Effect of Nurse-Client Transaction on Female Adolescents' Oral Contraceptive Adherence


  • Kathleen M. Hanna

    1. Kathleen M. Hanna, RN, PhD, Epsilon Gamma, is Assistant Professor of Nursing at Wichita State University, Wichita, Kansas. This study was conducted as a doctoral dissertation, University of Pittsburgh. Correspondence to 9121 Birch Lane, Wichita, KS 67212.
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An experimental study was conducted to test the effect of a nurse-client transactional intervention (King, 1981) on 51 female adolescents' oral contraceptive adherence. Subjects were randomly assigned to a control or an experimental group. Both groups experienced the clinics' contraceptive teaching. Subjects in the experimental group experienced the transactional intervention. Contraceptive perceptions were measured immediately post-intervention and at the three-month follow-up. Oral contraceptive adherence was measured at the three-month follow-up. Female adolescents who experienced the transactional intervention had greater levels of oral contraceptive adherence than those who had not (F = 4.75, p <.05).