International Journal of Adolescent Medicine and Health最新文献

{"title":"Beyond the puff: unravelling patterns and predictors of tobacco usage among adolescents and youth in Delhi, India.","authors":"Mohit Goyal, Sunil Kumar Singh, Anita Verma","doi":"10.1515/ijamh-2025-0051","DOIUrl":"https://doi.org/10.1515/ijamh-2025-0051","url":null,"abstract":"<p><strong>Objectives: </strong>Tobacco use remains a significant public health concern, particularly among youth, who are at a higher risk of developing long-term addiction and related health complications. The early initiation of tobacco use, often during adolescence and young adulthood, contributes to the prevalence of smoking-related diseases later in life. Despite various anti-tobacco initiatives, the consumption of tobacco products continues to be widespread among young people. Understanding the patterns, and predictors, of tobacco use in this demographic is crucial for developing targeted interventions. This study aimed to assess the prevalence of tobacco use among youth, and identify key risk factors, in this vulnerable population.</p><p><strong>Methods: </strong>This cross-sectional study was conducted among 675 undergraduate students at five selected colleges in Delhi using a two-stage stratified random sampling method. Data were collected through a pre-designed, pre-tested, self-administered questionnaire, incorporating validated tobacco-related questions from the Global Adult Tobacco Survey (GATS). Data analysis was performed using SPSS version 21.0. Chi-square tests were used to compare sociodemographic variables between tobacco users and non-users, while bivariate and multivariable logistic regression identified factors influencing tobacco use.</p><p><strong>Results: </strong>Of the 675 college students studied the mean age of participants was 19.62 years (SD ± 1.33), 52.6 % were females and 47.4 % males. The overall prevalence of ever and current tobacco use was 38.9 % and 23.7 %, respectively. Cigarettes were reported as the most commonly used tobacco product, with 33 % of participants reporting ever smoking and 20.3 % being current smokers. Hookah was the second most popular, with 27.9 % and 12 % students reporting ever and current use. Lifetime/Ever use of e-cigarettes and smokeless tobacco was reported by 14.7 % and 5.3 %, respectively, while current use was low for both (2.4 % and 2.1 %). Multivariate analysis revealed that current tobacco use was significantly associated with academic performance, living away from parents, substance use, high psychological distress, and the father's educational status.</p><p><strong>Conclusion: </strong>The findings highlight a relatively high prevalence of tobacco use among college students, particularly in urban areas, emphasizing the need for targeted interventions. Cigarettes ranked as the top choice of tobacco product among the study population, underlining the urgency for health professionals, educators, and policymakers to implement specific strategies aimed at preventing tobacco use among youth.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial predictors of adolescent stress: insights from a school-going cohort.","authors":"Laxmi Priyanka Nakka, Sandra Roshni Monteiro, Meera Padhy, Meena Hariharan","doi":"10.1515/ijamh-2025-0007","DOIUrl":"https://doi.org/10.1515/ijamh-2025-0007","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescence is a critical period for psychosocial development, often marked by elevated stress levels. The present study examines the role of psychosocial factors as predictors of adolescent stress, with a focus on personality traits, social support, and family health.</p><p><strong>Methods: </strong>A cross-sectional sample of 1,104 school-going adolescents from Telangana, India were analysed. Using the Adolescence Stress Scale and various psychosocial scales, hierarchical multiple regression and path analysis were employed to assess direct and indirect effects of psychosocial variables on stress levels.</p><p><strong>Results: </strong>Key predictors of stress included ill-health experiences, conscientiousness, emotional instability, and psychosocial support. Together, these factors explained 6 % of the variance in stress. Serial mediation analysis revealed significant indirect effects, where family health and emotional efficacy acted as mediators between psychosocial factors and stress. Emotional instability and frustrative non-reward responsiveness were the strongest predictors of stress.</p><p><strong>Conclusions: </strong>Psychosocial factors play a significant but modest role in adolescent stress, highlighting the need for further research into additional contributors. Interventions targeting family health and emotional regulation may alleviate stress among adolescents.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical heterogeneity of adolescents referred to paediatric palliative care; a quantitative observational study.","authors":"Hannah Linane, John Allen, Mary Devins, Marie Twomey, Maeve O'Reilly, Fiona McElligott, Michal Molcho","doi":"10.1515/ijamh-2025-0026","DOIUrl":"https://doi.org/10.1515/ijamh-2025-0026","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescents with life-limiting conditions are distinct from children or older adults in their palliative needs and developmental stage, yet, there is limited literature addressing this population. Our aim was to describe the characteristics of the adolescent population, aged 13-18, who have received specialist palliative care in the Republic of Ireland, from 2019 to 2022 inclusive.</p><p><strong>Methods: </strong>This study examined medical records from the national paediatric palliative care centre and a radiation oncology network. These two centres hold medical records for all adolescents linked to paediatric specialist palliative care nationally<i>.</i></p><p><strong>Results: </strong>Of the 145 patients identified 58 (40.0 %) had cancer and 87 (60.0 %) a non-cancer diagnosis. Those with a non-cancer diagnosis were subdivided into those with severe neurological impairment (n=56, 38.6 %) and those without (n=31, 21.4 %). All groups had a high prevalence of physical symptoms. Just under half of those with cancer had psychological symptoms (n=26, 44.8 %). The majority of those with severe neurological impairment required medical devices/technology in the home, with 48 (85.7 %) requiring feeding devices and 33 (58.9 %) requiring respiratory support devices. Nearly a half of the adolescents had died at the time of the study (n=69, 47.6 %). Of these, the majority (n=44, 63.8 %) died at home and 9 (13.0 %) were referred less than one month before their death.</p><p><strong>Conclusions: </strong>The high symptom burden of these young people highlights the need for early access to palliative care professionals with an appropriate skillset and access to quality, equitable psychological supports for this group.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents' knowledge, attitude and perceived risks towards e-cigarette usage in Johor Bahru, Malaysia.","authors":"Muhammad Qamar, Sundus Shukar, Jing Herng Choi, Mohammad Nasrin Abdul Rahman, Wan Mohd Azizi Bin Wan Sulaiman, Abul Kalam Azad","doi":"10.1515/ijamh-2025-0012","DOIUrl":"https://doi.org/10.1515/ijamh-2025-0012","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate adolescents' knowledge, attitude, and risk perceptions regarding e-cigarette usage and examine the associations and differences across various socio-demographic characteristics.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in two government secondary schools in Johor. A total of 391 respondents were enrolled conveniently using a pre-validated questionnaire. The data were analysed using SPSS descriptive and inferential statistics.</p><p><strong>Results: </strong>Most participants demonstrated a moderate level of knowledge regarding e-cigarettes (77.5 %), achieving an average score of 3.82 (±0.89). A significant portion of the respondents were female (56.3 %) and Chinese (57.5 %), predominantly aged between 16 and 17 years (53.7 %). Presently, 11.5 % of the participants reported using e-cigarettes, while 6.6 % reported using traditional tobacco cigarettes. Notably, 12.3 % of adolescents correctly identified nicotine as a common component in e-cigarettes, highlighting its addictive nature. Furthermore, significant association and differences were observed between e-cigarette usage and a positive attitude towards them (86.7 %, p<0.001), as well as the perception of reduced health risks associated with e-cigarette consumption (9.11 ± 2.68, p<0.001). Adolescents who were susceptible to e-cigarette use were more inclined to support their usage (63.1 %, p<0.001) and perceived fewer health consequences (6.91 + 3.12, p=0.019) in comparison to those who were not susceptible.</p><p><strong>Conclusions: </strong>E-cigarette users exhibited a moderate level of understanding along with a positive stance towards e-cigarettes, viewing them as less risky compared to non-e-cigarette users. As a result, collaborative endeavours are essential to enhance adolescent knowledge about e-cigarettes via community outreach initiatives. Consequently, all governing bodies must explore effective strategies to tackle this issue by implementing strict legislation.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of anti-obesity drugs on cardiometabolic risk factors in pediatric population with obesity: a systematic review and meta-analysis of randomized controlled trials.","authors":"Ahmad Bin Aamir, Rabia Latif, Joory Osamah Fallatah, Jood Alqoofi, Hadeel Adnan Alsalman, Fatimah Abdulkarim Almarzoq","doi":"10.1515/ijamh-2024-0196","DOIUrl":"https://doi.org/10.1515/ijamh-2024-0196","url":null,"abstract":"<p><p>Following prospective registration (PROSPERO CRD42024564275), three databases (PubMed, SCOPUS, Web of Science) were searched for trials reporting the effects of anti-obesity drugs (AODs) (with placebo as control) on cardiometabolic risk factors in the pediatric population with obesity. Data was synthesized using RStudio within a Random effect model. Risk of Bias was assessed through the Cochrane Risk of Bias 2 tool. Five clinical trials fulfilled the eligibility criteria. Pooled estimates showed significant reductions in triglycerides [-13.84 mg/dl (CI: -26.46 to -1.21; p 0.03) (I² 93 %, p<0.01), Systolic blood pressure [-1.49 mmHg (CI: -2.77 to -0.21; p 0.02) (I² 0 %, p 0.61)], and Waist circumference [-6.55 cm (CI: -10.56 to -2.55; p<0.01) (I² 93 %, p<0.01)]. Fasting glucose, Insulin, Insulin resistance, Glycated hemoglobin, Diastolic blood pressure, Total cholesterol, Low density lipoproteins, High density lipoproteins, Very low density lipoproteins, and C-Reactive Protein showed insignificant reductions. No significant publication bias was detected in any outcome except Waist circumference (p 0.03).</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators in the transition from pediatric to adult care in people with cystic fibrosis in Europe - a qualitative systematized review.","authors":"Carolin Steinkamp, Michael Köhler, Robert Hrynyschyn","doi":"10.1515/ijamh-2024-0192","DOIUrl":"https://doi.org/10.1515/ijamh-2024-0192","url":null,"abstract":"<p><strong>Objectives: </strong>With over 54,000 people affected, cystic fibrosis is one of the most common rare diseases in Europe. As life expectancy of this disease has steadily increased in recent years, the transition from pediatric to adult care has become a principal issue. This study aimed to identify facilitating and hindering factors in the transitional care of cystic fibrosis patients in order to derive indications for improving care.</p><p><strong>Methods: </strong>A qualitative systematized review was conducted in May 2024 with a systematic search carried out in MEDLINE, CINAHL and Livivo, including European studies from 2009 to 2024. The studies' quality was assessed using the Critical Appraisal Skills Programme checklist for qualitative studies. Thematic analysis was applied for analyzing the data to identify categories.</p><p><strong>Results: </strong>Nine studies met the inclusion criteria. Their quality can be rated as medium to high. Parental support, commitment and social support were identified as beneficial factors. Preparation for the transition, appropriate communication and continuous follow-ups at the adult center also contributed to a continuous transition. However, the parents' changing roles, fears and the usual treatment in pediatrics were obstacles. The adjustment to the adult center and structural problems presented further barriers to transition.</p><p><strong>Conclusions: </strong>Various factors were identified to influence the transition process in cystic fibrosis, with consistency across the studies. In practice, comprehensive care is required, focused on the patients' needs, with more information provided and enhanced collaboration among stakeholders. Further research regarding the long-term effects of transition and the utilization of structured transition programs is needed.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with eating disorders among Indonesian adolescents at boarding schools.","authors":"Ferry Efendi, Meng-Che Tsai, Rifky Octavia Pradipta, Fitri Kurnia Rahayu","doi":"10.1515/ijamh-2024-0193","DOIUrl":"10.1515/ijamh-2024-0193","url":null,"abstract":"<p><strong>Objectives: </strong>Eating disorders (EDs) are a significant global issue among adolescents, including those in boarding schools; however, this population remains under-researched. This study investigated the factors associated with EDs among Indonesian boarding school students.</p><p><strong>Methods: </strong>Using a cross-sectional approach, 1,400 adolescents were selected through purposive sampling. The study examined factors such as body mass index (BMI), body image, mood, loneliness, and weight loss using a modified combination of questionnaires. Data analysis was performed using logistic regression in SPSS 21 with a significance level of 0.05.</p><p><strong>Results: </strong>Four factors significantly influenced the risk of developing ED. A lower BMI (underweight or normal) decreased the risk (OR=0.2 and 0.3, respectively; CI: 0.140-0.360 and 0.231-0.524, respectively). A lower drive for leanness reduced the likelihood of EDs (OR=0.49; CI: 0.347-0.713). Lower levels of muscularity-oriented eating also decreased ED risk (OR=0.39; CI: 0.273-0.573). Conversely, unhealthy weight loss experiences significantly increased ED risk (OR=8.9; CI: 6.728-11.827).</p><p><strong>Conclusions: </strong>These findings highlight the complex factors contributing to EDs risk, emphasizing the need for targeted interventions to address body image concerns, nutritional practices, and weight loss experiences to promote the well-being of students in boarding schools. The implementation of structured health education programs that emphasize balanced nutrition, positive body image, and healthy weight management is recommended to address eating disorders. Nursing and health professionals play key roles in the development and delivery of these programs.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"123-132"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do previous pediatric inpatient interventions predict better outcomes for psychiatric inpatient treatment of anorexia nervosa?","authors":"Ziv Bren, Amit Goldstein, Orly Lavan, Silvana Fennig","doi":"10.1515/ijamh-2025-0028","DOIUrl":"10.1515/ijamh-2025-0028","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the benefits and drawbacks of pediatric hospitalization of adolescents with anorexia nervosa prior to psychiatric hospitalization.</p><p><strong>Methods: </strong>Epidemiologic data, anthropometric measures, and vital signs, as well as hospitalization characteristics and outcomes, were collected retrospectively and analyzed for 104 patients aged 12-18 years old.</p><p><strong>Results: </strong>Pediatric hospitalization prior to psychiatric admission did not result in significant advantages in treatment outcomes. Furthermore, no significant advantages were attributed to long pediatric hospitalization as compared to short hospitalization.</p><p><strong>Conclusions: </strong>This study suggests that for treating adolescent anorexia nervosa, pediatric hospitalization should be recommended only for immediate correction of urgent and life-threatening physical conditions, with short stays preferred over long pediatric hospitalization.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of psycho-educational intervention to reduce menstrual-related distress among adolescent girls: a randomized controlled trial.","authors":"Nasim Bahrami, Somayeh Asgari, Mohammad Ali Soleimani, Mark D Griffiths, Zainab Alimoardi","doi":"10.1515/ijamh-2024-0136","DOIUrl":"10.1515/ijamh-2024-0136","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of the present study was to investigate the effect of psycho-educational intervention on severity of menstrual distress symptoms among adolescents with primary dysmenorrhea.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted from August 2019 to April 2020 comprising 120 adolescent girls. The study settings were high schools in Qazvin City. Participants were randomly assigned to intervention (n=60) and control groups (n=60) using a cluster randomization method. The intervention included three 60- to 90-min group psycho-educational sessions based on Leventhal's self-regulatory method. The sessions took place over three consecutive weeks with each group comprising 8-10 individuals. Menstrual distress (as the primary outcome), and illness perception and severity of dysmenorrhea (as the secondary outcomes), were assessed at four time points (pre-intervention, and three post-intervention assessments [one month, two months, and three months]).</p><p><strong>Results: </strong>A total of 54 individuals from the intervention group and 60 from the control group completed all follow-up measurements. Menstrual distress in the pre-menstruation phase significantly decreased among the intervention group at the three follow-ups (-5.41, -5.45, -4.97; all p<0.001). Menstrual distress in the menstruation phase significantly decreased among the intervention group at the three follow-ups (-11.75, -12.49, -12.38; all p<0.001). Dysmenorrhea pain intensity significantly decreased among the intervention group at the three follow-ups (-2.90, -3.49, -3.30; all p<0.001). Illness perception of dysmenorrhea significantly decreased among the intervention group. Mean differences of between group comparison (intervention vs. control) through follow-ups were -19.74, -22.56, -22.71 (all p<0.001). Based on the result of the RM ANOVA-ANCOVA model, the group effect was significant (p<0.001) with the intervention explaining 36.3 % of variance for change in menstrual distress in the pre-menstruation phase, 75 % of change in mean scores of menstrual distress in the menstruation phase, 78.5 % of variance for change in mean scores of dysmenorrhea, and 74.8 % of variance for change in mean scores of illness perception.</p><p><strong>Conclusions: </strong>This intervention improved adolescent girls' menstrual distress, severity of dysmenorrhea, and illness perception regarding dysmenorrhea.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"85-96"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is adolescent health a priority program? A qualitative study on the stunting prevention program in Gunungkidul, Yogyakarta, Indonesia.","authors":"Benny Karuniawati, Supriyadi Hari Respati, Fahmi Baiquni, Sri Mulyani","doi":"10.1515/ijamh-2024-0197","DOIUrl":"10.1515/ijamh-2024-0197","url":null,"abstract":"<p><strong>Objectives: </strong>In Indonesia, the Weekly Iron Folic Acid (WIFA) supplementation program has been running since 2016 to prevent anemia and stunting in the future. The Healthy Adolescents Stunting Prevention program (<i>Remaja Sehat Cegah Stunting</i>, known as the \"RS Centing\" program) in Gresik Regency, Indonesia, has been effective in increasing adolescent understanding of stunting prevention. The prevalence of stunting in Gunungkidul Regency remains high and has reached 22.2 %, exceeding the national target of 14 %. This study aims to analyze whether adolescent health is a priority in the stunting prevention program in Gunungkidul Regency.</p><p><strong>Methods: </strong>This study uses a qualitative method with a phenomenological approach. Data were collected through in-depth interviews and a focus group discussion (FGDs) with participants selected by purposive sampling. The respondents in this study comprised 10 officials from the PKPR (adolescents health care services), the local health department, and the <i>Satgas</i> stunting (stunting task force).</p><p><strong>Results: </strong>The results of the study revealed that three main themes emerged from the in-depth interviews and the FGD, namely: (1) Program implementation; (2) barriers to program implementation; and (3) suggestions.</p><p><strong>Conclusions: </strong>Program implementation is still constrained by the lack of adequate funding and human resources, as well as weak monitoring, evaluation, and program continuity.</p>","PeriodicalId":13823,"journal":{"name":"International Journal of Adolescent Medicine and Health","volume":" ","pages":"133-140"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}