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Developmental Behavioral & Community Pediatrics

                                              P-DBCP-009
               The Development and Design of The Social Mastery and Resilience Training
              against Tobacco and E-Cigarette Using E-Learning and Social Media (SMART
                        TEENS Project), an Online Smoking Prevention Program
                            for Adolescents Amidst the COVID-19 Pandemic

              Anshorulloh Abd Fath, Hera Afidjati, Rabid Yahya Putradasa, Eldesta Nisa Nabila, Bernie Endyarni Medise
             Department of Child Health, Faculty of Medicine Universitas Indonesia/Dr. Cipto Mangunkusumo General Hospital,
                                             Jakarta, Indonesia
                                               Abstract
            Background COVID-19 pandemic hinders the public health campaigns against tobacco and e-cigarette
            smoking in teenagers. Since face-to-face programs in schools and communities are still deemed unsafe, the
            internet and social media can be powerful tools to deliver these programs. To our knowledge, no programs
            have been published to address this in Indonesia. Objective To deliver the Social Mastery and Resilience
            Training against Tobacco and E-Cigarette Using E-Learning and Social Media (SMART TEENS) Project,
            a 3-week evidence-based, online anti-smoking program for teenagers >15 years old. Methods The program
            includes education about a.) the socio-biological effects of smoking and vaping, b.) stress coping strategies,
            and c.) how to resist pro-smoking peer pressure and advertisement. We invite the participants to a WhatsApp
            group. We have prepared 17 TikTok-format short videos. We send one of these daily and discuss each of them
            with the participants through the group chat. Professional designers-animators and a social media expert
            were hired in creating these contents. We also organize competitions to create anti-smoking pantun and
            memes, both with money prize. Lastly, we conduct four 90-minute Zoom interactive discussions weekly,
            with 10–12 teenagers facilitated by one doctor. Conclusion We are currently conducting a feasibility study
            with 38 participants in Kota Metro, Lampung. If results are favorable, we are planning to conduct a school-
            based, randomized controlled trial in 6 high schools with 500 participants. As the first evidence-based,
            comprehensive, online anti-smoking program in Indonesia, we hope that the SMART TEENS Project offer
            a promising strategy to protect Indonesian adolescents from the dangers smoking.
                            Keywords: e-cigarette; tobacco; prevention; adolescent; social media



                                              P-DBCP-010
              Association between Iron Deficiency Anemia and Quality of Life in Adolescent

                          Mulyono, Nila Layli Rakhmawati , Yetty Movieta Nency, Farid Agung R.
                    Department of Child Health, Faculty of Medicine, Universitas Diponegoro/Dr. Kariadi Hospital.
                                        Semarang, Central Java, Indonesia

                                               Abstract
            Background Adolescence is an important period of growth and development before reaching the adult stage.
            Iron deficiency anemia/IDA leads to decreased overall performance and productivity especially in adolescents.
            Many quality of life studies but still rare, link anemia in adolescents. Objective To determine association
            between IDA and quality of life in adolescents. Methods This cross-sectional analytical study was conducted
            in Semarang in May-August 2020. Adolescents aged 13-16 years were recruited. IDA was determined by
            history, physical examination and laboratory tests using the following criteria: Hb levels: females : <12 g/
            dL, males : <13 g/dL, Serum Iron: <40 g/dL 3, TIBC : >410 g/dL and Erythrocyte morphology: microcytic
            hypochromic. Quality of life was measured using the PedsQL Generic Core Scale 4.0 questionnaire.
            Results There were 120 children aged 13-16 years recruited for this study but 10 subjects with major
            depression, and anxiety dropped out. The percentage of boys and girls was 25,8% and 74.2% respectively.
            IDA was diagnosed in 10,9% of the respondents and 19.1% had low Hb level. From the QL test, 24.5%
            were found to have poor quality of life. Among the subjects who had IDA, 4 out of 12 (33.3%) had poor
            quality of life compared to the subjects without IDA 23:98 (23.4%) but not statistically significant. There
            was a significant association between IDA and adolescent physical function but not with other functions
            and overall quality of life. Conclusion There was no association between IDA and quality of life but had
            association with physical function in adolescents.
                              Keywords: iron deficiency anemia; quality of life; QoL; PedsQL



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