Activity In Youth Research Articles

Reduced physical activity in youth during the COVID-19 pandemic: systematic review and meta-analysis

Abstract Background Emerging research suggests that physical activity among children and adolescents decreased during the COVID-19 pandemic. As a summarizing analysis of changes in youth’s physical activity for Europe is lacking, we performed a systematic review and meta-analysis to close this research gap. Amongst others, we examined the relevance of restriction stringency policies and potentially vulnerable groups. Methods In consideration of the PRISMA statement, we searched seven databases and included studies for children and adolescents (≤19 years) of the WHO European Region that compared physical activity during the pandemic with a pre-pandemic baseline using validated measurement instruments. We used the Oxford Stringency Index as an indicator of restriction stringency. Screening for eligibility, data extraction, assessment of the study risk of bias (using ROBINS-E instrument) and certainty grading of evidence (using the GRADE approach), were all done in duplicate. Data were pooled in random effects models (Trial registration: PROSPERO: CRD42023395871). Results Of 14,897 non-duplicate records, 26 publications (n = 15,038 pre-pandemic, n = 13,041 during pandemic) met our inclusion criteria. Comparison before vs during the COVID-19 pandemic revealed a significant reduction in total physical activity (standardized mean difference [SMD], -0.57 [95% CI, -0.95; -0.20]) and moderate-to-vigorous physical activity (SMD, -0.43 [95% CI, -0.75; -0.10]), corresponding to a decrease of 12 min/day (a 20% reduction of the WHO recommendation). Subgroup analyses suggested that children aged 8-12 were particularly affected. The analyses outline a possible association between school closures and more reductions in physical activity. Conclusions A sharp decline in all forms of physical activity was recorded among European children and adolescents during the COVID-19 pandemic, particularly in middle childhood. Policy-makers, teachers and practitioners must act to reverse this decline. Key messages • Physical activity in European children & adolescents decreased significantly during the COVID-19 pandemic. • Immediate action by policy-makers and practitioners is imperative to reverse this trend.

Reliability, reproducibility, and feasibility of youth activity profile (YAP) questionnaire in Chilean children and adolescents

ABSTRACT This study aimed to evaluate the reliability, reproducibility, and feasibility of the Youth Activity Profile Questionnaire (YAP-SL) in the Chilean version (YAP-C) in a sample of children and adolescents. This cross-sectional study included 160 youth, 59 children (5–11 years old), and 101 adolescents (12–17 years old) from the city of Viña del Mar (Chile). The YAP-SL is a 15-item self-report instrument which was administered twice at an interval of 7 days apart. This questionnaire was designed to capture physical activity (PA) and sedentary behaviour in youths in the last week, categorizing them into three domains: PA at school, PA out-of-school, and sedentary habits. Cronbach’s α coefficients were calculated to evaluate the internal consistency (reliability), and the reproducibility was determined by test-retest and Kendall’s tau b coefficients. Concerning the total YAP-C score, results indicated moderate-to-high reliability in the total sample (0.71), boys (0.76) and girls (0.66), as well as for children (0.73) and adolescents (0.70). The results also revealed variations in reliability and reproducibility across the three domains. In conclusion, the YAP-SL questionnaire presents moderate-to-high reliability in Chilean children and adolescents. However, the reliability and consistency of the YAP varied across the domains.

“You can't ignore us”: Multiliteracies and disruption in youth activism

AbstractThis article examines the activism of student protesters in a rural Rust Belt community's Black Lives Matter protest, challenging prevailing stereotypes about civic engagement, literacies, and youth involvement in rural settings. Utilizing critical ethnography and nexus analysis to examine disruptions of discourses in place and interview student participants about their activism, findings showcase how students strategically practiced multiliteracies to upturn power dynamics and assume leadership roles within a socio‐spatial landscape. Examining youth protest literacies can inform education partners of the ways students already engage in civic discourse and how understanding their co‐construction of space can inform practices across learning communities.

We are Who we Represent: A Theory of “Immersive” Representation in Student Activism

Abstract Children and young people have a right to freedom of association and to have their views given due weight when they act collectively. However, when they come together in groups to engage in collective action, in school and elsewhere, they are often criticised for not being “representative” of all/other young people. The concept, while frequently cited, remains undefined and fails to incorporate how young people understand, experience and enact representation. This article presents data from an empirical study with youth activists who established a Secondary Schools Students’ Union during the Covid-19 pandemic to lobby for change in education decision-making. The study was carried out as a collaboration between two university-based researchers and two secondary school students who were founding members of the union. Drawing on focus groups and interviews with union executive members, this article presents findings that convey young people’s navigation of adults’ perceptions of their representativeness, focusing on issues of legitimacy and efficacy. Based on this study, we propose a new youth co-authored and youth-informed theory of representation that conceptualises it as immersive and mutually symbiotic and, we suggest, enables meaningful implementation of child and youth activists’ civil and political rights.

05 The experience of youth on the waitlist for gender-affirming care in Manitoba

Abstract Background Waitlist times are often two years for youth to be seen for initial assessment for gender-affirming hormone therapy in Manitoba, Canada. It is well known that transgender youth awaiting hormone therapy have high rates of mental health challenges, including depression, anxiety, and suicidal ideation. Accessing care that is affirming and supportive, including primary care and counselling, can also be a challenge. Objectives The purpose of this study was to understand the experiences of youth and their caregivers on the waitlist for the Winnipeg, Manitoba-based Gender Diversity Affirmation and Action for Youth (GDAAY) clinic, the provincial transgender health clinic. Specifically, we were interested in what community based resources youth were accessing, mental health impacts, and suggestions for improvements. Design/Methods Qualitative, semi-structured interviews were conducted. Youth aged 14-17 years on the waitlist for 12-24 months for gender-affirming hormone therapy assessment and their caregivers were recruited. Separate interviews were conducted for youth and their caregivers. All interviews were virtual, recorded, and transcribed prior to thematic analysis. Results Youth (n=8) and caregivers (n=9) described barriers to supported transition. The first theme, “In a Black Hole” describes frustration and disappointment with the lack of regular ongoing communications from GDAAY. It also extends to the mental health challenges faced by youth and caregivers alike. Anxiety and self-harm were consistently described, with caregivers volunteering more information on self-harm and suicidality than youth. Youth described dysphoria and two youth found alternative providers for hormone therapy while on the waitlist. Our second theme, “Structural Transphobia”, describes the attitudinal, technological, physical, and architectural barriers faced by the participants. For example, one caregiver described a hospital admission for suicide attempt during which the hospital bracelet displayed the wrong gender, the wrong name, contributing to frequent mis-gendering. Frustration with the inability to change the name and gender marker in provincial charting systems was similarly of concern. Our final theme, “Manitoba: An Information Desert” describes the systemic barriers faced including lack of knowledgeable providers and reliable information within the province. Youth and caregivers described concerns with identifying primary care and councilors that understood challenges specific to transgender youth. Conclusion Although delays in gender-affirming therapy were noted, youth socially transitioned and accessed existing resources. However, mental health concerns persisted and participants felt frustrated and unsupported during their extensive wait times. Improved experiences may be achieved by additional communication from the clinic, hands-on assistance with accessing relevant resources, and an improved online presence. Potential competing interests Funding was obtained by a resident research small grant from the University of Manitoba. A similar abstract was submitted to CPEG but it focuses on a new intervention of a phone call from social work when a youth is added to the waitlist.

Youth activism and (de)personalized remix on TikTok

ABSTRACT Social media has provided everyday actors with a platform to share their personal stories and ideas. This has had a profound effect on activism, as movements are increasingly built up and amplified through the circulation of participants’ individualized motivations, experiences, and sentiments. TikTok has emerged as a salient site for studying this turn: it has proven to be a highly successful tool in activist campaigns, strongly affords personalized communication, and supports a main user base of young people known for emphasizing self-expression in their online participation. Since remix is the core form of sharing on TikTok, users are encouraged to insert and articulate themselves not only in the process of content creation, but in the process of circulation as well. Here, we focus on the way remix is exploited as a mode of personalizing activist content on TikTok, particularly among young users. We do so by qualitatively coding and analyzing remixed content associated with the digital activist organization Gen-Z for Change. We find that, despite expectations based on prior research and the observed behavior of older users, young users tended to resist personalization in their remix strategies. Yet, they simultaneously managed to assert their presence in ways that are meaningful on the app. Our results elaborate on digital activist strategies and the role of platform affordances therein, and add important nuance to common conceptions of youth political participation styles.

Coordinator and Young Adult Perceptions in Attracting and Retaining Chicago Youth in Out-of-School Time Programming

Youth from families with greater economic means have seen an increase in their participation in extracurricular activities, while the participation levels of youth from working class families have decreased. Knowing the benefits to youth participation in extracurricular activities, communities where youth of marginalized backgrounds reside have an obligation to engage their youth in activities offered through school and community out-of-school time programs. Interviews and focus groups with program coordinators and young adults were conducted to identify how youth in Chicago have been attracted, engaged, recruited, and retained in out-of-school time programs. Program aspects and strategies used to connect with youth and their families emerged, some of which have been previously found in the relevant literature to be positively related to youth outcomes, and some of which are specific to youth who identify as Latine and youth who identify as male. Practical implications and suggestions for future research are further discussed.

The Student Affairs Management by Educational Institution Administrators under the Jurisdiction of the Bueng Kan Primary Educational Service Area Office

Background and Aims: The objectives of this research are as follows: 1) to study and compare student affairs administration of educational institution administrators under the Bueng Kan Primary Educational Service Area Office. Classified by position Education level and the size of the educational institution. 2) To compare student affairs administration among educational institution administrators under the Bueng Kan Primary Educational Service Area Office. Classified by position education level and the size of the educational institution. And 3) to study guidelines for developing student affairs administration among educational institution administrators under the Bueng Kan Primary Educational Service Area Office. Methodology: The sample in this research consisted of 331 school administrators and teachers. The sample size was determined according to Krejci and Morgan's table. Using the stratified random sampling method. The research tools consisted of a questionnaire with 5 rating scales and an interview form. Which has a consistency index between 0.80 - 1.00 and a confidence value for the entire questionnaire equal to 0.89. For data analysis, statistics such as frequency, percentage, mean, and standard deviation were used, as t-tests and F-tests. Results: The results of the research found that: (1) the level of student affairs administration of educational institution administrators under the Bueng Kan Primary Educational Service Area Office. Overall and in each aspect are at a high level. (2) Comparison of opinions regarding student affairs administration among school administrators under the Bueng Kan Primary Educational Service Area Office. Classified by position Education level and the size of the educational institution It was found that overall and in each aspect there were no differences. (3) Guidelines for promoting the development of student affairs administration for educational institution administrators under the Bueng Kan Primary Educational Service Area Office, consisting of 6 areas: 1) promoting guidance activities in educational institutions, 2) promotion of health, sports and recreation, 3) promotion of boy scouts, girl guides, and red cross youth activities, 4) promotion of democratic activities and student discipline, 5) promoting and developing student councils to strengthen student and youth organizations in educational institutions; and 6) promoting the protection of children's and youth's rights. Conclusion: According to the findings, Bueng Kan school administrators perform well in all aspects of student affairs administration, with no significant differences based on position, education level, or institution size. It also outlines six key strategies for improving student affairs: promoting guidance, health, and recreational activities, developing leadership skills through scouting and democratic initiatives, strengthening student councils, and protecting children's rights.

청소년의 정치참여활동이 정치효능감에 미치는 영향에서 정치의식의 매개효과

Objectives The purpose of this study is to examine how youth political participation affects political efficacy at a time when institutional and non-institutional political participation activities of youth are becoming active, and to analyze whether political awareness acts as a mediating effect. Methods To this end, we conducted a self-administered online and offline survey targeting 365 youth from middle and high schools in the Daejeon area and youth active in youth training facilities, and used SPSS and Process Macro to assess political participation activities, political efficacy, and politics. The relationship between consciousness was analyzed. Results First, there was a positive (+) effect on the relationship between youth's political participation experience and political efficacy, and second, the relationship between political efficacy and political awareness was also found to have a positive (+) effect. Third, political awareness was confirmed to play a complete mediating role between youth's political participation activities and political efficacy. Conclusions Based on this study, a plan to revitalize youth political participation was proposed. First, youth institutional political participation must be expanded. Second, changes are needed in our country’s educational environment. Third, the government's active interest and generous support for youth political participation is needed.

Building Recognition, Redistribution, and Representation in Disadvantaged Neighbourhoods: Exploring the Potential of Youth Activism in Scotland

This is a time of intersecting crises for young people in Scotland. More than a decade of austerity, the Covid‐19 pandemic, cost‐of‐living crisis, climate emergency, and ongoing global conflict all threaten youth security and create barriers to economic and civic participation. Alongside this, youth non‐participation is often framed as an individualised moral problem, diverting focus away from its structural causes. Evidence on youth activism suggests that young people are seeking new, creative spaces and modes of expression to challenge stigma, express dissent, and challenge inequalities in their communities. With support from grassroots youth and community organisations, youth activists can build trust, critical thinking skills, and solidarity. However, the extent to which youth activism can succeed in challenging structural causes of inequality, especially in disadvantaged neighbourhoods, requires further scrutiny. We draw on Nancy Fraser’s theory of participatory parity to explore how redistribution, recognition, and representation play out in the lives of young people, and how grassroots youth and community organisations support their development as activists. Based on a research study on the barriers and enablers to youth activism in Scotland, we seek to understand how neighbourhood‐based efforts to challenge stigma and economic inequality build dignity and hope, how relationship‐building between young people and the adults in their communities can support status recognition, and how these both contribute to emergent youth political representation.

Activism as education in and through the youth climate justice movement

AbstractYoung people worldwide are increasingly participating in a global movement for climate justice, yet to date, little research has examined how youth climate justice activists conceive of and experience activism as education. The present study used in‐depth, semi‐structured interviews with 16 US climate justice activists (aged 15–17) to address the research question: How do youth climate justice activists explain and experience the educative power of their activism? The results of reflective thematic analysis bring to light youths' dual roles as ‘learners of the movement’ and ‘climate justice educators’. As learners, youth described gaining awareness of climate justice directly from the movement, as well as learning a variety of skills (e.g., organising, communication, conflict resolution) through their activist engagement. Simultaneously, youth described their role as educators through a range of activities intended to raise awareness among adult and youth audiences, including educational workshops and trainings, school visits, teach‐ins, curriculum development, talk shows and interviews, creating digital resources, social media outreach and public protest (e.g., strikes, marches and demonstrations). Beyond spreading knowledge of climate in/justice, youth activists were also educators of action and social change processes—noting that learning about governmental institutions and political processes enabled them to exercise their democratic citizenship and equip and embolden other young people to do the same (e.g., via political advocacy trainings). The findings of the present study have implications for creating climate justice curricula that not only attend to the scientific and technological dimensions of the climate crisis, but also enable learners' justice‐driven action and democratic participation.

STRYV365 peak team and Brain agents: teacher perspectives on school impact of a trauma-informed, social-emotional learning approach for students facing adverse childhood experiences.

Adverse childhood experiences (ACEs) have a profound impact on children's and adolescents' academic performance and overall wellbeing. In contrast, positive childhood experiences help mitigate the negative effects of ACEs on health and wellbeing. Trauma-informed and social-emotional learning (SEL) programs in schools may address these impacts, with school staff playing a pivotal role in ensuring their success and influencing school outcomes. This study aimed to assess the strengths, weaknesses, and areas for improvement in the STRYV365 peak team and Brain Agents programs. The aim was to refine program implementation and determine the preliminary effects on students, teachers, and the broader school environment. To achieve this goal, four focus groups were conducted after the program concluded, involving 17 school leaders, administrators, and teachers from four urban schools serving students in fifth through ninth grades. The audio transcripts were professionally transcribed and analyzed by four co-authors using Dedoose for inductive coding, leading to the identification of major themes and subthemes. Three key themes were identified from transcripts: school-wide perspectives of STRYV365 programs, strengths and impacts of STRVY365 programs, and suggestions for program improvement. School staff noted that the peak team was particularly engaging for students, helping them develop SEL skills and foster both peer-to-coach and peer-to-peer relationships. Additionally, the STRYV365 programs were found to enhance student-teacher relationships and staff relationships. Teachers expressed strong interest in taking a more active role in future programming. Overall, this study highlights the importance of teacher and administrator involvement in maintaining consistent SEL activities for urban youth. The findings also suggest that short-term, 4-week SEL programs can have a positive effect on school culture, as well as on student-teacher relationships and teacher-teacher relationships.

Seeking justice on social media: Funas as a localized form of Latin American youth activism

A funa, a public denouncement aimed at raising moral condemnation of a person accused of perpetrating a crime or injustice, has become a major digital activism instrument in Latin America, particularly in Chile. Originated in the human rights movement in the 1990s, funas re-emerged as a new form of online activism that hybridized with a Latin American and historical form of protest to exert informal justice through social media. Drawing on a face-to-face survey of Chilean youth aged 18–29 years, we examine the factors that explain young people’s attitudes and behaviors regarding funas. We find that funas are gendered, with issues like sexual harassment and misconduct being the primary subject of funas. We also show that women hold more positive views about funas and are more likely to engage in online funas. Finally, our findings indicate that individuals who trust the judicial system are less likely to share funas on social media.

EXPLORING THE RELATIONSHIP BETWEEN PLACE ATTACHMENT AND YOUTH’S INVOLVEMENT IN RICE FIELD ACTIVITIES

Youth’s experience, knowledge and values in relation to rice field activities play an important role in motivating the youth to get involved in these activities. However, there is a lack of research that focuses on the relationship between place attachment and activity involvement. The aim of this paper is to explore the relationship between place attachment and rural youth’s involvement in rice field activities. Three homestays in Kedah were selected as case studies and quantitative (302 questionnaires) approaches were applied to achieve the objective. The questionnaire survey was conducted among youth aged 20 - 34 years old. Major findings in this study include a positive relationship between place attachment and youth activity involvement. Youth who have knowledge, experience, and values in relation to rice field activities are inclined to be involved in homestay activities. The findings of this study contribute to the theories regarding youth activity involvement and place attachment. It is suggested that practitioners in built environment, tourism planning and landscape planning as well as parents should help to encourage the youth to get involved in rice field activities in homestay programmes and in their daily lives.

Features of political participation of Russian youth in the context of digitalization

The article is devoted to identifying the specifics of the influence of the "digital" factor on the dynamics and transformation of political activity of modern Russian youth. The author pays special attention to the role of social networks and digital media on the political participation of the younger generation. Today, not only is the trend towards the emergence of diverse strategies for online political activity of Russian youth increasing, but significant changes are taking place in the differences in role models of political participation that differentiate passively engaged "viewers" and active activists. Those young Russians who actively use online resources in their socio-political activities are already quite effectively using digital technologies and ways to attract a new audience, social mobilization, finding supporters, coordinating joint actions, etc. It is noted that the key trend in recent years has been the "digitalization of political participation" of young people and the spread of the phenomenon of online political participation. The author concludes that despite the steady growth in the number of young users of social networks and consumers of digital media, the increasing role of these online resources as political factors should not be exaggerated in the process of political mobilization. The transformation of the socio-political context and the decrease in the general level of protest moods in society, the "calming down" of spontaneous mobilization in the "offline" certainly leads to a decrease in the mobilization value of social networks, and to a reduction in the number of protest-minded youth.

Karang Taruna's Role in Youth Empowerment Through Sports and Skill Training Programs

Background: Youth empowerment is vital for community progress, often facilitated by organizations like Karang Taruna. Specific Background: In Kalipecabean Village, Karang Taruna actively engages in youth activities, but its impact on empowerment remains unclear. Knowledge Gap: Limited studies focus on the role of Karang Taruna in this village. Aims: This study examines how Karang Taruna functions as a motivator, facilitator, and mobilizer in youth empowerment. Results: A qualitative analysis revealed that Karang Taruna conducts various activities, including sports competitions, training programs, and government collaboration, enhancing youth participation. However, challenges such as resource limitations and inconsistent engagement remain. Novelty: This study provides specific insights into Karang Taruna's multifaceted role in a village setting. Implications: Strengthening partnerships and diversifying programs could enhance the organization’s impact on community development. Highlights: Karang Taruna acts as a motivator by organizing activities to enhance youth participation. Collaboration with local government enables Karang Taruna to function effectively as a facilitator. Use of technology, like WhatsApp, assists Karang Taruna in its role as a mobilizer to engage youth in positive community activities. Keywords: Youth Empowerment, Youth Organization, Karang Taruna, Community Development, Facilitator

Training on the Making of Fried Shallots (Allium ascalonicum L.) Products in Sigi District to Implementing the Recovery Concept of Agriculture and Food Security Impacted

The concept of community empowerment in the socio-cultural field is an effort to strengthen small people through improving, strengthening, and upholding values, ideas, and norms, and encouraging the realization of social organizations that are able to provide control over political and economic treatments that are far from morality. Service activities are carried out in several stages such as socialization, FGD, training, and designing fried shallot business innovation tools. Socialization of fried onion product processing is carried out by providing training and FGDs in the form of slicing onions, frying and packing shallots. Furthermore, 3 fried shallot business innovation tools were designed in the form of slicing machines, spinner machines and shallot frying machines. Training activities for village youth cadres run smoothly and in accordance with the expected target, namely increasing community awareness about the function and role of village youth cadres in terms of seeking community agricultural products, especially in processing shallots in packaging so that these expectations can be achieved well.

Minoritised youth’s environmental justice priorities in a gentrifying context: brokenness and repair

ABSTRACT Youth engagement in urban planning research and practice can help reveal their distinct experiences, priorities, and provide direction for future action. Environmental justice scholarship has documented critical insights learned from youth co-researchers. This article adds to this tradition by exploring how youth in Austin, Texas, experience environmental injustice within the context of gentrification. Using photovoice methods, youth researchers identify and discuss these dual challenges. We illustrate how their emphasis on brokenness links and builds on environmental justice, repair and maintenance, and reparative literatures. Findings also highlight how youth actively work to improve their communities, challenging planning scholarship’s tendency to frame youth action as aspirational or as happening in structured, programmatic ways.

The Relationship Between Family Support and Teenage Activity in Youth Integrated Service post in Purwosari District, Surakarta

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Adolescence is a transition period from childhood to adulthood where a person experiences significant biological, psychological, and social changes. This development encourages more mature behaviors in adolescents related to various adolescent health problems, thus requiring comprehensive and integrated services that include all elements of different programs and sectors, such as the development of adolescent care health services in the form of an Adolescent Integrated Service Post. This study aimed to determine the relationship between family support and adolescents' activity in adolescent integrated service posts in Purwosari district, Surakarta, Central Java. This study is a quantitative study with a cross sectional design. This research was conducted from October to December 2023 in Purwosari Village, Laweyan District, Surakarta. The total population was 818 adolescents aged 15-19 years. The research sample was 80 adolescents selected by snowball sampling technique. The research instrument used a questionnaire. The research data were analyzed univariately and bivariately (chi-square test). The results showed a p-value = 0.028, which means that there is a relationship between family support and adolescents' activeness at the integrated youth service post in Purwosari Village. Recommendations given to the health department to improve the implementation of integrated service post activities aimed at adolescents so that it can run optimally and more often conduct activities that can arouse the interest of adolescents who do not participate in youth activities, as well as appeal to parents to encourage the younger generation to start actively participating in youth integrated service post activities.</em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords: Family Support, Adolescent Activities, Youth Integrated Service Post</em></strong>

Relationship Between Health Worker Support and Youth Activity Integrated Youth Service Posts in Purwosari, Surakarta

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Adolescent Integrated Service Post is one of the health efforts that play an important role in improving the quality of adolescent health. However, adolescent participation in posyandu activities is often low. The support of health workers is considered an important factor that can influence the level of activeness of adolescents in these activities. This study aims to determine the relationship between health worker support and adolescents' activeness in Youth Posyandu in Purwosari Village, Surakarta. This study used a quantitative research design with a cross-sectional approach. The population of this study were 818 adolescents aged 15-19 years in Purwosari Village, Laweyan District, Surakarta City. The sample of this study was 80 adolescents using snowball sampling technique. Data were collected through questionnaires. Data analysis was performed using the chi-square statistical test to see the relationship between variables. The results showed that there was a significant relationship between health worker support and teenagers' activeness at the Youth Integrated Service Post in Purwosari, Surakarta (p-value=0.023). The highest value was when leaders and health workers visited adolescents, and adolescents, and the lowest value was when leaders and health workers only persuaded adolescents to participate in the programs of the Youth Integrated Service Post. Most adolescents have a regular intention to join the Integrated Youth Service Post programs. Recommendations that researchers can give to health workers are to share good information and invite adolescents to be active in the Integrated Service Post for Adolescents. </em></p><p><em> </em></p></td></tr></tbody></table></div><strong><em>Keywords : Activeness, Adolescents, Health worker support, Integrated service </em></strong>