, several items were deleted. Usingdiscriminant function analysis, the modified BAPT was an effective predictor of 78% of women who stopped breastfeedingbefore 8 weeks and 68% of those who were still breastfeeding. There is potential for the modified BAPT to be an adjunct for the clinician in identifyingw omen at risk for early cessation of breastfeeding.

Key Words: breastfeeding • lactation • maternal behavior • behavior prediction • success evaluation • predictive validity • instrument validation • theory of planned behavior

Journal of Human Lactation, Vol. 18, No. 1, 21-28 (2002)
DOI: 10.1177/089033440201800104
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