1 10 15 https://repository.horizon.ac.id/files/original/7d456f86e84865cefefda5d39cc9f60c.pdf fb70a4cd8abb4e9436ce9504fb3cbb48 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analysis of Risk Factor and Mortality Among Acute Coronary Syndrome Patients: A Retrospective Cohort Study Subject The topic of the resource acute coronary syndrome, mortality, myocardial ischemia, risk factor Description An account of the resource Introduction: Acute coronary syndrome is the leading cause of death worldwide related to degenerative lifestyle-associated processes. The factors contributing to these cases are interconnected. Understanding these factors is essential for improving patient outcomes and tailoring treatment strategies. This study aimed to explore demographic risk factors, medical history, and cardiopulmonary conditions that may contribute to mortality among acute coronary syndrome patients. Methods: This study is a Survey/Observational study with a retrospective Cohort approach. The population of this study was all medical record data of patients with Acute Coronary Syndrome (ACS) who were treated at Lavalete Hospital – Malang from January to December 2023, with 76 patients' medical records in total. The total sampling technique was obtained in this study, then analysed by STATA 17 at the (α<0.05) significant level. Results: It found that education level was a significant factor affecting mortality, with less educated individuals having a higher risk of death (P < 0.01). Meanwhile, demographic factors such as age, gender, and marital status showed no significant correlation with mortality. Conditions such as acute pulmonary oedema (P=0.02) and pneumonia (P=0.00) proved to be significant risk factors for mortality. In contrast, other conditions, such as cardiomegaly, pulmonary congestion, pleural effusion, and atherosclerosis, had no significant impact. Conclusion: This study highlights acute pulmonary oedema and pneumonia as significant risk factors for mortality. Future studies should aim to include larger sample sizes and consider longitudinal data better to understand the complex relationships between medical history and mortality. Creator An entity primarily responsible for making the resource Bayu Budi Laksono1* Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64479 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text acute coronary syndrome, mortality, myocardial ischemia, risk factor https://repository.horizon.ac.id/files/original/9d856172b3d166b2e5bc314a23432a55.pdf e9a0c138bb795e4b75a57c0c63a0a9a6 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource NGS-Based Insights into the Oral Microbiome and Glycemic Control in Pediatric Type 1 Diabetes Mellitus: A Literature Review Subject The topic of the resource child, diabetes mellitus type 1, glycemic control, oral microbiome, 16S rRNA Description An account of the resource Introduction: Type 1 Diabetes Mellitus (T1DM) in children is associated with significant alterations in the oral microbiome that can influence glycemic control and oral health. This study aimed to synthesize current evidence on the composition of the oral microbiome in children with T1DM using Next-Generation Sequencing (NGS) and its association with glycemic parameters. Methods: A structured literature review was conducted on studies published between 2020 and 2025 that utilized 16S rRNA sequencing to compare the oral microbiome of children with T1DM and healthy controls. Results: Across the included studies, dysbiosis was consistently observed, characterized by increased pathogenic taxa (Prevotella, Veillonella) and decreased protective genera (Streptococcus), which correlated with elevated HbA1c levels and poor metabolic control. These findings suggest that hyperglycemia-driven shifts in the oral microbiome may exacerbate inflammation and oral disease risk, potentially forming a bidirectional relationship between glycemic regulation and microbial imbalance. Conclusion: Oral microbiome profiling shows promise as a non-invasive indicator of glycemic status in children with T1DM. Further standardized, longitudinal studies in local populations, particularly in Indonesia, are recommended to validate these findings and support the integration of oral microbiome monitoring into pediatric diabetes management. Creator An entity primarily responsible for making the resource Eri Dian Maharsi1*, Pratiwi Pudjilestari Sudarmono1, Diniwati Mukhtar1, & Fadilah2 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64513 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text child, diabetes mellitus type 1, glycemic control, oral microbiome, 16S rRNA https://repository.horizon.ac.id/files/original/9ca322e1e68133ace229a82de051f53c.pdf 58a620facfe77cf21b1f3e7a00c3629d Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Relationship Between Self-Criticism and Hemoglobin A1c Levels in Patients with Type 2 Diabetes Mellitus Subject The topic of the resource diabetes mellitus, hemoglobin A1c, self-criticism Description An account of the resource Introduction: Type 2 DM is still one of the metabolic diseases with a prevalence that continues to increase globally, including Indonesia. The problem that arises is that psychosocial factors, including distress due to diabetes, self-compassion, and self-criticism, have been identified as factors that can affect glucose regulation and quality of life of Type 2 DM patients. The Purpose of this Study is to Identify the Relationship Between Self-Criticism and Hemoglobin A1c Levels in Patients with Type 2 Diabetes Mellitus. Methods: This study employed a correlational design to examine the relationship between self-criticism with the glucose index in patients with type 2 Diabetes Mellitus at the Pesantren I Primary Health Center, Kediri City. The Self-criticism was assessed using the Forms of Self- Criticizing/Attacking and Self-Reassuring Scale (FSCRS), and Hemoglobin A1c levels were examined using a Portable Analyzer. The collected data were analyzed using the regression test (α < 0.05). Results: The study showed that the self-criticism of Type 2 DM sufferers was mostly high (66%), with the results of the Hemoglobin A1c Levels being mostly abnormal (67%). There is no relationship between Self- Criticism and Hemoglobin A1c Levels of Type 2 DM sufferers (p = 0.96). Conclusion: Self-criticism does not directly affect the hemoglobin A1c levels. The findings emphasize that Hemoglobin A1c Levels in patients with diabetes mellitus are predominantly influenced by biological factors (such as dietary adherence, physical activity, pharmacological therapy, and metabolic conditions), rather than by a single psychological factor such as self-compassion. Creator An entity primarily responsible for making the resource Erva Elli Kristanti1* & Dyah Ayu Kartika Wulan Sari1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64518 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text diabetes mellitus, hemoglobin A1c, self-criticism https://repository.horizon.ac.id/files/original/fe087ae6adeb892dc90b581c4a8d1c55.pdf 2593b99b7c07f86b66154c84bb421514 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource The Role of Cultural Values in Feeding Practices among Children with Stunting in Jembrana Regency: A Qualitative Approach Subject The topic of the resource caregiver, cultural characteristics, feeding behaviors, nutritional status, qualitative research Description An account of the resource Introduction: Stunting remains a public health problem in Jembrana Regency, Bali. Despite a decline in prevalence, persistent cases suggest that cultural and nutritional factors influence feeding practices. This study aimed to explore cultural meanings and practices shaping feeding behaviors among children with stunting. Methods: This study employed a qualitative approach with an ethnographic design. The subjects of this study were 10 mothers or caregivers of children aged 12 - 59 months with stunting, residing in Jembrana Regency, and one healthcare worker was selected using a purposive sampling technique. Data were collected through an in-depth interview guide, an observation sheet, documentation, and field notes. The collected data were then analyzed using a thematic analysis approach. Data validity was ensured through triangulation, peer debriefing, and member checking. Results: The study identified four main themes that reflect how cultural values shape feeding behaviors in children with stunting. These themes include: (1) Snacks as substitutes that reduce appetite for main meals; (2) Normalization of small body size; (3) Flexibility expressed as "as long as the child wants to eat"; and (4) Collective caregiving culture (allomothering). Conclusion: Stunting in Jembrana is influenced by cultural values and family dynamics, so effective interventions must be culturally sensitive and target snack habits, parental misconceptions, dietary diversity, and caregiving coordination, including the role of grandmothers, to reduce stunting risk. Providing culturally sensitive nutrition education involving extended family and child caregivers is necessary in nursing. Creator An entity primarily responsible for making the resource Komang Srititin Agustina1* & Ketut Anom Sri Kesumawati1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64515 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text caregiver, cultural characteristics, feeding behaviors, nutritional status, qualitative research https://repository.horizon.ac.id/files/original/ec95c184f9e3af3a738b9da7680df494.pdf 9dd116044c39aef22409b6797dcf7979 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Analysis of Factors Affecting Response Time in the Management of Heart Attacks Based on Pecalang (Buleleng Skilled Ambulance Officers) Subject The topic of the resource ambulance personnel, cardiac arrest, heart attack, pre-hospital, response time Description An account of the resource Introduction: A heart attack is commonly caused by acute coronary syndrome, which may be asymptomatic yet lead to sudden cardiac arrest, particularly outside a hospital setting. Ambulance personnel serve as frontline responders in delivering lifesaving interventions. This study analyzed the factors influencing ambulance response time in heart attack cases in Buleleng. Methods: A mixed-method design was applied in Buleleng Regency, simultaneously integrating quantitative and qualitative strands. This study involved 110 ambulance officers selected purposively from hospitals and community health centers across Buleleng. The qualitative strands involved 10 key informants. Quantitative variables included personnel experience, training, travel time, type of ambulance, and communication delay. Data were collected using structured questionnaires and complemented by interviews and FGDs for qualitative insights. Quantitative data were analyzed using correlation and regression tests, while qualitative data were thematically analyzed. Results: Personnel experience (r = –0.197; p = 0.039) significantly reduced response times, highlighting the importance of clinical competence acquired in the field. Training (r = 0.104; p = 0.278) enhanced service quality but showed limited direct impact without continuous practice and operational support. Travel time (r = 0.672; p < 0.001) emerged as the primary delay factor, influenced by distance, traffic, and road conditions. Type of ambulance (r = –0.235; p = 0.014) also affected mobilization efficiency, while communication barriers (r = 0.844; p < 0.001; OR = 0.002) were the strongest determinant of delays. Conclusion: Reducing ambulance response times requires systemic improvements in communication, fleet readiness, operational management, and infrastructure, beyond individual competence alone. Creator An entity primarily responsible for making the resource Made Martini1* & Aryawan1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64524 Date A point or period of time associated with an event in the lifecycle of the resource 29 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text ambulance personnel, cardiac arrest, heart attack, pre-hospital, response time https://repository.horizon.ac.id/files/original/1fcf9b0b49e2b2100374610bf2c56642.pdf ed55ab03e2996e529919cfc6273ea6fa Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Influence Culture on Perceptions, Behaviors, and Risk of Repeat Attacks in Patients with Heart Disease: A Literature Review Based on Transcultural Nursing Subject The topic of the resource coronary heart disease, culture, transcultural nursing Description An account of the resource Introduction: Differences in values, norms, and customs across societies shape how patients understand their illness, make decisions about seeking care, and undergo treatment and recovery. Based on a transcultural nursing approach, this study aims to synthesize findings from various literatures that identify cultural influences on heart disease management and their implications for preventing recurrent heart attacks. Methods: This study was a narrative literature review with the PICO framework, using PubMed, ScienceDirect, Google Scholar, and relevant sources (2016–2025). Of the 1,539 articles identified, 15 met the criteria and were analyzed narratively. Results: The study identified six aspects of the role of culture in heart disease: disease perception (local beliefs and spirituality), coping and treatment seeking (family norms, traditional practices, access), ethnic and gender inequalities, immigrant acculturation (Western lifestyle), collectivism and family roles (compliance vs. delay of help), and local environmental factors/traditions (e.g., solid fuels). Culture can be both a risk and a protective factor through family support, spirituality, and community. Conclusion: Culture is important in preventing and managing heart disease, particularly in reducing the risk of recurrent heart attacks. Transcultural nursing sensitive to cultural diversity is needed to improve health literacy, medication adherence, and reduce cardiovascular inequalities across populations. Creator An entity primarily responsible for making the resource Made Oktaviani Bulan Trisna1, I Gede Putu Darma Suyasa1*, Israfil1, & Putu Inge Ruth Suantika1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64517 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text https://repository.horizon.ac.id/files/original/fe4a1ae702f9e2687b4e7c4ccd31164f.pdf 04c3a6e48915ad45d63789c1ecd2df01 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Integrating the MERDEKKA Intervention into Palliative Care for Tuberculosis Patients: A Mixed- Methods Study Subject The topic of the resource Tuberculosis, palliative care, holistic health Description An account of the resource Introduction: WHO has established a target for treating tuberculosis patients aligned with Asta Cita 4 in the health sector, specifying that Indonesia would be TB-free by 2030. Given the severity of TB patients' symptoms from diagnosis to treatment, a comprehensive palliative care strategy is essential. Palliative care does not only mean end-of-life care. Methods: This study used a mixed-methods sequential explanatory design. Quantitative data were first collected using a one-group pre- and post-test design with 80 samples, and the results were used as the basis for qualitative analysis with 15 participants. The instrument used to implement the MERDEKKA intervention based on the RESPECT Model consists of assignment of pain, ethical support, education, spiritual, communication, and interprofessional collaboration. Results: The majority of respondents (35.8%) were aged 62 to 72, largely male (96.1%), and had completed junior high school (43.5%). Most respondents were farmers (48.7%), had tuberculosis in their family (96.1%), and had been on treatment for at least 6 months. The MERDEKKA intervention had a substantial impact, with a p-value of 0.001 for knowledge and 0.003 for attitudes. The effect size value was larger than 1.0, indicating a potent influence. Patients' experiences after the MERDEKKA intervention are described in three themes: Developing good trust between the patient and the nurse, providing proper and necessary care, and being enthusiastic about healing within six months. Conclusion: The palliative care model, including the MERDEKKA intervention, is critical in caring for TB patients. Creator An entity primarily responsible for making the resource Ni Luh Seri Astuti1*, Aditha Angga Pratama1, I Dewa Ayu Rismayanti1, Triya Resti Ramandhani2, & Luh Sumardiani2 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64523 Date A point or period of time associated with an event in the lifecycle of the resource 27 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text uberculosis, palliative care, holistic health https://repository.horizon.ac.id/files/original/96ce7ce3b04b5ed620b4c4abc50584f1.pdf 4d32992978b330904d8bb15b483b620c Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Care and Technology Collaboration for Health: Upgrading Prevention of Chronic Complications through Family Empowerment (CATCH-UP) Subject The topic of the resource chronic disease, family support, health literacy, self- care, disease management Description An account of the resource Introduction: Chronic diseases such as chronic kidney disease (CKD), diabetes mellitus, and hypertension are major contributors to morbidity and mortality worldwide, particularly in Indonesia, where they impose significant healthcare burdens. Suboptimal patient self-care, often due to limited digital literacy and inadequate family support, exacerbates disease progression and complications. This study aimed to evaluate the effectiveness of a family-centered, technology-assisted empowerment program in improving digital health literacy, self-care behaviors, and family empowerment among CKD patients undergoing hemodialysis. Methods: A quasi-experimental design involving 60 families allocated into intervention and control groups was employed. Data were collected at two time points—baseline and after the 4-week intervention—using standardized questionnaires for digital literacy (eHEALS), self-care behaviors (SDSCA-CKD), and family empowerment (FES). Baseline data were collected during an initial face-to-face enrollment session, while post- intervention data were collected using secure digital forms. Statistical analyses included paired and independent t-tests and Pearson correlation. Results: The intervention group showed significant improvements in digital health literacy (mean increase = 8.21; p < 0.001), self-care behaviors (mean increase = 16.65; p < 0.001), and family empowerment (mean increase = 1.79; p < 0.001), with strong positive correlations between between family empowerment and self-care (r = 0.257; p = 0.047) and between digital literacy and family empowerment (r = 0.455; p < 0.001). Conclusion: The CATCH-UP model is an effective approach to enhancing self-care and preventing complications in chronic disease management through empowered family engagement and digital literacy enhancement. Creator An entity primarily responsible for making the resource Ni Made Ayu Sukma Widyandari1*, Ni Wayan Udayani1, Ida Ayu Fla Aganta Wardana1, & Isty Nur Khalimatus Sa'diyah1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64529 Date A point or period of time associated with an event in the lifecycle of the resource 29 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text chronic disease, family support, health literacy, self- care, disease management https://repository.horizon.ac.id/files/original/1024f05df1ad66bf53e221f5d27010db.pdf c79269b8919da4ae5fd4b54541e7ebcd Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Pharmacists' and Type 2 Diabetes Mellitus Patients' Perceived Barriers to Insulin Therapy at Hospital: A Qualitative Study Subject The topic of the resource Insulin, perceived_barriers, qualitative_study, T2DM Description An account of the resource Introduction: Recent data show that Indonesia ranks fifth in the world for diabetes mellitus (DM). An increase in insulin use accompanies the increasing prevalence of DM. However, several barriers to insulin use remain among patients and healthcare professionals, impacting blood glucose control. This study explored perceptions of barriers to insulin therapy among T2DM patients and hospital pharmacists. Methods: This research was a qualitative study. The recruitment of participants used a consecutive sampling method. Eighteen in-depth interviews were conducted with T2DM patients, and nine were conducted with hospital pharmacists at a private hospital. Thematic analysis was used to generate findings in this research. Results: Barriers faced by patients in insulin therapy include fear and anxiety, insulin use practices, and misconceptions about insulin. Meanwhile, the results of the barriers faced by pharmacists on providing education and consultation on insulin therapy included patient, facility, and system barriers. These factors can impact insulin therapy and target outcomes in T2DM patients. Conclusion: Barriers from the patient and pharmacist perspectives are very important to assess, so that comprehensive therapy in the form of collaboration between health workers and patients can be implemented to achieve the target outcomes for T2DM patients. Creator An entity primarily responsible for making the resource Ni Made Suastini1* & Ni Putu Ayu Deviana Gayatri1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64525 Date A point or period of time associated with an event in the lifecycle of the resource 29 October 2025 Contributor An entity responsible for making contributions to the resource Peri Irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text Insulin, perceived_barriers, qualitative_study, T2DM https://repository.horizon.ac.id/files/original/20d53e0e5a6215cbb5cc553d5eb651c9.pdf 92b9c373db3e47dd2f96f34591d6b046 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource VOL. 6 NO. 4 2025 Contributor An entity responsible for making contributions to the resource peri irawan Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Impact of Social Interaction and FOMO on Adolescent Mental Health in the Digital Age Subject The topic of the resource adolescent, FOMO, mental health, social interaction, social media Description An account of the resource Introduction: Social interaction in the digital era shapes adolescents' mental well-being. While online platforms promote social connection, they also increase exposure to cyberbullying, social pressure, and Fear of Missing Out (FOMO), which may lead to psychological distress. This study investigated how social interaction and FOMO simultaneously affect adolescents' mental health in Bali. Methods: This cross-sectional study examined the relationship between social interaction, FOMO, and adolescent mental health among 345 adolescents aged 10–18 in Bali Province. Participants were active social media users recruited through consecutive sampling. Data were collected using a validated 106-item Likert-scale questionnaire (Cronbach's α = 0.968) and analyzed using logistic regression with a significance level of p < 0.05. Results: Multivariate analysis showed that poor face-to-face interaction (AOR = 9.75; 95% CI: 4.99–19.03; p = 0.036), high online interaction (AOR = 17.10; 95% CI: 8.51–33.99; p = 0.001), and identified FOMO status (AOR = 6.13; 95% CI: 3.36–11.16; p = 0.018) were significantly associated with higher psychological distress among adolescents. Conclusion: A combination of reduced in-person social interaction, excessive online engagement, and FOMO substantially increases the risk of mental health problems in adolescents. Limited offline interaction restricts emotional support and social validation, while high online activity and FOMO contribute to anxiety, social comparison, and feelings of exclusion. These findings highlight the importance of promoting balanced social interaction and digital literacy in the digital age to support adolescent mental health. Creator An entity primarily responsible for making the resource Ni Putu Diwyami1*, Ni Made Ayu Sukma Widyandari1, & Ni Putu Veny Narlianti1 Source A related resource from which the described resource is derived https://doi.org/10.37363/bnr.2025.64528 Date A point or period of time associated with an event in the lifecycle of the resource 28 October 2025 Contributor An entity responsible for making contributions to the resource peri irawan Format The file format, physical medium, or dimensions of the resource pdf Language A language of the resource english Type The nature or genre of the resource text adolescent, FOMO, mental health, social interaction, social media