Knowledge Of Adolescents Research Articles

Application of the Actor-Partner Interdependence Model in Parent-Adolescent Mental Health Knowledge and Depression.

To explore the individual and interpersonal association between mental health knowledge (MHK) and depression in adolescents and one of their parents, and to explore whether gender differences exist between fathers and mothers in these associations. Participants were 3456 father-adolescent dyads and 4478 mother-adolescent dyads, recruited from eight middle schools in Wuhan, who completed self-report assessments of MHK and depression from September to October 2021. With the application of the actor-partner interdependence model, A positive actor effect between MHK and depression in adolescents was found. Adverse partner effects from fathers' MHK and mothers' MHK to adolescent depression were noted and showed no significant difference. Adolescents' depression was significantly associated with parental depression in both fathers and mothers. It is implied that milder adolescent depression was associated with lower levels of adolescent MHK, along with higher levels of MHK in both fathers and mothers. For parents, it is important to emphasise the improvement of their own MHK and increase their attention to adolescent mental health problems, as this may contribute to enhancing the mental health of adolescents. This study is instructive and related to family-based nursing interventions for mental health, emphasising the potential influence of parents in the family on adolescent depressive symptoms. The findings suggest that parental involvement should be encouraged and that the family's role in supporting the child's mental health should be recognised, contributing to the development of relevant policies. This study highlights that higher parental MHK is associated with lower levels of adolescent depression, with no gender differences between fathers and mothers. Family-based nursing interventions that emphasise mental health education for parents may have an impact on improving depression in adolescents. Guidelines were followed using the STROBE reporting method. None.

Knowledge, attitude, and practice of adolescents and parents toward malocclusion and orthodontic treatment

Malocclusion is the misalignment of teeth and jaws, affecting oral health and appearance. This study aimed to examine the knowledge, attitude, and practice (KAP) of both adolescents and parents toward malocclusion. This web-based cross-sectional study was conducted at Tianjin between July 2019 and July 2022, enrolled adolescents and their parents. The structural equation model (SEM) was used to analyze the interactions between KAP. A total of 478 adolescents and 380 parents were included. For knowledge, the scores were 6.95 ± 2.69 for adolescents and 7.07 ± 2.90 for parents (possible range, 0–12). For attitude, the scores were 36.96 ± 7.86 for adolescents and 33.26 ± 9.20 for parents (possible range, 13–65). For practice, the scores were 39.88 ± 7.85 for adolescents and 25.75 ± 8.56 for parents (possible range, 11–55). In parents, knowledge, practice, being a service personnel and production personnel, and acquiring knowledge through the Internet were associated with receiving orthodontic treatment. The SEM showed that knowledge directly affected attitudes (β = 0.551, P < 0.001) and practices (β = 1.122, P < 0.001). But attitudes did not affect practices (β=-0.003, P = 0.923). Adolescents and parents demonstrate unsatisfactory levels of knowledge, attitudes, and practices toward malocclusion. Improvements can be made by focusing on enhancing knowledge and encouraging proactive practices.

Empowerment of Adolescent Cadres Through the Improvement of Basic Health Check-Up Facilities at Youth Posyandu

Adolescence is a time of storm and stress so it requires health services that care for teenagers. Youth Posyandu is one of the Community Resource Health Efforts (UKBM) that is managed and organized by, for, for and with the community, including adolescents in the implementation of health development. The Youth Posyandu in Bengkong Indah Village, Batam City has been formed, but there is still a lack of knowledge of peer cadres and infrastructure for basic examination of the Youth Posyandu, so that the Youth Posyandu runs less than optimally. The purpose of this activity is to give me a lesson for youth cadres on how to conduct an initial examination during the youth posyandu and complete the facilities of the youth posyandu that are not yet available. The activity was carried out at the Healty teenagers posyandu, Bengkong indah village, Batam city with a target of 7 peer cadres. The form of activities is the restructuring of peer cadres, health education and training for peer cadres. The activity was carried out well and smoothly, where the Youth Knowledge using the basic examination tool of the youth posyandu after being given training increased to 4 people or (57%), while the knowledge of adolescents decreased from 5 people (71%) after being given training to 1 person (14%). After this activity ends, it is hoped that the youth posyandu will be more optimal in the implementation of its examinations and activities will run regularly with the support of the health center.

Does good knowledge affect the disapproving attitudes of female adolescents regarding early marriage? A cross-sectional study

Early marriage is a severe public health problem issue. This study aimed to analyze the knowledge and attitudes of female adolescents regarding early marriage. A cross-sectional design was used and included 245 female adolescents. Data was collected using a structured questionnaire. Multivariable logistic regression was used to analyze the relationship between knowledge and attitudes regarding early marriage. Most of the respondents disagree with early marriage. Female adolescents with good knowledge were 0.51 times more likely to disagree with early marriage than those with less knowledge. Female adolescents with higher mothers’ education were 0.66 times more likely to disagree with early marriage than female adolescents with lower mothers’ education. Good female adolescents' knowledge and mother's education support female adolescents' disapproval of early marriage. We conclude that the better the understanding of female adolescents about early marriage, the less they agree with early marriage.

The Effect of Animation Video-Based Education Toward Stunting Knowledge and Attitude Among Female Adolescents in Jakarta

Aims: The prevalence of stunting in Indonesia is one of the crucial problems that will have an impact on the next generation, so it needs to be prevented. Increasing stunting prevention knowledge and attitudes in adolescents related to health investment in the first 8000 days of life is important in reducing stunting rates. The aims of the study to identify the effect of investment education for the first 8000 days of life with animated videos as an effort to break the stunting cycle. Methods: This study used the Quasi Experiment method with a two-group pre-posttest design with 214 respondents divided into an intervention group and a control group with 107 people in each group. The research analysis used Wilcoxon Rank and Manova. Results: This study after being given the intervention showed that there were significant differences in the knowledge and attitude scores between the control group and the intervention group with a p-value of 0.000 (p &lt;α 0.05). Conclusion: This study shows that providing education on health investment in the first 8000 days of life with animated videos affects increasing knowledge and attitudes of young women in preventing stunting.

Effectiveness of Video Education in Preventing Electric Smoking Behavior in Students

Electronic cigarettes have experienced very rapid development, recently many people have been seen using electronic cigarettes, In Indonesia, as many as 2.1 million who use electronic cigarettes are students. Control of electronic cigarettes is carried out by providing education to change the knowledge and attitudes of adolescents. In the digital era, innovation is possible in delivering messages for prevention through audiovisual media such as short videos. This study aims to determine the effectiveness of video media on knowledge, attitudes and actions of electronic smoking behavior in adolescents at SMK Istiqomah Muhammadiyah 4 Samarinda. This study was conducted using an Experimental research method with a pre and post design approach. This study involved two research groups, namely the experimental group and the control group. Data were obtained using a questionnaire on knowledge, attitudes and actions of electronic smoking. The research sample was 234 students. The sampling technique that will be used in this study is Simple Random Sampling. Statistical Wilcoxon Signed Rank Test. The results of the study were that after education using video there was an increase in knowledge of 5 points and attitudes of 2 points. The results of the statistical test showed that there was an effect of video education on knowledge and attitudes with a P Value of 0.000. The conclusion of this study is that video education about the dangers of electronic cigarettes can increase knowledge and attitudes towards preventing electronic smoking behavior.

The Effect of Flashcard Education on Premarital Sexual Behavior in Adolescent

Background: Adolescent who experience puberty in their bodies appear sex hormones that begin to work, resulting in a sense of attraction to the opposite sex. Premarital sex is a behavior that is carried out based on sexual desire in adolescents. Adolescent knowledge and sources of information received by adolescents are important points in efforts to prevent premarital sexual behavior. The preventive efforts can be done by providing education about the right information through various methods and media. One of them is education using flashcard media. Purpose: The purpose of this study was to analyze the effect of education on premarital sexual behavior using flashcard media. Methods: This study design was a quasi-experimental pre-test-post test design with control group. The number of samples were 60 which were divided into two groups and the inclusion criteria being adolescents aged 15-17 years and were or had been dating. The intervention group received treatment in the form of pre-marital sexual behavior education with flashcard media. The control group received pre-marital sexual behavior education using the lecture method. Before and after the intervention, researchers conducted a pretest and posttest using a pre-marital sexual behavior questionnaire and data were analyzed using the Wilcoxon test. Results: There was a difference in the average score of premarital sexual behavior in the intervention group after receiving flashcard education intervention with p value = 0.010 (p &lt;0.05). Conclusion: Education using flashcard affects premarital sexual behavior in adolescents. Preventive and promotive efforts of premarital sexual behavior in adolescents using flashcard media are an alternative for nurses in providing counseling.

Knowledge, Attitudes and Practice of Acute Upper Respiratory Diseases in Rural School Adolescents in Neyyattinkara Taluk, India

Introduction: Public knowledge and practices regarding the common cold is crucial to prevent improper treatment and preserve resources and well - being. Despite global studies on the topic, there's a gap in research focusing on rural school - going late adolescents, like those in Neyyattinkara Taluk. This study aims to assess Knowledge, Attitude and Practices regarding acute upper respiratory illness among late adolescents in NeyyattinkaraTaluk. Methods: An observational cross - sectional study was conducted to assess the knowledge, attitude and practices of late adolescents in rural schools of a part of India from July to September 2019. The study was done among late adolescents (aged 15 - 18) in government higher secondary schools of Neyyattinkara Taluk. A sample size of 197 was taken. Data was collected using a semi - structured questionnaire covering demographics, knowledge, attitudes, and practices regarding upper respiratory illness. Point estimate was done at 95% confidence interval. Results: Most of the adolescents had limited knowledge about upper respiratory illness, with 167 (85%) not considering it a disease. Self - medication 116 (59%) and reliance on home remedies 110 (56%) were common, while only 39 (20%) opted for antibiotics. Conclusions: There was average knowledge level in adolescents but persistent misconceptions, prevalent self - medication practices, and limited understanding of disease transmission regarding upper respiratory infections.

Effectiveness of Digital Education on Human Papillomavirus Knowledge, Vaccination Intent and Completion Rates in Adolescents and Young Adults: A Meta-Analysis.

To examine the effects of digital educational intervention on HPV knowledge, vaccination intent and completion rates among adolescents and young adults. A systematic review and meta-analysis. The study followed PRISMA guidelines. Studies included randomised controlled trials assessing digital HPV educational interventions on individuals aged 9-26 years. Odds ratios (ORs), confidence intervals (CIs) and standardised mean differences (SMDs) were calculated and analysed with fixed- and random-effects models, depending on the degree of heterogeneity. Seven databases (Medline, PubMed, CINAHL, Cochrane Library, Web of Science, EMBASE and ASC) were searched from inception through April 9, 2024. Twelve studies enrolled 4925 participants were included. Six studies demonstrated that the intervention group significantly had higher HPV knowledge compared to the control group. Five studies reported a significant improvement on vaccination intent and vaccine completion rate. Subgroup analysis of the completion rates indicated that male participants demonstrated significantly greater vaccine competed rates. A tailored educational intervention was likely to effectively enhance HPV vaccine completion rates. Our findings confirmed that digital education was beneficial in enhancing adolescents and young adults' HPV knowledge, vaccination intention and vaccine completion rates. The tailored education might be considered prioritised in the design of interventions, while also considering the impact of gender on digital education. Digital interventions for HPV vaccinations require at least 7 months of follow-up, highlighting the vital role of tailored education for high-risk groups in designing effective interventions. The efficacy of digital interventions for HPV vaccination may differ across genders. There was no direct patient or public contribution, as this is a review of previous research. CRD-42023406919.

Family-based sexual health intervention for adolescents; A systematic review and meta-analysis

Abstract Background Family-based interventions are important in promoting adolescent sexual health outcomes. However, the effectiveness of these interventions in promoting adolescent sexual and reproductive health (ASRH) in Lower and middle-income countries (LMIC) has not been empirically evaluated. This review aimed to summarise the effectiveness of family-based sexual and reproductive health interventions in promoting ASRH in LMIC. Methods We conducted a systematic search for studies published in English from 2000 to October 2023 using MEDLINE, PsyINFO, CINAHL, Web of Science, and EMBASE databases. Studies were included if they involved adolescents aged 10-19 years, included family members in a key intervention component, evaluated the effectiveness of the interventions using an experimental or quasi-experimental design, assessed ASRH outcomes reported by adolescents and were conducted in LMIC setting. Standardized mean difference (SMD) and 95% confidence intervals were computed and meta-analyses were conducted using random effect models. Results Ten articles involving 2,246 participants were included in the review. The studies were nostly conducted in Africa. Across studies, there was no significant impact of family-based interventions in improving adolescent sexual health knowledge (SMD=0.5, 95%CI: -1.98 to 2.98), attitudes (SMD= -0.05, 95%CI: -1.92 to 1.82), practices (SMD=0.53, 95%CI: -0.69 to 1.75), or sexual communication with their family (SMD= 0.14, 95%CI: -0.42 to 0.7). Although individual studies reported a mixed effect of family-based interventions in improving sexual health outcomes, the pooled results from the meta-analysis showed no significant impact of family-based interventions. Conclusions Our review did not find any significant impact of family-based interventions in improving ASRH in LMIC. We recommend interventions using innovative approaches and novel strategies to align with the socio-cultural and economic background of the study setting. Key messages • This study found no significant impact of family-based interventions in improving ASRH in LMIC. • Additional studies, particularly from Asia, using culturally relevant interventions is required in this area.

Hubungan Pengetahuan dan Sikap terhadap Kejadian Anemia pada Remaja Putri di SMK PGRI 2 Kota Jambi

The aim of this research is to determine the relationship between knowledge and attitudes towards the incidence of anemia in young women at SMK PGRI 2 Jambi City. This research is a quantitative study with a retrospective approach. The population in this study were young women at SMK PGRI 2 Jambi City in 2024 totaling 201 female students and a sample of 67 female students. The data collection technique used random sampling with data analysis using the chi-square test. The results of the study showed that there was no relationship between adolescent knowledge and attitudes and the incidence of anemia in adolescent girls at SMK PGRI 2 Jambi City.

Knowledge and Perspective regarding Adolescent Sexual and Reproductive Health Among Adolescents in Selected Schools of Birendranagar Mucinipality of Surkhet, Karnali Province

Introduction: Adolescence is the period of transition and opportunity in which physical, psychological, and social changes occur. Adolescents have various sexual and reproductive health problems like teenage pregnancy, abortions, sexually transmitted infections, etc. This study was designed to investigate the adolescence’s knowledge and perspective towards sexual and reproductive health in Birendranagar Municipality of Surkhet, Nepal. Methods: A descriptive cross-sectional study was designed to investigate the adolescence’s knowledge and perspective towards sexual and reproductive health in Birendranagar Municipality of Surkhet, Nepal. Structured questionnaires were developed in close-ended form and administered to a selected sample population. The questionnaire contained questions in five domains: social-demographic data, knowledge regarding adolescents’ sexual life, knowledge on reproductive health and safe sexual behavior, practices of sexual behaviors, and other contextual factors. In this study, a total of 328 respondent’s questionnaires were issued, and 312 were valid. The response rate was 95%. Results: There were a total of 312 participants, 174 boys, 137 girls, and 1 third gender involved in the study. Around 80% of adolescents were from secondary level education, and only 20% were from basic level education. Nearly half of the adolescents had inadequate knowledge of adolescents’s sexual and reproductive health. Sexual abuse, unwanted pregnancy, early marriage, and STIs were the common reproductive health problems faced by adolescents. Conclusion: So, based on the above findings, government of Nepal should make different plans and policies to solve the adolescent’s sexual and reproductive health problems.

MEDIA EDUCATION E-BOOKLETS GINGIBOOKS ON GINGIVITIS KNOWLEDGE IN TEENAGERS

Background: The prevalence rate of gingivitis in Indonesia is quite high. One of the educational services is e-booklet media. The results of a preliminary study at SMA Negeri 1 Demak showed that 100% of students had never received dental health promotion and did not know about gingivitis. Objective: To find out the influence of gingibooks e-booklet media education on knowledge about gingivitis in adolescents. Methods: The type of quasi experimental research with a Non-equevalent control group design, sampling was conducted using simple random sampling with a total of 82 respondents. This sample was divided into 2 groups, namely the experimental and control groups. The location of the research was at SMA Negeri 1 Demak. The data collection technique used questionnaires and data analysis using wilcoxon and mann-whiteney tests. Results: The initial knowledge level of the experimental group was low (4.9%), medium (70.7%) and high (24.4%). Final knowledge with low (0%), medium (2.4%) and high (97.6%) criteria. The level of initial knowledge of the control group with low criteria (9.8%), medium (75.6%) and high 6 (14.6%). Final knowledge with low (0%), medium (36.6%) and high (63.4%) criteria. From the results of the study, there was an increase in knowledge from (70.7%), to (97.6%). The average knowledge in the experimental group was 4.29 and the control group was 2.56. The results of the Mann-Whitney Test obtained a value of p = 0.000 &lt; 0.05. Conclusion: There is a significant influence in the use of e-booklet media on the improvement of gingivitis knowledge in adolescents.

Effectiveness of jigsaw puzzle assisted visual reinforcement technique on toothbrushing knowledge, practices and clinical parameters of hearing and speech-impaired adolescents: A single-blind randomized controlled trial.

Oral health education (OHE) for hearing and speech-impaired (HSI) adolescents relies heavily on sign language. However, it is not effective in conveying oral health concepts due to communication barriers, resulting in suboptimal oral health outcomes. This study aims to evaluate the impact of the jigsaw puzzle assisted visual reinforcement (JPVR) technique on toothbrushing knowledge, practices, and clinical parameters among HSI adolescents. The study was carried out as a single-blind randomized controlled trial in a public school in Belagavi, India for a period of three months. The study included 95 participants who were randomly allocated into two groups. One group received sign language with JPVR technique, and the other group received only sign language. A self-designed 15-item closed-ended questionnaire (Cronbach's alpha value of 0.88; content validity ratio=0.85) was developed to assess the knowledge, and practices at baseline and 3 months. Plaque and gingival indices were also recorded. At the end of 3 months, the knowledge gained and practices improved in JPVR group were significantly higher compared to sign language group (p=.001). The mean plaque score was significantly lower in JPVR group than that in the sign language group (p=.001); however, gingival index did not show any statistically significant difference at 3 months. The current study demonstrated that OHE utilizing JPVR technique led to significant improvements in toothbrushing knowledge, practices, and plaque scores compared to that of conventional sign language. This promising strategy has the potential to be cost-effective and does not incorporate specialized sign language training for health professionals.

Links between parental monitoring and parent-adolescent conflict: A multimodal test of bidirectional relations.

During adolescence, youth increase in both independence and conflict with parents. Parents vary in how much they know about their adolescents' whereabouts and activities and how they acquire this information (i.e., the sources of what parents know). We probed how parental knowledge of adolescents' whereabouts and activities-and their information sources-relates to (a) domains of parent-adolescent conflict (fighting about, or having different beliefs about, daily life topics) and (b) parent and adolescent attachment-related behavior during a conflict discussion task. Using the Actor-Partner Interdependence Model, we tested links between parental knowledge and its sources and conflict processes. Eighty-seven adolescents (Mage = 15.18; 55% female) and parents completed surveys about parental knowledge and its sources (i.e., parental solicitation of adolescents' activities, adolescent disclosure to parents about their activities) and separate interviews on conflict domains. A subset of parent-adolescent dyads (n = 65) interacted for 5 min about an adolescent-identified conflict topic. Different beliefs about daily life topics related to parental knowledge: parents' reports of greater different beliefs about daily life topics predicted less knowledge of adolescents' activities/whereabouts, solicitation, and disclosure, for both parent and adolescent reports of these domains. For adolescents, greater different beliefs related to less solicitation and disclosure. Only adolescent reports of parental knowledge, solicitation, and disclosure predicted attachment-related behaviors both dyad members displayed during the conflict discussion task. Findings reveal links between parental knowledge of adolescents' activities and conflict processes and demonstrate dyadic interdependence between parental knowledge of adolescents' activities and conflict processes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Comparing skills-based and lecture-based education on female adolescents’ knowledge, attitudes, and practices regarding menstrual health in puberty: A quasi-experimental study

BACKGROUND: Improving the health knowledge, attitudes, and practices (KAP) of female adolescents during puberty is essential for their well-being, empowerment, and prospects. To compare the effects of skills-based versus lecture-based education on KAP regarding menstrual health among adolescent girls in Gujarat, India. MATERIALS AND METHODS: A quasi-experimental study with 100 girls aged 12–16 years assigned to skills-based (n = 50) or lecture-based (n = 50) 8-week puberty education programs. KAP was assessed at baseline, post-intervention, and 2-month follow-up using validated questionnaires. RESULTS: The skills-based group showed significantly greater improvements in knowledge (P &lt; 0.001), attitudes (P &lt; 0.001), and practices (P = 0.006) from baseline to post-intervention compared to the lecture group. These improvements were sustained at 2-month follow-up (knowledge (P &lt; 0.001), attitudes (P &lt; 0.001), and practices (P = 0.04)). Qualitative feedback highlighted increased enjoyment, engagement, and confidence in applying skills in the skills-based group. CONCLUSIONS: Skills-based menstrual health education was more effective than traditional lecturing for improving KAP among adolescent girls. Interactive learning equips girls with transferable skills for managing menstruation safely and with dignity. Schools should implement skills-focused curricula during puberty.

Bladder Health Knowledge, Attitudes, and Beliefs among US Adolescent Women

Lower urinary tract symptoms (LUTS) can have a pronounced impact on adolescent women's overall health and quality of life, both during adolescence and across the life course. Little research has examined adolescent women's knowledge, attitudes, and beliefs about bladder health and preventing LUTS. This study combines data from two large multi-site focus group studies of individuals born female who identified as women conducted by the Prevention of Lower Urinary Tract Symptoms (PLUS) Research Consortium. The first study included data from 8 focus groups conducted in 2018 with 44 adolescents aged 11 through 17 years. The second consisted of data from 20 focus groups conducted in 2020 with 123 adolescents aged 13 through 17 years. We used directed content analysis, including deductive and inductive approaches, to explore textual data and identify emergent insights. We present themes that emerged from analyzing coded data related to knowledge, attitudes, and beliefs. Themes included: (1) lack of information about bladder function, leading to limited knowledge, (2) hydration as a healthy behavior, (3) distinguishing healthy versus unhealthy voiding, (4) social and environmental barriers to voiding, and (5) shame and stigma of bladder related behaviors. Our data suggests that adolescent women are aware of healthy and unhealthy behaviors related to bladder health, despite little exposure to formal education about the bladder. Social and environmental factors, including stigma, appear to be primary drivers of adolescents' behaviors around bladder health, suggesting that multi-level socio-ecological prevention interventions are needed to prevent LUTS in this population.

Influence of Health Education Using Audio-Visual on Teenagers' Knowledge Regarding Teenagers' Sexual Behavior at SMA I Darus Salam Tapos West Java

Background:During adolescence, individuals cannot take full responsibility for the activities they do. Problems related to reproductive health that can occur during adolescence include pregnancy out of wedlock, rape, prostitution among teenagers, abortion, sexually transmitted diseases, sexual harassment and other sexual deviations such as promiscuity. Objective:To determine the influence of health education using audio visuals on adolescent knowledge regarding adolescent sexual behavior at SMAI Darus Salam Tapos, West Java. Methodology:The type of research used in this research is analytical descriptive with a one group pretest posttest approach. The population in this study was all 62 level X teenagers registered at SMAI Darus Salam. The sample uses total sampling. The instrument used in this research was a questionnaire containing adolescent knowledge regarding adolescent sexual behavior to be measured before providing the intervention and after providing the intervention. And test the hypothesis using the t test. Research result:It can be seen that the difference in adolescent knowledge regarding adolescent sexual behavior before and after being given the Health Education intervention using audio visuals with results tending to increase can be seen from the mean, median and mode values. The results obtained showed a significance level of ˂0.001, which means it is lower than 0.05, so the hypothesis is accepted. Conclusion:There is an influence of health education using audio visuals on adolescent knowledge regarding adolescent sexual behavior at SMAI Darus Salam. Suggestion:It is hoped that the results of this research can be used as a reference for further research supported by other sources, or can be used as a comparison to research on the influence of reproductive health education counseling using audiovisual media on subsequent adolescent sexual behavior.

Effect of Reproductive Health Education on Teenagers Through Video Media on Knowledge and Attitudes Regarding Sexual Pre-Marriage in SMPN 1 Dente Teladas

Premarital sex is contact between partners of the opposite or same sex, for example holding hands, kissing lips, kissing cheeks, petting, and having intimate relations, which is carried out without the legal ties of marriage according to religion and marriage law. The aim of this research is to determine the effect of reproductive health education on adolescent knowledge and attitudes about premarital sex in junior high school students. The type of research used is experimental research using a pretest-posttest design. The sample in this study was 98 students consisting of 49 experimental groups and 49 control groups. Data collection uses a questionnaire. Data analysis used the Wilxocon test. From the research results, it was found that the average knowledge of teenagers before being given education in the intervention group was 5.9 after being given education was 10.7 , in the control group it was 6.1 before and after 7.3 . The average attitude of adolescents before being given education in the intervention group was 23.8 and after being given education was 37.5. in the control group it was 23.9 and after administration in the control group it was 26.8 . There was an influence in the intervention group and the control group after being given and not being given educational video media on adolescent reproductive health on knowledge and attitudes about premarital sex at SMP N 1 Dente Teladas Tulang Bawang Lampung (p-value = 0.000). There was a difference in knowledge between the intervention and control groups of 44.82, while the difference in attitudes between the intervention and control groups was 49.0 (p-value = 0.000). It is hoped that education will be provided on an ongoing basis in schools .

An Evidence-Based Measure to Assess Self-Efficacy Among Adolescents With Type 1 Diabetes Mellitus in Jordan.

The purpose of the study was to assess self-efficacy among adolescents with type 1 diabetes mellitus and to identify its contributing factors using a new measure based on the International Society for Pediatric and Adolescent Diabetes Guidelines: the Type 1 Diabetes Mellitus Self-Efficacy Scale (T1DM-SES). A descriptive, cross-sectional design was used to collect data from 161 adolescents ages between 12 and 18 via an online questionnaire survey, including demographic and management-related variables and the 21 items of T1DM-SES. Results demonstrated that adolescents had high self-efficacy levels regarding the basic needs to manage their diabetes and relatively moderate and low levels regarding more sophisticated needs, such as adjusting insulin dose to correct fluctuated glucose levels, covering carbohydrates, and managing ketoacidosis at home. Adolescent females and adolescents who have working mothers or caregivers demonstrated higher levels of self-efficacy, whereas adolescents who have another family member with T1DM reported lower levels. Assessing adolescents' self-efficacy using evidence-based measures is crucial for informing health education plans. There should be a greater focus on acquiring the advanced knowledge and skills necessary for adolescents to manage the constantly evolving challenges of diabetes management. Access to health care and sufficient health insurance coverage that encompasses modern technology are fundamental for the effective management of T1DM.