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The community engagement group included a case manager of the high school, a young adult with cerebral palsy (male; 19 y of age) with mild intellectual disability and mobility disability who was a student at the school, and his caregiver. The group was involved in the study, starting from the design in the development phase to the completion of the study in the implementation phase.
JMIR Form Res 2025;9:e65801
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Notably, NMUPO is strongly linked with the initiation of heroin and synthetic opioid use (eg, fentanyl) in young adults, posing a substantial risk for the development of substance use disorder (SUD) and overdose [13]. Hence, interventions targeting young adults are urgently needed to address NMUPO, and those should be delivered beyond the college population [14].
Interventions for NMUPO in young adults should take psychosocial factors into account.
JMIR Res Protoc 2025;14:e65847
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Our findings align with previous research indicating the effectiveness of digital interventions in reducing alcohol consumption, particularly among the young male population [52], which mirrors the demographic of our study. Other studies have also shown positive effects in the general population, suggesting that such interventions could have broad applicability [29,31,53-55].
JMIR Form Res 2025;9:e64459
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