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You can focus on a specific item within a ListView in Android by calling the setSelection() method on the ListView and passing the position of the item you want to focus on as an argument. For example, if you want to focus on the third item in the list, you can call setSelection(2) (position indexes in Android start at 0). Additionally, you can use the smoothScrollToPosition() method to scroll to the position smoothly. For example, if you want to scrollTo smoothly to the 5th position, you can call smoothScrollToPosition(4).