• Rosana Maria Tristão University of Oxford John Radcliffe Hospital Oxford, UK, OX3 9DU
  • Elaine Rabelo Neiva Instituto de Psicologia, Universidade de Brasília, Brasília, Campus Darcy Ribeiro, Brasil, 70910-900
  • Christopher R Barnes University of Derby, Kedleston Road Campus, UK, DE22 1GB
  • Elvidina Adamson-Macedo University of Wolverhampton (Retired), West Midlands, Inglaterra
Palavras-chave: Self-efficacy, neonatal care, parenting, validation, health psychology.


Introduction: self-efficacy matches the belief that a person has that she is able to produce the results she wants to achieve. The beliefs of self-efficacy that parents have about the baby emerge as a powerful predictor of positive parenting. Objective: this study aimed to evaluate the maternal self-efficacy behavior in hospitalized mothers and validate an instrument for measuring this concept developed and validated in England by Barnes and Adamson-Macedo, in 2007. Method: this crosssectional exploratory study convenience cohort comprised 87 mothers of newborn babies, 26 premature and 61 full-term infants. The scale Perceived Maternal Parenting Self-Efficacy (PMP S-E), which consists of 20 items that represent four subscales was tested for reliability and validity. Results: the internal consistency of the scale PAEPM reached a value of .86, the internal consistency and reliability estimates for each of the subscales also reached acceptable values. Exploratory Factor Analysis (EFA) confirmed the validity of the construct and the scores of self-efficacy were normally distributed for both subgroups and total sample. Conclusions: PMP S-E scale proved to be an easy application tool and psychometrically robust, reliable and valid for use with mothers of hospitalized new-borns both premature as the term clinically stable. It is a reliable method of identifying mothers of babies who need more support from the hospital staff.

Biografia do Autor

Rosana Maria Tristão, University of Oxford John Radcliffe Hospital Oxford, UK, OX3 9DU
Postdoctoral Researcher at Department of Paediatrics
Elaine Rabelo Neiva, Instituto de Psicologia, Universidade de Brasília, Brasília, Campus Darcy Ribeiro, Brasil, 70910-900
Christopher R Barnes, University of Derby, Kedleston Road Campus, UK, DE22 1GB
Professor, College of Life and Natural Sciences
Elvidina Adamson-Macedo, University of Wolverhampton (Retired), West Midlands, Inglaterra
Emeritus Professor


Bandura A. Self-efficacy: toward a unifying theory of behavioural change. Psychol Rev. 1977; 84(2):191-215. DOI:

Bandura A. Self-Efficacy: The exercise of control. New York: Freeman ;1997.

Bandura A. Social cognitive theory: An agentic perspective. Ann Rev Psychol. 2001;52: 1-26. DOI:

Flammer A. Self-Efficay. In: Smelser NJ, Baltes PB. International Encyclopedia of the Social & Behavioral Sciences. Oxford, UK: Elsevier Science. 2004; p.13812-13815.

Coleman PK, Karraker KH. Self-Efficacy and Parenting Quality: Findings and Future Applications. Developmental Review. 1998;18(1):47-85. DOI:

Salone AH, Kaunonen AM, Astedt-Kurki P, Jarvenpaa. AL, Isoaho H, Tarkka MT. Parenting self-efficacy after childbirth. J Adv Nurs. 2009;65(11):2324-36. DOI:

Figueira P, Corrêa H, Malloy-Diniz L, Romano-Silva MA. Escala de Depressão Pós-natal de Edimburgo para triagem no sistema público de saúde. Rev Saúde Pública. 2009;43(supl 1):79-84. DOI:

Motta MG, Lucion AB, Manfro GG. Efeitos da depressão materna no desenvolvimento neurobiológico e psicológico da criança. Rev Psiquiatr Rio Gd Sul. 2005; 27(2):165-76. DOI: 005000200007.

Schwengber DDS, Piccinini CA. O impacto da depressão pós-parto para a interação mãe bebê. Estud Psicol. 2003;8(3):403-11. DOI:

Moraes IG, Pinheiro RT, Silva RA, Horta BL, Sousa PL, Faria AD. Prevalência da depressão pós-parto e fatores associados. Rev de Saúde Pública. 2006;40(1)65-70. DOI:

Ruschi GEC, Sun SY, Mattar R, Chambô Filho A, Zandonade E, Lima VJ. Aspectos epidemiológicos da depressão pós-parto em amostra brasileira. Rev Psiquiatr Rio Gd Sul. 2009;29(3):274-80. DOI:

Barnes CR, Adamson-Macedo EN. Perceived maternal parenting self-efficacy (PMP S-E) tool: development and validation with mothers of hospitalized preterm neonates. J Adv Nurs. 2007;60(5):550-60.

Nunnally JC, Bernstein IH. Psychometric theory. 3rd edn. New York: McGaw-Hill; 1994.

Bland JM, Altman DG. Statistics notes: Cronbach’s alpha. Br Med J. 1997;314:572. DOI:

Froman RD. Elements to consider in planning the use of factor analysis. South Online J Nurs Res. 2001;5(2):1-22.

Loke AY, Chan LK. Maternal breastfeeding selfefficacy and the breastfeeding behaviors of newborns in the practice of exclusive breastfeeding. J Obstet Gynecol Neonatal Nurs. 2013;42(6):672-84. DOI:

Kucukoglu S, Celebioglu A. Effect of naturalfeeding education on successful exclusive breast-feeding and breast-feeding self-efficacy of low-birth-weight infants. Iran J Pediatr. 2014; 24(1): 49-56.

Benzies K M, Magill-Evans JE, Hayden KA, Ballantyne M. Key components of early intervention programs for preterm infants and their parents: a systematic review and metaanalysis. BMC Pregnancy Child. 2013;13(Suppl 1): s10. DOI:

Orem D. Nursing: concepts of practice. 6th edn. London: Mosby; 2001.

Fulton JM, Mastergeorge AM, Steele JS, Hansen RL. Maternal perceptions of the infant: relationship to maternal self-efficacy during the first six weeks’ postpartum. Infant Ment Health J. 2012;33(4): 329-38. DOI:

Price C. Family centred care for the neonate – the view from Wolverhampton. Neuro Endocrinol Lett. 2004;25(suppl 1):87-93.

Troutman B, Moran TE, Arndt S, Johnson RF, Chmielewski M. Development of parenting selfefficacy in mothers of infants with high negative emotionality. Infant Ment Health J. 2012; 33(1): 45-54. DOI:

Swanson V, Nicol H, McInnes R, Cheyne H, Mactier H, Callander E. Developing maternal self-efficacy for feeding preterm babies in the neonatal unit. Qual Health Res. 2009;22(10): 1369-82. DOI:

Callaghan DM. Health-promoting self-care behaviors, self- care self-efficacy, and self-care agency. Nurs Sci Q. 2003;16(3):247-54. DOI:,03016003016

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