{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:47:47Z","timestamp":1785757667449,"version":"3.56.0"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Psychology Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>\n                    Adolescents in low-resource settings hold positive attitudes toward sexual and reproductive health (SRH) services, yet fail to use them. This study presents a theoretical reinterpretation of mixed-methods data (N = 408 adolescents, aged 13\u201319) from Uganda\u2019s Busoga region, through Festinger\u2019s Cognitive Dissonance Theory. Quantitative findings showed health-seeking attitudes predicted SRH service utilization (\u03b2 = 0.910,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001) and future intentions (\u03b2 = 1.976,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001), but 52% of adolescents had no SRH service contact in past year, and mean uptake scores remained below 2.0 on a 5-point scale. Qualitative analysis of focus group discussions identified three dissonance-reduction strategies: avoidance of health facilities, rationalization through misinformation, and selective information-seeking from peers. The reinterpretation proposes four intervention strategies: barrier reduction, community norm campaigns, cues to action with immediate access, and targeted messaging for working and rural adolescents. Addressing psychological discomfort and structural barriers may help close the attitude-behaviour gap.\n                  <\/jats:p>","DOI":"10.1177\/20551029261476116","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:45:15Z","timestamp":1785501915000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Explaining the attitude-behaviour gap in adolescent sexual and reproductive health service utilization: A cognitive dissonance perspective from rural Uganda"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6342-4113","authenticated-orcid":false,"given":"Noah Robert","family":"Nyende","sequence":"first","affiliation":[{"name":"Nkumba University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_3_9_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/6725432"},{"key":"e_1_3_9_3_1","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_3_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1529100618760521"},{"key":"e_1_3_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124192021002005"},{"key":"e_1_3_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2019.09.011"},{"key":"e_1_3_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316446002000104"},{"key":"e_1_3_9_8_1","doi-asserted-by":"publisher","DOI":"10.5334\/irsp.277"},{"key":"e_1_3_9_9_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell John W.","year":"2017","unstructured":"Creswell John W., Plano Clark Vicki L. 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