title: The influence of social-developmental context and nurse visitation intervention on self-agency change in unmarried adolescent mothers.
abstract: Pregnancy among unmarried adolescents has been linked to negative personal control beliefs. In contrast, self-agency beliefs about control over future possibilities have been linked to delay in subsequent childbearing. In this secondary analysis, we examined factors associated with self-agency change in 429 unmarried adolescent mothers from intervention and control groups of a nurse home visitation study. Adolescent mothers who participated in a sustained relationship with a nurse made greater gains in self-agency than did control group mothers (p = .034). Adolescents with lower cognitive ability who were behind their age-appropriate grade level in school made the greatest self-agency gains.
authors: College of Nursing, Seattle University, Seattle, WA 98122-1090.
authors: Janiece E
authors: JE
authors: DeSocio
authors: Margaret L
authors: ML
authors: Holland
authors: Harriet J
authors: HJ
authors: Kitzman
authors: Robert E
authors: RE
authors: Cole
mesh_terms: D000293:Adolescent; D016022:Case-Control Studies; D003152:Community Health Nursing; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007086:Illegitimacy / Q000523:psychology*; D008425:Maternal Behavior; D009723:Nurse-Patient Relations; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D020377:Self Efficacy; D012959:Socioeconomic Factors; D013714:Tennessee