Program Length: 13 Lessons
Age Group: 12-19
Author: Marline Pearson, M.A.
Making Relationships Work for Young Adults and Young Parents
Unhealthy relationships, dating violence, and risky sexual behaviors are a serious threat to the well-being and futures of many young people. Love Notes 3.0 Sexual Risk Avoidance Adaptation Evidence-Based Program addresses these issues by building skills and knowledge for healthy relationships of all kinds: romantic, friendship, family, school, and work in the context of the Healthy Youth Act of 2017 that set the stage for SRA funding.In 13 lessons, youth learn more about themselves: how their past has shaped the present and how to make decisions on what they want for their own future. They learn what healthy relationships are and are not while building a set of skills for choosing friends and partners, and for developing and maintaining healthy relationships that do not involve sex, including evidence-based communication and conflict management skills. Parents and family connection activities offer conversation starters on healthy relationships and on the benefits of leaving sex out of their youthful relationships.
Note: To assure fidelity with the Evidence Based Program Model (LN-SRA-EBP) of Love Notes, facilitators must be trained by a Dibble Master Trainer or a Dibble Certified Trainer from their organization before teaching the program. The Dibble Institute offers both LN-EBP Training of Educators and Training of Trainers throughout the year either at your organization or at a Dibble site. Call 800-695-7975 or email email@example.com for more information.
Love Notes was included in the federal Office of Adolescent Health’s Evidence Based Program list based on the following positive outcomes:
- Teens were more likely to remain abstinent,
- Teens were more likely to stop having sex,
- Teens who chose to remain sexually active were more likely to decrease how often they had sex,
- Teens who chose to remain sexually active were more likely to use condoms and contraception, and
- Teens had a 46% reduction in the risk of experiencing a pregnancy.
The original Love Notes 3.0 (classic) was condensed to 12 hours of key instruction and evaluated in CHAMPS (Creating Healthy Adolescents through Meaningful Prevention Services), a 5-year $4.8 million study through the Kent School of Social Work, University of Louisville. Anita Barbee, Ph.D. was the Principal Investigator.
The study consisted of a cluster-randomized trial involving over 1,400 youth. Stringent data analyses examined data from 933 at-risk, low-income youth including urban, foster, refugee, and immigrant participants who were recruited from 23 community-based organizations.
Note: To assure fidelity with the Evidence Based Program Model (LN SRA-EBP) of Love Notes, facilitators must be trained by a Dibble Master Trainer before teaching the program. The Dibble Institute offers LN SRA-EBP Training of Educators throughout the year either at your organization or at a Dibble site.
What’s the Difference Between Love Notes SRA and Love Notes SRA EBP?
Love Notes SRA EBP is a condensation of Love Notes SRA. Dr. Anita Barbee in her evaluation of Love Notes distilled the program to its key messages to create the Love Notes EBP. The EBP still contains 13 lessons. Lessons average about 45 minutes with 2 lessons taking double that (1.5 hours).
Every purchase of Love Notes SRA EBP Instructor’s Manual also includes the Love Notes SRA binder. They are sold together because the SRA binder contains more background for instructors to fully understand the LN theory of change and to contextualize the content. More importantly, instructors may add any activity or concept from LN SRA into LN SRA EBP as an acceptable adaptation depending on their available time and needs of the young people they serve.
While training is recommended before teaching Love Notes SRA, training is required before teaching Love Notes SRA EBP.
Why is training required before I can purchase the LN SRA EBP?
Love Notes is based on a completely new theory of change to prevent pregnancy and increase protective factors. Building relationship efficacy, correcting faulty relationship beliefs, developing healthy intimate partner connections, and seeing your life and relationships through the eyes of a child are topics that are not generally covered in traditional pregnancy prevention programs. Our aim in requiring training is to build competence and confidence in instructors to deliver this information with fidelity because we all want to replicate the strong results of the University of Louisville study.
Love Notes builds skills and knowledge for healthy and successful relationships with partners, family, friends, and co-workers. It is designed to help young people (10-19 years of age) make wise relationship and sexual choices. Wise choices will assist them in achieving their education, employment, relationship, and family goals, while poor relationship and sexual choices may create barriers to these goals. It was developed especially for teens and young adults at risk for unstable and poor quality relationships, unplanned pregnancies, and for those who are pregnant or already parenting. That said, much of the content of Love Notes is relevant to any young person.The communication skills and self-awareness components of Love Notes are key to all kinds of relationships in life. For example, these soft skills increase successful and cooperative interactions in the workplace. Employers report that soft skills are vital for the success of young people entering the workforce.
Love Notes also represents an innovative approach to both pregnancy/STIs and intimate partner violence prevention within the context of a positive youth development approach. These goals, typically addressed in separate programs, are integrated and embedded into one comprehensive healthy relationship skills program. This comprehensive approach was selected by the US Department of Health and Human Services (HHS) for a 5-year evaluation. Researchers found that teaching Love Notes to teens resulted in a 46% reduction in the teen pregnancy rates compared to the control group. This was the highest pregnancy reduction rate achieved for males and females on the HHS Office of Adolescent Health’s (OAH) list of Evidence-Based Teen Pregnancy Prevention Programs. In addition, the group of teens that were taught Love Notes also had the most positive outcomes compared to the control group on the OAH list, including less recent sexual activity, less frequency of sexual activity, and, for the teens that decided to remain sexually active, those from the Love Notes group were more likely to use a condom; and for the teens that chose to remain abstinent, a higher percentage of those in the Love Notes group remained abstinent.1
Love Notes builds assets and strengthens protective factors. It appeals to young people’s aspirations, rather than merely emphasizing what they must avoid. Love Notes engages young people in learning more about themselves and supports them in cultivating a vision for their future. Love Notes empowers youth with the skills needed to further their own personal development, to form and maintain healthy relationships, to make wise sexual decisions, and to work towards success with education and employment.
All youth, regardless of sexual orientation, have attractions, emotions, and desires for healthy relationships. All youth need skills and knowledge to navigate their relationships and make wise sexual choices. This is a LGBTQ-inclusive curriculum.
Building Models and Confidence for Healthy Relationships
Many young people today lack models of healthy relationships. A recent Child Trends survey of disadvantaged youth reported that while respondents could list general qualities for healthy relationships, when asked if they saw many around them, they said, “No.” More sadly, they said they had little confidence they would be able to achieve a healthy relationship despite their aspirations to develop one.2
Love Notes offers young people—including young parents—knowledge of what a healthy relationship is and isn’t, as well as skills for handling the early chemistry of attraction and choosing partners wisely. Young people learn the building blocks of healthy relationships and are encouraged to identify relationship qualities they find personally important. They are provided several frameworks to help them assess relationships (past or present) and to make important relationship decisions. They learn the red flags of unhealthy and dangerous relationships and ways to exit those relationships safely. They identify what needs to change or improve for a relationship to continue. They learn how to handle break-ups and then move forward.
Improving Communication Skills
This program includes a powerful set of evidence-based skills to improve communication, negotiation, and the handling of conflict. These skills are adapted from PREP, the Prevention and Relationship Enhancement Program. Youth practice new ways to handle anger and regulate strong emotions. They learn a technique for how to talk through difficult or sensitive issues. They learn how to more effectively raise issues and complaints, recognize hidden issues, and solve problems within their relationships.
The communication skills components are also essential in increasing successful and cooperative interactions in the workplace.
Strengthening Intimate Partner Violence Prevention
Building robust knowledge and skills for healthy relationships provides a positive and proactive way to prevent intimate partner violence (IPV). It is difficult to steer clear of or exit a destructive relationship if young people have only experienced and seen unhealthy relationships, and they have no clue how to build a healthy relationship. This problem is compounded if they have little insight into themselves and their unaddressed issues. The vision building, skills, guides, and frameworks in Love Notes help raise young people’s confidence that they can develop healthy selves and healthy relationships. Love Notes contains activities to identify early warning signs of abuse along with how to set boundaries and apply them at the first sign of disrespect. It also raises awareness of how children are harmed by turbulent and destructive parental and partner relationships.
Sex—It’s More than Bodies, Risks and Protection
Love Notes contains an important missing piece in sexual decision-making and STI/ pregnancy prevention by addressing relationship issues. After all, sex is a relationship issue. For example, can young people make wise sexual choices if they:
- Have never clarified what’s important to them in a partner or relationship?
- Know little about how to distinguish between healthy and unhealthy and/or abusive relationships?
- Lack communication and negotiation skills?
- Have never defined a context for sex that is personally meaningful?
Youth are rarely asked to think about sex beyond the usual health paradigm of bio-reproduction, disease, and risk avoidance. If young people have never considered what deepening levels of physical intimacy mean to them (and how to discern if their partner is on the same page) then how are they to make wise sexual decisions and stick to their choices? Sex is not just about bodies, risks, and protection. It’s about power dynamics, knowing one’s self and one’s values, and possessing the skills to navigate this terrain. It is ultimately also about the heart and aspirations.
Love Notes takes a health- and heart-based approach to sexuality and provides unique ways to tap motivation. Sexual decision-making is embedded within a rich exploration of intimacy and the development of healthy relationships. Activities guide youth in cultivating their own North Star for sexuality. They are asked to develop goals, boundaries, and a context and pace for sexual intimacy that is responsible, protective of their own aspirations in life, and personally meaningful. Films, music, poetry, and stories are used to inspire and help young people identify their values. They also develop a personal plan for their sexual choices. Medically accurate information on pregnancy, STIs, contraception, and condoms is included. This information is reinforced through films from Scenarios USA, (written by youth and produced by award-winning filmmakers) as well as other visual media, and role-plays on negotiation and refusal skills.
It takes a lot of motivation not to slide into sex and to keep the boundaries and pacing of physical intimacy that one intends. It also takes a lot of motivation to use condoms and contraception correctly and consistently to prevent STIs and pregnancy if sexually active. The unique heart- and health-based approach of Love Notes offers some new ways to motivate.
A New Message on Pregnancy Prevention
Many of our pregnancy prevention messages focus on a young person’s self-interest in how a pregnancy would negatively affect him or her. Love Notes takes a different track. It encourages young people to step outside themselves and look more deeply at the consequences of unplanned pregnancy on children. By placing the child at center stage in the activities, participants see through the eyes of the child the consequences of sliding into an unplanned, first or subsequent pregnancy, and the relationship turbulence that often accompanies it. Examining how an unplanned pregnancy can disadvantage or hurt a child may tap a more powerful and positive source of motivation to more consciously plan to prevent a first or subsequent pregnancy. It helps bring home to young people why it really matters to avoid pregnancy and to wait to have a child (or a second child). Youth learn that doing some of life’s big things in a particular sequence really does matter.
In terms of positive youth development, one’s love life is never neutral; it’s one of the central developmental tasks on the path to adulthood. A troubled love life, especially
linked with unplanned pregnancies, can derail everything. Helping young men and women assess their relationships, choose partners wisely, and acquire the skills and insights for forming and/or maintaining healthy relationships (and later healthy marriages if they choose to marry) can help them be successful. Encouraging deliberate planning for their own sexual decisions can reduce some formidable barriers in their personal lives as young people work toward their goals in education, employment, intimate unions, families, and parenting.
Love Notes is dedicated to the success of young people as much as it is to the success and well-being of their children. Clearly, children are affected for better or worse by the parental, partner, and other adult relationships in their families.
Young Parents and Co-Parenting Challenges
The approach embedded in Love Notes is especially important for young parents. We should not assume these relationships are all viable, nor all doomed. Some are workable, but these couples need support and skills to make their intentions of staying together a reality and not just wishful thinking. Young parents need guidance for taking a realistic look at their relationship and determining if it’s viable or not. If viable and safe, they need to be able to identify what they both need to work on. If not, they need support in leaving safely. This kind of assessment, for which Love Notes provides the tools, is important for them as well as for their child’s well-being.
Young parents need evidence-based communication and conflict management skills (included in Love Notes) to have a chance at a future together. How a couple communicates and handles conflict is perhaps one of the best predictors of how a couple will do over time. But they also need these skills to co-parent, whether they stay together or not.
Young parents need a heavy dose of healthy relationship education. Research tells us that relationship instability and multiple partner fertility is highly likely among these young unmarried parents.3 Young parents will do better if they can either take a break from relationships on the one hand or work to strengthen their relationship on the other hand, and if they avoid having a second child too soon. Focusing on their child and parenting and pursuing their school and employment goals will benefit themselves and their child. But also critically important is learning to choose a partner more wisely and cautiously with their next relationship, since most will have subsequent relationships. The skills embedded in Love Notes can help young parents slow down the relationship-go-round that is so common as much as it can help those young parents who wish to improve and stabilize their relationship. Their future success and their child’s future success will be strongly linked to their ability to form and maintain a healthy intimate relationship, or to at least stay single and away from unstable or destructive relationships as they focus on their own development.
An Activity and Media-Based Approach
Love Notes is packed with lively activities that use real-life relationship, work, and parenting scenarios, written by diverse teens and young adults, that are LGBTQ inclusive. It incorporates popular music, music videos, film, stories, drawing, and sculpting. It appeals to males as much as females. It includes an engaging, interactive workbook where they can apply all the concepts to their own lives. Finally, there is a Trusted Adult Connection activity for each lesson to build a bond by communicating with a caring adult or mentor on these very important issues.
Love Notes is an adaptation from one other curricula authored by this author. It is Love U2®: Relationships Smarts PLUS, a teen relationship curriculum. Relationship Smarts PLUS has completed a five-year evaluation involving 8,000 diverse teenagers in the state of Alabama. Researchers from Auburn University conducting the study report sustained gains over time. Findings include increases in students’ realistic understanding of relationships and decreases in faulty relationship beliefs, broadened understandings of relationship aggression, and declines in aggression in relationships as compared to those in control groups.4
Within My Reach, co-authored with Scott Stanley and Galena Kline-Rhoades, is a decision-making and relationship skill program for adults who struggle with disadvantages and who are at risk for poor quality relationships and relationship instability. Within My Reach contains the research-based communication and conflict management skills of the nationally acclaimed Prevention and Relationship Enhancement Program (PREP) that have been shown to reduce divorce and incidences of physical aggression, while increasing relationship satisfaction and communication. Love Notes, as an adaptation of Relationship Smarts PLUS, is listed in the National Registry of Evidence-based Programs and Practices (NREPP), a service of the Substance Abuse and Mental Health Services Administration (SAMHSA). Within My Reach, as an adaptation of PREP, is similarly listed.
1 Barbee, A. P., Cunningham, M. R., van Zyl, M. A., Antle, B. F., & Langley, C. N. (2016). Impact of Two Adolescent Pregnancy Prevention Interventions on Risky Sexual Behavior: A Three-Arm Cluster Randomized Control Trial. American Journal of Public Health, 106(Suppl 1), S85–S90. http://doi.org/10.2105/AJPH.2016.303429. For the OAH evidence-based list, see https://www.hhs.gov/ash/oah/sites/default/files/ebp-chart1.pdf
2 Child Trends Research Brief (October 2009) Telling It Like It Is: Teen Perspectives on Romantic Relationships. childtrends.org
3 McLanahan, S. “Family Instability and Complexity after a Non-Marital Birth” in Carlson, M. & England, P. editors. Social Class and Changing Families in an Unequal America (Stanford University Press, 2011; for a compilation of research articles on various aspects of fragile families see “Fragile Families” in The Future of Children (Princeton-Brookings) Vol. 20, Number 2, Fall 2010.
4 For more information on the Relationship Smarts Plus study (principal investigator Dr. Jennifer Kerpelman, Auburn University) see DibbleInstitute.org/?page_id=2942
Lesson 1: Relationships Today……………………………..1
- Relationships Today
- Defining a Vision
- Choosing Reds or Greens?
- Trusted Adult Connection
Lesson 2: Knowing Yourself………………………………….17
- Good Relationships Start with You
- Understanding My Personality Style
- Examining Family Origin
Lesson 3: My Expectations—My Future…………………33
- What’s Important?
- The Power of Expectations
Lesson 4: Attractions and Starting Relationships…..47
- Relationship Pyramid
- The Chemistry of Attraction
Lesson 5: Principles of Smart Relationships………….63
- Smart or Not-So-Smart?
- Seven Principles of Smart Relationships
- Seven Questions to Ask
- Three Sides of Love
Lesson 6: Is It a Healthy Relationship?…………………79
- How Can You Tell?
- Breaking Up
Lesson 7: Dangerous Love…………………………………..91
- Early Warnings and Red Flags
- Violence: Why it Happens, What Helps, Signs of Greatest Danger
- Sexual Assault
- Dangerous Love: Impact on Children
- Draw the Line of Respect
Lesson 8: Decide, Don’t Slide! The Low-Risk Approach to Relationships………………………………………………….109
- The High Costs of Sliding
- The Success Sequence
- The Low-Risk Deciding Approach
- Making Decisions
Lesson 9: What’s Communication Got to Do With It?………………131
- What’s Communication Got to Do with It?
- Angry Brains and the Power of Time Outs
- The Speaker Listener Technique—When Talking is Difficult
- Communication Patterns Learned in Family
Lesson 10: Communication Challenges and More Skills………….149
- Complain and Raise Issues Effectively
- Hidden Issues: What Pushes Your Button?
- A Problem-Solving Model
- Constantly Connected – For Better and Worse
Lesson 11: Let’s Talk About Sex………………………………………169
- Sex and Sliding
- The Six Parts of Intimacy
- Understanding Sexual Regrets
- Are We on the Same Page?
- Risky Situations for Sex
- Set Your Personal Line
Lesson 12: Pregnancy, STIs and HIV………………………………195
- Test Your Knowledge About Sex, Pregnancy, and STIs/HIV
- STIs and HIV Are for Real
- Alcohol and Drugs – Increasing the Risks
- My Personal Plan
- A Discussion: Internet Porn
Lesson 13: Through the Eyes of a Child………………………….215
- Child Looking for a Family
- What about Fathers?
- What the Music Says
- Child Speak: Brighter Futures
- Planning for Success
- Middle School Adaptation Guidance
In 2012, Love Notes was selected for rigorous 5-year federal evaluation as a pregnancy prevention strategy for at-risk youth. The study tested Love Notes against traditional health/body based methods. This was funded by a Tier II grant to the University of Louisville from the Administration for Children, Youth, and Families.
Impact of Two Adolescent Pregnancy Prevention Interventions on Risky Sexual Behavior: A Three-Arm Cluster Randomized Control Trial (pdf). Anita P. Barbee, MSSW, PhD, Michael R. Cunningham, PhD, Michiel A. van Zyl, PhD, Becky F. Antle, MSSW, PhD, and Cheri N. Langley,PhD, MPH, 2016.
Teen Pregnancy Prevention Evidence Review. U.S. Department of Health and Human Services.
Evaluation of Love Notes and Reducing the Risk in Louisville, KY (pdf). Michael R. Cunningham, PhD, Michiel A. van Syl, PhD, and Kevin Borders, MSSW, PhD, 2016
Updated Findings From the HHS Teen Pregnancy Prevention Evidence Review (pdf). Julieta Lugo-Gil, Amanda Lee, Divya Vohra, Katie Adamek, Johanna Lacoe, and Brian Goesling, June 2016.
Love Notes Tier 2 Evaluation Synopsis (2016)
Love Notes – CHAMPS Evaluation Abstract; Kent School of Social Work, University of Louisville (pdf). Program Director: Dr.Anita Barbee firstname.lastname@example.org; Lead Evaluator: Dr. Michael Cunningham. 2016
A chart comparing the 12 month pregnancy rates between the intervention and control groups can be found here.
Sex Education in a Healthy Relationship Curriculum Could Lead to Reductions in Risky Sexual Behavior (pdf) 2012.Anita Barbee, PhD, MSSW; Riaan van Zyl, Ph.D.; Walter Murrah, III Kent School of Social Work, University of Louisville
Reports on Love Notes in YouthBuild Settings
Evaluation of the Youth Build USA Pilot Study of Love Smarts (pdf) April 15, 2009. Evaluator: Jennifer Kerpelman, Ph. D., Auburn University
The YouthBuild USA Evaluation Study of Love Notes (pdf) July12, 2010. Evaluator: Jennifer Kerpelman, Ph. D., Auburn University
Positive Youth Development
What Others Have to Say
YouthBuild, Schenectady, NY
“I asked the students if they felt like they actually learned anything from the whole process – A few of them were pretty positive that it really had made a difference for them in how they handle things now. One said that she felt that participating in the group had given her perspective. Now, instead of just “buggin” when she and her girlfriend get into it – she backs off and gives the situation more time. She says she feels like she is more in control, that after allowing for some time and distance she is able to speak more calmly and actually gets her point across.
We have one young man was incredibly insightful during the lessons. He always offered up good objective thoughts as well as his personal opinion on many topics. He was truly able to discern between attraction/love or infatuation/love; but the ones that stand out the most are during the Decide, Don’t Slide (9) and Let’s Talk About Sex (10) lessons. A lot of the other students age-wise are much older than he is, but were acting somewhat immature, or simply not taking it as seriously. He said this lesson really got him thinking about what he’s done, and what he wants a real relationship to look like. When the other students continued with some of the off-color jokes, he firmly stated: (paraphrased) “Fine you go ahead and do all that. It’s your funeral. You’ll either end up killing the relationship or killing yourself with AIDS. All I know is the sex I have is far more meaningful with a partner I love; it’s making, really creating our physical love from the love in our heart, not just having sex.”
From parenting teens in San Marcos, Texas:
“I learned how to work out problems about my child and about myself.”
“I’ve liked it because they talked to us about how to calm down when we have problems and how to go back to having a conversation. They’ve also taught us that physical abuse is not a good relationship. They also showed us the different stages kids go through and how to support them.”
“I liked that they talked about how to have a healthy relationship and how to know when to end or continue the relationship.”
Quotes from parenting teens in Texas taking the Love Notes Class
Increased Knowledge Regarding Healthy Relationships
“A big thing for me was that me and my boyfriend had a lot of problems and this program helped me because [facilitators] showed me I don’t have to live like that. I don’t have to take all of that from him just because I have a baby.”
Improved Communication and Conflict Resolution Skills
“I talk to him, I don’t hit him, I try to sit down and listen. We don’t really argue anymore, but when we do, I just say don’t get mad, stop and let’s talk. And now we just sit and he just calms down and we will take a couple of minutes and we will talk and everything will be okay again.”
“With this group, it helps us stay in school, helps us open our eyes to healthy relationships. It helps us get what we need to grow in ourselves, and also grow in our families, and grow in our children. And also, like I don’t know, it gives us hope!”
“I would first like to say thank you for allowing me to join your class. I learned a lot during class, it helped me see things I would not have otherwise.
“I was able to ask some questions that would have been awkward to ask my parents. It has helped me realize that even if you’re in a relationship for a long period of time, the use of condoms does not mean you or your loved one is cheating its – just to protect the both of you from unwanted pregnancy and STIs.I love that you can go to class and be yourself; talk about anything.
“This class has helped me learn the warning signs of physical mental and verbal abuse that I had no idea about and that had happened to me. Now I know it was wrong and will not let that happen to me again.When the class ended I didn’t let my learning experience end there. I kept my book and I go over it with my kids. I had no clue of this stuff when I was younger so I am very thankful from the bottom of my heart to been a part of your class and given the tools to be able to learn from this experience and pass it on to my kids. Once again, thank you”
Love Notes Participant
PREP Grant, Adult Preparation Topics
I frequently use Love Notes curriculum with girls at the Journey Home. Since they are navigating through dating and relationships out of treatment the content is relatable. I have found that it is valuable for the girls in recognizing red flags with potential love interest as well as what a mature relationship should look like.
Kim England M.S., ACMHC
The Journey Home-Program Director
Residential Therapy High School
ChildBuilders recently received a grant to reach Head Start children, teachers, and parents with our programs. Just about the same time we were notified our proposal was funded, a special package arrived at our office. Inside was copy of the new Love Notes curriculum, which we eagerly read from first to last page.
As soon as we read Love Notes, we knew it would be more appropriate for this population. We consulted with our contacts at the Head Start provider organizations, who also reviewed the curriculum and agreed 100%.
We then gave the curriculum to several parents to review for cultural and linguistic fit, and here are some of the responses the parents gave to our questions:
Do you think this program will be helpful for Early Head Start/Head Start parents? Why?
“Yes, because it teaches people what to look for in a relationship and what to expect.”
“This lesson will help us to break some cycles, wrong choices in dating, trouble in serial relationships, baby mama drama. I think it would be helpful for someone in a dangerous relationship.”
Do you think this curriculum is useful for people from your culture?
“I think it would be good for any culture because everyone needs a healthy relationship.”
And best of all: “I think it could be helpful to the world.”
Janet Pozmantier, ChildBuilders, Houston, TX
Here are just a few examples of the many successful settings that have implemented Love Notes.