The Influence of Nurse Home Visits, Including Provision of 3 Months of Contraceptives and Contraceptive Counseling, on Perceived Barriers to Contraceptive Use and Contraceptive Use Self-Efficacy

Alan L. Melnick, Rebecca E. Rdesinski, E. Dawn Creach, Dongseok Choi, S. Marie Harvey

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective: To identify the influence of a community health nurse (CHN) home visit on perceived barriers to contraceptive access and contraceptive use self-efficacy. Methods: We enrolled 103 women into two groups in a randomized trial evaluating the influence of contraceptive dispensing and family planning counseling during home visits on perceived barriers to accessing contraceptives and contraceptive use self-efficacy. Both groups received counseling by a CHN about sexually transmitted disease and pregnancy prevention, and a resource card listing phone numbers of family planning clinics. After randomization, the CHN dispensed three months of hormonal contraception to the intensive intervention group and advised the minimal intervention group to schedule an appointment at a family planning clinic. Data collection at baseline and 12 months included demographic, reproductive and other health-related information as well as quantitative assessments of information on perceived barriers to contraceptive access and contraceptive use self-efficacy. Results: The mean age of participants was 24.7 years. Three-fourths had household incomes under $25,000. We found significant reductions in three perceived barriers to contraceptive access for both groups, as well as significant increases in two measures of contraceptive use self-efficacy at twelve months compared to baseline. Conclusion: Nurse home visits involving family planning counseling might be effective in reducing perceived barriers to contraceptive access and increasing contraceptive use self-efficacy.

Original languageEnglish (US)
Pages (from-to)471-481
Number of pages11
JournalWomen's Health Issues
Volume18
Issue number6
DOIs
StatePublished - Nov 2008

Fingerprint

House Calls
Self Efficacy
Contraceptive Agents
contraceptive
self-efficacy
Counseling
counseling
nurse
Nurses
Family Planning Services
family planning
Community Health Nurses
health
Group
group counseling
community
sexually transmitted disease
Reproductive Health
Random Allocation
contraception

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery
  • Health(social science)

Cite this

The Influence of Nurse Home Visits, Including Provision of 3 Months of Contraceptives and Contraceptive Counseling, on Perceived Barriers to Contraceptive Use and Contraceptive Use Self-Efficacy. / Melnick, Alan L.; Rdesinski, Rebecca E.; Creach, E. Dawn; Choi, Dongseok; Harvey, S. Marie.

In: Women's Health Issues, Vol. 18, No. 6, 11.2008, p. 471-481.

Research output: Contribution to journalArticle

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