Browsing by Author "Exner-Cortens, Deinera Marea"

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    Adolescent Dating Violence and Healthcare Interventions: A Systematic Scoping Review
    (2024-07-30) Vijh, Ruchi; Exner-Cortens, Deinera Marea; Madigan, Sheri; Noel, Melanie Elizabeth
    Adolescent dating violence (ADV) is a significant public health problem globally. Experiencing ADV is associated with several short- and long-term physical and psychological adverse health outcomes. Therefore, it is crucial to implement prevention and intervention strategies to address ADV in settings that serve adolescents. One natural point of contact is healthcare settings, as adolescents may present to these settings due to health concerns related to ADV exposure. Thus, healthcare providers are well-positioned to engage in ADV prevention and intervention strategies. However, little is known about the state of the science for how adolescent healthcare providers can participate in ADV prevention and intervention approaches, as well as the potential barriers healthcare providers may face when incorporating such strategies into their practice. To advance understanding, a systematic scoping review was conducted to summarize current evidence on 1) ADV prevention and intervention strategies in healthcare settings, and 2) healthcare provider perspectives on implementing these strategies. This review included peer-reviewed articles published in English from any time until September 2023. After excluding duplicates, the search yielded 5786 articles, 11 of which met the inclusion criteria and were included in this review. Overall, there were only a few studies on ADV preventive interventions designed for implementation in various healthcare settings. Common barriers identified to implementing ADV prevention and intervention strategies included limited time, training, and resources. Facilitators of implementation included ADV response protocols or guidelines and working in collaborative teams. This systematic scoping review demonstrates that further research is needed to develop and evaluate ADV prevention and intervention strategies in healthcare settings, and to understand barriers to implementing these strategies.
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    The Association between Adolescent Dating Violence, Depressive Symptomology, and Subjective Well-Being: School Climate as a Protective Factor
    (2023-09-15) Kermer, Lindsey Erin; Exner-Cortens, Deinera Marea; Craig, Wendy M.; Graham, Susan Annetta; Schwartz, Kelly Dean; Wilcox, Gabrielle
    Adolescent dating violence (ADV) is a worldwide concern that is associated with negative mental health outcomes. Research in ADV is saturated with identifying risk factors to reduce the prevalence of ADV, however, research on protective factors associated with ADV is scarce. This project attempts to fill this gap by examining school climate as a potential protective factor. Health Behaviour in School-Aged Children (HBSC) data were used to examine the association between ADV, depressive symptomology and subjective well-being in a nationally representative sample of Canadian youth, and whether this relationship was moderated by school climate and/or teacher support. Linear and logistic regression analysis was conducted, and results demonstrated that individuals who experienced ADV (either victimization only or mutual violence) had lower subjective well-being scores and greater odds of experiencing depressive symptoms. More positive school climate and teacher support scores were also associated with higher subjective well-being and lower depressive symptoms. Youth who experienced ADV also had lower school climate and teacher support scores, a statistically significant difference as compared to youth who did not experience ADV. However, a statistically significant interaction was not found between school climate or teacher support and ADV on depressive symptomology or subjective well-being. This study emphasizes the importance of continuing to explore ADV among Canadian youth, as well as the role that school climate plays in adolescent mental health. Future research should also explore mechanisms that explain the ADV-depressive symptoms/subjective well-being associations, to identify protective factors and advance a strength-based approach to ADV research.