Abstract
This article explores the design and implementation of the Alberta Healthy Youth Relationships (AHYR) Strategy. The AHYR is a province-wide practice and policy change initiative in Alberta, Canada, that aims to prevent intimate partner violence by promoting service provider and systems capacity to support healthy relationships in adolescence and beyond. Developed in 2012 within a broader initiative called Shift: The Project to End Domestic Violence, the design of the AHYR began with work with provincial policy-makers, in order to create a policy climate that championed primary prevention practice. This policy climate subsequently supported the province-wide implementation of three evidence-based/evidence-informed programs that focus on building the skills and capacities required for healthy youth relationships. Through these programs, the AHYR has reached over 62,000 youth in grades 7–9, 900 teachers, 850 parents, and 1300 adults that work with youth across the province. In addition to these three programs, the AHYR also works with larger systems (e.g., policymakers, local funders, post-secondary institutions) to advance primary prevention practice. In this paper, we describe how the AHYR contributed to a culture of intimate partner violence prevention practice in the province by improving the readiness of funders and system leaders, community organizations, and practitioners to support healthy relationships best practices. We also describe how we used process evaluation to explore the potential for practice change and to inform the design of the next iteration of the AHYR. The article concludes with implications for other researchers and practitioners aiming to build a culture of intimate partner violence prevention practice within their province or state.
Similar content being viewed by others
Notes
In this article, we define intimate partner violence (IPV) as physically, psychologically, and/or sexually abusive actions perpetrated by a current or former intimate partner, including stalking (Centers for Disease Control and Prevention n.d.).
We define healthy relationships as respectful, autonomous relationships where decision-making is shared and conflict is negotiated in effective, non-violent ways (Centers for Disease Control and Prevention n.d.).
For more details on the program, including content and training, please see https://youthrelationships.org/
For space, we do not include all of our activities or evaluation data within each area, but rather focus on two to three key examples that highlight work that we believe has facilitated a culture of prevention. Additional information on other activities is available at www.preventdomesticviolence.ca or from the second author. Analyses presented here were conducted by the first author. Data from this evaluation are not currently available for sharing.
These numbers reflect training reach at the time this article was written (March 2017). Since this time, we have continued to provide training in these three programs, with reach to additional youth and adults in the province.
References
Alberta Education. (2017). Student population overview. Retrieved from https://education.alberta.ca/alberta-education/student-population/everyone/school-authority-enrolment-data/. Accessed 15 June 2018.
Bonomi, A. E., Anderson, M. L., Rivara, F. P., & Thompson, R. S. (2009). Health care utilization and costs associated with physical and nonphysical-only intimate partner violence. Health Services Research, 44(3), 1052–1067.
Bronfenbrenner, U. (1977). Toward an experimental ecology of human development. American Psychologist, 32(7), 513–531.
Capaldi, D. M., Knoble, N. B., Shortt, J. W., & Kim, H. K. (2012). A systematic review of risk factors for intimate partner violence. Partner Abuse, 3(2), 231–280.
Centers for Disease Control and Prevention [CDC]. (n.d.). Promoting respectful, nonviolent intimate partner relationships through individual, community and societal change. Retrieved from https://www.cdc.gov/violenceprevention/pdf/ipv_strategic_direction_full-doc-a.pdf. Accessed 1 Mar 2017.
Cohen, L., & Swift, S. (1999). The spectrum of prevention: Developing a comprehensive approach to injury prevention. Injury Prevention, 5(3), 203–207.
Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., & Smith, P. H. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23(4), 260–268.
Collaborative for Academic, Social and Emotional Learning [CASEL]. (2016a). Core competencies. Retrieved from https://www.casel.org/core-competencies/. Accessed 1 Mar 2017.
Collaborative for Academic, Social and Emotional Learning [CASEL]. (2016b). 2015 CASEL guide: Effective social and emotional learning programs, middle and high school edition. Retrieved from http://secondaryguide.casel.org. Accessed 1 Mar 2017.
Corcoran, L., Exner-Cortens, D., & Wells, L. (in press). Advancing healthy and socially just schools and communities: An interdisciplinary graduate program. International Journal of Teaching and Learning in Higher Education.
Crooks, C. V., Scott, K. L., Broll, R., Zwarych, S., Hughes, R., & Wolfe, D. A. (2015a). Does an evidence-based healthy relationships program for 9th graders show similar effects for 7th and 8th graders? Results from 57 schools randomized to intervention. Health Education Research, 30(3), 513–519.
Crooks, C. V., Zwarych, S., Hughes, R., & Burns, S. (2015b). The Fourth R implementation manual: Building for success from adoption to sustainability. Retrieved from https://youthrelationships.org/implementation-manual. Accessed 15 June 2018.
Devries, K. M., Mak, J. Y. T., Garcia-Moreno, C., Petzold, M., Child, J. C., Falder, G., et al. (2013). The global prevalence of intimate partner violence against women. Science, 340(6140), 1527–1528.
Dozois, E., Wells, L., & Crooks, C. (2016). Developing a comprehensive, evidence-based strategy for violence prevention: Lessons learned from Alberta, Canada. In M. Taylor, U. Khan, & J. A. Pooley (Eds.), Crime and violence prevention: Moving beyond hot-stove policing and perpetrator rehabilitation (pp. 215–230). Hauppauge, New York: Nova Science Publishers, Inc.
Exner-Cortens, D. (2016). Social-emotional learning and bullying: Understanding impacts on safe, caring, welcoming and respectful learning environments. Retrieved from https://policywise.com/video_library/social-emotional-learning-and-bullying-understanding-impacts-on-safe-caring-welcoming-with-dr-deinera-exner-cortens/. Accessed 1 Mar 2017.
Exner-Cortens, D., Eckenrode, J., Bunge, J., & Rothman, E. (2017). Revictimization after adolescent dating violence in a matched, national sample of youth. Journal of Adolescent Health, 60(2), 176–183.
Exner-Cortens, D., Spiric, V., Crooks, C., Syeda, M., & Wells, L. (2018). Predictors of healthy youth relationships program implementation in a sample of Canadian middle school teachers. Manuscript submitted, revision requested.
Exner-Cortens, D., Wolfe, D. A., Crooks, C. V., & Chiodo, D. (2019). A preliminary randomized controlled evaluation of a universal healthy relationships program for youth. Canadian Journal of School Psychology. Advance online publication. https://doi.org/10.1177/0886109918762492.
Fixsen, D., Blase, K., Metz, A., & Van Dyke, M. (2013). Statewide implementation of evidence-based programs. Exceptional Children, 79(2), 213–230.
Fulu, E., Jewkes, R., Roselli, T., & Garcia-Moreno, C. (2013). Prevalence of and factors associated with male perpetration of intimate partner violence: Findings from the UN multi-country cross-sectional study on men and violence in Asia and the pacific. The Lancet, 1(4), e187–e207.
Gorski, P. C., & Swalwell, K. (2015). Equity literacy for all. Educational Leadership, 72(6), 34–40.
Government of Alberta. (2013). Family violence hurts everyone: A framework to end family violence in Alberta. Retrieved from http://www.humanservices.alberta.ca/documents/family-violence-hurts-everyone.pdf. Accessed 1 Mar 2017.
Government of Alberta. (2014). Alberta’s plan for promoting healthy relationships and preventing bullying. Retrieved from http://www.humanservices.alberta.ca/documents/promoting-healthy-relationships-and-preventing-bullying.pdf. Accessed 1 Mar 2017.
Greaves, L., Hankivsky, O., & Kingston-Riechers, J. (1995). Selected estimates of the cost of violence against women. London, ON: Centre for Research on Violence Against Women and Children.
Greenberg, M. T., Weissberg, R. P., O’Brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., & Elias, M. J. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58(6–7), 466–474.
Kania, J., & Kramer, M. (2011). Collective impact. Stanford Social Innovation Review, Winter, 36–41.
King, G., Servais, M., Currie, M., Kertoy, M., Law, M., Rosenbaum, P., …, Chalmers, H. (2003). The community impacts of research oriented partnerships (CIROP) measure. Retrieved from www.impactmeasure.org. Accessed 15 June 2018.
Kitzmann, K. M., Gaylord, N. K., Holt, A. R., & Kenny, E. D. (2003). Child witnesses to domestic violence: A meta-analytic review. Journal of Consulting and Clinical Psychology, 71(2), 339–352.
Lapshina, N., Crooks, C. V., & Kerry, A. (2018). Changes in depression and positive mental health among youth in a healthy relationships program. Canadian Journal of School Psychology. https://doi.org/10.1177/0829573518777154.
Levesque, D. A., Johnson, J. L., Welch, C. A., Prochaska, J. M., & Paiva, A. L. (2016). Teen dating violence prevention: Cluster-randomized trial of teen choices, an online, stage-based program for healthy, nonviolent relationships. Psychology of Violence, 6(3), 421–432.
Niolon, P. H., Taylor, B. G., Latzman, N. E., Vivolo-Kantor, A. M., Valle, L. A., & Tharp, A. T. (2016). Lessons learned in evaluating a multisite, comprehensive teen dating violence prevention strategy: Design and challenges of the evaluation of dating matters: Strategies to promote teen healthy relationships. Psychology of Violence, 6(3), 452–458.
Patton, M. Q. (2010). Developmental evaluation: Applying complexity concepts to enhance innovation and use. New York: The Guilford Press.
Phipps, D., Cummings, J., Pepler, D., Craig, W., & Cardinal, S. (2016). The co-produced pathway to impact describes knowledge mobilization processes. Journal of Community Engagement and Scholarship, 9(1), 31–40.
School Act. (2015). Revised Statutes of Alberta 2000 § Chapter S-3. Retrieved from http://www.qp.alberta.ca/documents/Acts/s03.pdf. Accessed 18 Dec 2018.
Smith, P. H., White, J. W., & Holland, L. J. (2003). A longitudinal perspective on dating violence among adolescent and college-age women. American Journal of Public Health, 93(7), 1104–1109.
Steinberg, L. (2001). We know some things: Parent-adolescent relationships in retrospect and prospect. Journal of Research on Adolescence, 11(1), 1–19.
United Way of Calgary and Area. (2016). Strong communities focus area: Request for proposal guidebook 2016. Retrieved from: http://www.calgaryunitedway.org/images/uwca/our-work/communities/rfp-spec-sheet-domestic-violence.pdf. Accessed 1 Mar 2017.
Wells, L., & Claussen, C. (2012). Home visitation as a domestic violence prevention strategy: A discussion paper for the Government of Alberta. Calgary, AB: The University of Calgary, Shift: The Project to End Domestic Violence.
Wells, L., Boodt, C., & Emery, H. (2012a). Preventing domestic violence in Alberta: A cost savings perspective. The School of Public Policy, SPP Research Papers, 5(7). https://doi.org/10.2139/ssrn.2088960.
Wells, L., Claussen, C., & Cooper, M. (2012b). Domestic & sexual violence: A background paper on primary prevention programs and frameworks. Calgary, AB: The University of Calgary, Shift: The Project to End Domestic Violence.
Wells, L., Claussen, C., Abboud, R., & Pauls, M. (2013). Developing a strategic and coordinated approach to violence prevention programming for children and youth in Calgary: Phase one: best and promising practices and program scan. Calgary, AB: The University of Calgary, Shift: The Project to End Domestic Violence.
Williams, T. S., Connolly, J., Pepler, D., Craig, W., & Laporte, L. (2008). Risk models of dating aggression across different adolescent relationships: A developmental psychopathology approach. Journal of Consulting and Clinical Psychology, 76(4), 622–632.
Wolfe, D. A., Jaffe, P. G., & Crooks, C. V. (2006). Adolescent risk behaviors: Why teens experiment and strategies to keep them safe. New Haven, CT: Yale University Press.
Wolfe, D. A., Crooks, C., Jaffe, P., Chiodo, D., Hughes, R., Ellis, W., et al. (2009). A school-based program to prevent adolescent dating violence: A cluster randomized trial. Archives of Pediatrics & Adolescent Medicine, 163(8), 692–699.
Zhang, T., Hoddenbagh, J., McDonald, S., & Scrim, K. (2009). An estimation of the economic impact of spousal violence in Canada. Retrieved from http://www.justice.gc.ca/eng/rp-pr/cj-jp/fv-vf/rr12_7/rr12_7.pdf. Accessed 1 Mar 2017.
Funding
This research was supported in part by funding from the Government of Alberta Ministry of Human Services, the Public Health Agency of Canada, and anonymous donors.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflicts of interest.
Ethical Approval
This study was reviewed and approved by the University of Calgary Conjoint Faculties Research Ethics Board, and was performed in accordance with ethical standards as specified in the Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans.
Informed Consent
Informed consent was obtained from all individual participants included in this study.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic Supplementary Material
ESM 1
(DOCX 16 kb)
Rights and permissions
About this article
Cite this article
Exner-Cortens, D., Wells, L., Lee, L. et al. Building a Culture of Intimate Partner Violence Prevention in Alberta, Canada Through the Promotion of Healthy Youth Relationships. Prev Sci 22, 40–49 (2021). https://doi.org/10.1007/s11121-019-01011-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11121-019-01011-7