Perilaku seksual berisiko pada remaja puteri merupakan masalah kesehatan reproduksi yang dapat meningkatkan risiko kehamilan tidak diinginkan serta berdampak pada aspek kesehatan, sosial, dan ekonomi. Penelitian ini bertujuan mengembangkan dan menguji Strategi Holistik Intervensi Nilai dan Edukasi (SHINE) dengan pendekatan Tiga Batu Tungku sebagai model peningkatan determinan protektif perilaku seksual berisiko kehamilan pada remaja puteri di Kota Ambon. Penelitian menggunakan mixed-methods exploratory sequential design yang terdiri atas tahap eksplorasi budaya dan kebutuhan intervensi, pengembangan model, serta pengujian efektivitas intervensi melalui desain kuasi-eksperimen. Tahap kualitatif melibatkan 53 informan, terdiri atas remaja, orang tua, tokoh agama, tokoh adat, guru/kepala sekolah, dan petugas kesehatan. Tahap kuantitatif melibatkan remaja usia 12–15 tahun, dengan 85 responden pada kelompok intervensi di Negeri Hative Kecil dan 83 responden pada kelompok kontrol di Negeri Passo. Data kuantitatif dianalisis menggunakan Difference-in-Differences (DiD). Analisis DiD menunjukkan bahwa kelompok intervensi mengalami peningkatan pengetahuan, sikap, dan keterampilan asertif yang lebih tinggi dibandingkan kelompok kontrol, dengan selisih masing-masing sebesar 32,24 poin, 23,26 poin dan 16,56 poin. Efek intervensi pada ketiga variabel signifikan secara statistik dengan nilai p<0,05. Temuan ini menunjukkan bahwa Strategi Holistik Intervensi Nilai dan Edukasi  (SHINE) dengan pendekatan Tiga Batu Tungku berpotensi meningkatkan determinan protektif pengetahuan, memperbaiki sikap, dan memperkuat keterampilan asertif remaja puteri dalam menolak tekanan seksual, mempertahankan keputusan, serta menghindari situasi berisiko. Model ini dapat dipertimbangkan sebagai strategi intervensi berbasis budaya lokal untuk pencegahan perilaku seksual berisiko kehamilan pada remaja puteri di Kota Ambon.

Risky sexual behavior among adolescent girls is a reproductive health problem that can increase the risk of unintended pregnancy and affect health, social, and economic aspects. This study aimed to develop and test the Holistic Strategy for Value Intervention and Education (SHINE) using the Tiga Batu Tungku approach as a model to improve protective determinants against pregnancy-related risky sexual behavior among adolescent girls in Ambon City. This study employed a mixed-methods exploratory sequential design consisting of cultural exploration and intervention needs assessment, model development, and intervention effectiveness testing through a quasi-experimental design. The qualitative phase involved 53 informants, consisting of adolescents, parents, religious leaders, traditional leaders, teachers/school principals, and health workers. The quantitative phase involved adolescents aged 12-15 years, with 85 respondents in the intervention group in Negeri Hative Kecil and 83 respondents in the control group in Negeri Passo. Quantitative data were analyzed using Difference-in-Differences (DiD). The DiD analysis showed that the intervention group experienced greater increases in knowledge, attitudes, and assertive skills than the control group, with differences of 32.24 points, 23.26 points, and 16.56 points, respectively. The intervention effects on the three variables were statistically significant with p < 0.05. These findings indicate that the Holistic Strategy for Value Intervention and Education (SHINE) using the Tiga Batu Tungku approach has the potential to improve protective determinants of knowledge, enhance attitudes, and strengthen assertive skills among adolescent girls in refusing sexual pressure, maintaining their decisions, and avoiding risky situations. This model may be considered a local culture-based intervention strategy for preventing pregnancy-related risky sexual behavior among adolescent girls in Ambon City

Background: Adolescents in Aceh face challenges related to risky behaviors such as drug abuse, smoking, premarital sexual activity, teenage pregnancy, and exposure to HIV/AIDS, which impact their health, social well-being, and the quality of human resources. Low levels of knowledge and resilience among adolescents, as well as the limitations of existing programs, pose serious challenges. On the other hand, Aceh possesses social and religious strengths through the role of Teungku Inong and the Seumeubeut tradition as educational spaces close to adolescents, yet these have not been optimally utilized as an approach to adolescent health education. This study aims to develop a community-based reproductive health and life skills  education model through the role of Teungku Inong and Seumeubeut practices in preventing risky health behaviors among adolescents in Aceh Province. Methods: This study employs a mixed-methods exploratory sequential design in three phases: phenomenological qualitative analysis, development of a community-based educational model, and quasi-experimental quantitative analysis. The study was conducted in Bireuen Regency, Aceh Province, from October 2024 to November 2025, with a sample of 62 Teungku Inong in the intervention group and 61 in the control group, as well as 186 adolescents. Data analysis utilized Generalized Estimating Equations (GEE) and Difference-in-Differences (DiD). Results: Teungku Inong possess strong moral and social legitimacy as social mediators within the community; however, they require capacity building regarding reproductive health and life skills . The Integrated Seumeubeut Model developed integrates reproductive health education, psychosocial life skills , as well as Islamic values and Acehnese culture into a community study group format. GEE analysis revealed that the interaction term in Post-test 1 increased role scores by β = 3.465 (95% CI: 1.711–5.218; p < 0.001) and by β = 2.578 (95% CI: 0.458–4.697; p = 0.01) in Post-test 2. Results of the DiD analysis showed an increase in role scores in the intervention group compared to the control group with a coefficient of 15.19 (p < 0.001). The model intervention contributed to a 44% increase in role scores at the first post-test (1 month) and a 49% increase at the second post-test (2 months post-intervention). Conclusions and recommendations: The Integrated Seumeubeut Model was proven to significantly enhance the role of Teungku Inong as agents of change while strengthening protective factors for adolescents against risky behaviors. The Integrated Seumeubeut Model can be recommended as a community-based, contextually relevant, practical, and potentially sustainable promotive-preventive approach within the adolescent protection system in Aceh.

Remaja dengan disabilitas intelektual ringan memiliki kerentanan tinggi terhadap risiko kesehatan reproduksi dan kekerasan seksual, sementara kapasitas orang tua sebagai pendidik utama masih terbatas. Penelitian ini bertujuan mengembangkan Model Edukasi Parent as Teacher (PAT) dan menilai efeknya dalam meningkatkan pengetahuan, sikap, dan efikasi diri orang tua dalam memberikan pendidikan seksual kepada remaja dengan disabilitas intelektual ringan. Penelitian ini menggunakan metode campuran (mixed methods) dengan desain sequential exploratory yang terdiri atas tiga tahap. Tahap pertama adalah eksplorasi pemahaman, hambatan, dan kebutuhan orang tua melalui studi kualitatif dengan wawancara mendalam. Tahap kedua adalah pengembangan model PAT berbasis kebutuhan dengan mengacu pada kerangka ADDIE. Tahap ketiga adalah pengujian efek model melalui desain kuasi-eksperimental one-group pretest-posttest pada 50 orang tua, dengan tiga kali pengukuran dan analisis menggunakan General Linear Model Repeated Measures. Hasil penelitian menunjukkan peningkatan kapasitas orang tua yang bermakna pada seluruh variabel (p<0,05). Skor pengetahuan meningkat dari 48,00 menjadi 78,10; skor sikap meningkat dari 64,07 menjadi 91,17; dan skor efikasi diri meningkat dari 58,54 menjadi 91,81 Ukuran efek berada pada kategori besar dengan rentang Partial η² = 0,173–0,365, dan peningkatan bertahan hingga pengukuran tindak lanjut. Model PAT menunjukkan efek positif dalam meningkatkan kapasitas orang tua dan berpotensi menjadi pendekatan pendidikan seksual berbasis keluarga yang terstruktur, kontekstual, dan berkelanjutan bagi remaja dengan disabilitas intelektual ringan.

Adolescents with mild intellectual disabilities are highly vulnerable to reproductive health risks and sexual violence, while the capacity of parents as primary educators remains limited. This study aimed to develop the Parent as Teacher (PAT) Educational Model and evaluate its effect on improving parents’ knowledge, attitudes, and self-efficacy. A mixed-methods approach with a sequential exploratory design was employed, consisting of three stages: exploration of parents’ understanding, barriers, and needs through a qualitative study involving in-depth interviews with informants; development of a needs-based educational model guided by the ADDIE framework; and evaluation of the model’s effect. The quantitative phase used a one-group pretest–posttest quasi-experimental design involving 50 parents, with three measurement points and analysis using General Linear Model Repeated Measures. The results showed a significant improvement in parental capacity across all variables (p<0.05). Knowledge scores increased from 48.00 to 78.10, attitude scores from 64,07  to 91,17, and self-efficacy scores from 58,54 to 91,81. The effect sizes were in the large category, with Partial η² ranging from 0.173 to 0.365, and the improvements were sustained at follow-up. The PAT Educational Model was proven effective in improving parental capacity and has the potential to serve as a structured, contextual, and sustainable family-based approach to sexual education for adolescents with mild intellectual disabilities.