A Web-Based Education Program to Empower Family in Smoking Prevention among Adolescents in Indonesia: A Randomized Controlled Trial
DOI:
https://doi.org/10.3889/oamjms.2022.9682Keywords:
Web-based intervention, Adolescent, Smoking prevention, Family empowermentAbstract
BACKGROUND: Stronger family connections, communications, and parental respect reduce smoking initiation. Web-based computer-tailored smoking prevention programs may help decrease smoking initiation rates among adolescents. However, there is currently no conclusive evidence regarding the efficacy of a web-based, computer-tailored smoking prevention program to empower families in adolescent smoking prevention.
AIM: This study aimed to investigate the effects of web-based education program to empower family, improve skill to refuse, and prevent smoking initiation among adolescent in Indonesia.
METHODS: A randomized controlled trial was employed on family members in Bogor, West Java, Indonesia. The following criteria were the mother or legal guardian of children aged 10 to 14 years who are not currently smoking. Data were collected 3 times: One week before the start of the training (baseline), immediately after intervention (T1), and three months after the training concluded (T2).
RESULTS: 77 participants completed the study, 37 in the intervention group and 40 in the control group. The average age in this sample of the family (mother) was 37.34 (SD:7.51) years in the intervention group and 11.75 (SD:6.81) for the control group. From baseline to follow-up, family empowerment, smoking refusal skill, and smoking intention increased 38%, 24%, and 33%, respectively.
CONCLUSIONS: A web-based education program appears to be a suitable catalyst for empowering family and smoking prevention among adolescents. It should be regarded as a valuable and supportive addition to existing and future programs.Downloads
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References
Lando HA, Hipple BJ, Muramoto M, Klein JD, Prokhorov AV, Ossip DJ, et al. Tobacco is a global pediatric concern. Bull World Health Organ. 2010;88(1):2. https://doi.org/10.2471/BLT.09.069583 PMid:20428341 DOI: https://doi.org/10.2471/BLT.09.069583
Mackay J, Eriksen M. The Tobacco Atlas. Geneva, Switzerland: World Health Organization; 2002.
WHO. Tobacco: Key Facts. Swiss: WHO; 2019. p. 1. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco. [Last accessed on 2019 Aug 20].
Hipple B, Lando H, Klein J, Winickoff J. Global teens, and tobacco: A review of the globalization of the tobacco epidemic. Curr Probl Pediatr Adolesc Health Care. 2011;41(8):216-30. https://doi.org/10.1016/j.cppeds.2011.02.010 PMid:21821205 DOI: https://doi.org/10.1016/j.cppeds.2011.02.010
Kemenkes RI. Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2019.
Dijkstra M, Mesters I, De Vries H, van Breukelen G, Parcel G. Effectiveness of a social influence approach and boosters to smoking prevention. Health Educ Res. 1999;14(6):791-802. https://doi.org/10.1093/her/14.6.791 PMid:10585386 DOI: https://doi.org/10.1093/her/14.6.791
Isensee B, Hanewinkel R. Meta-analysis on the effects of the smoke-free class competition on smoking prevention in adolescents. Eur Addict Res. 2012;18(3):110-5. https://doi.org/10.1159/000335085 PMid:22285973 DOI: https://doi.org/10.1159/000335085
Leurs MT, Bessems K, Schaalma HP, de Vries H. Focus points for school health promotion improvements in Dutch primary schools. Health Educ Res. 2007;22(1):58-69. https://doi.org/10.1093/her/cyl043 PMid:16766607 DOI: https://doi.org/10.1093/her/cyl043
RE, McLellan J, Perera R. School-based programmes for preventing smoking. Cochrane Database Syst Rev. 2013;2013(4):CD001293. https://doi.org/10.1002/14651858.CD001293.pub3 PMid:23633306 DOI: https://doi.org/10.1002/14651858.CD001293.pub3
Crone MR, Reijneveld SA, Willemsen MC, van Leerdam FJ, Spruijt RD, Sing RA. Prevention of smoking in adolescents with lower education: A school-based intervention study. J Epidemiol Community Health. 2003;57(9):675-80. https://doi.org/10.1136/jech.57.9.675 PMid:12933772 DOI: https://doi.org/10.1136/jech.57.9.675
Zaborskis A, Kavaliauskienė A, Eriksson C, Klemera E, Dimitrova E, Melkumova M, et al. Family support as smoking prevention during transition from early to late adolescence: A study in 42 countries. Int J Environ Res Public Health. 2021;18(23):12739. https://doi.org/10.3390/ijerph182312739 PMid:34886464 DOI: https://doi.org/10.3390/ijerph182312739
Susanto A, Hartono H, Nurhaeni ID, Kartono DT. The role of parents to prevent early adolescents smoking behavior: A qualitative study on adolescents in Tegal City, Indonesia. Syst Rev Pharm. 2020;11(7):71-5.
Carson K, Brinn M, Labiszewski N, Esterman A, Chang A, Smith B. Community interventions for preventing smoking in young people. Cochrane Database Syst Rev. 2011;(7):CD001291. https://doi.org/10.1002/14651858.CD001291.pub2 PMid:21735383 DOI: https://doi.org/10.1002/14651858.CD001291.pub2
Ghasemi A, Rahimi Foroshani A, Kheibar N, Latifi M, Khanjani N, Eshagh Afkari M, et al. Effects of family-centered empowerment model-based education program on quality of life in methamphetamine users and their families. Iran Red Crescent Med J. 2014;16(3):e13375. https://doi.org/10.5812/ircmj.13375 PMid:24829765 DOI: https://doi.org/10.5812/ircmj.13375
Neville LM, O’Hara B, Milat AJ. Computer-tailored dietary behavior change interventions: A systematic review. Health Educ Res. 2009;24(4):699-720. https://doi.org/10.1093/her/cyp006 PMid:19286893 DOI: https://doi.org/10.1093/her/cyp006
Krebs P, Prochaska JO, Rossi JS. A meta-analysis of computer-tailored interventions for health behavior change. Prev Med. 2010;51(3-4):214-21. https://doi.org/10.1016/j.ypmed.2010.06.004 PMid:20558196 DOI: https://doi.org/10.1016/j.ypmed.2010.06.004
Kroeze W, Werkman A, Brug J. A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors. Ann Behav Med. 2006;31(3):205-23. https://doi.org/10.1207/s15324796abm3103_2 PMid:16700634 DOI: https://doi.org/10.1207/s15324796abm3103_2
Hollis JF, Polen MR, Whitlock EP, Lichtenstein E, Mullooly JP, Velicer WF, et al. Teen reach: Outcomes from a randomized, controlled trial of a tobacco reduction program for teens seen in primary medical care. Pediatrics. 2005;115(4):981-9. https://doi.org/10.1542/peds.2004-0981 PMid:15805374 DOI: https://doi.org/10.1542/peds.2004-0981
Redding CA, Prochaska JO, Armstrong K, Rossi JS, Hoeppner BB, Sun X, et al. Randomized trial outcomes of TTM-tailored condom use and smoking intervention in urban adolescent females. Health Educ Res. 2014;30(1):162-78. https://doi.org/10.1093/her/cyu015 PMid:24794584 DOI: https://doi.org/10.1093/her/cyu015
Prokhorov AV, Kelder SH, Shegog R, Conroy JL, Murray N, Peters R, et al. Project ASPIRE: An interactive, multimedia smoking prevention and cessation curriculum for culturally diverse high school students. Subst Use Misuse. 2010;45(6):983-1006. https://doi.org/10.1080/14622200802323183 DOI: https://doi.org/10.3109/10826080903038050
Prokhorov AV, Kelder SH, Shegog R, Murray N, Peters R, Agurcia- Parker C, et al. Impact of A Smoking Prevention Interactive Experience (ASPIRE), an interactive, multimedia smoking prevention and cessation curriculum for culturally diverse high–school students. Nicotine Tob Res. 2008;10:1477-85. https://doi.org/10.3109/10826080903038050De Josselin de Jong S, Candel M, Segaar D, Cremers HP, de Vries H. Efficacy of a Web-based computer-tailored smoking prevention intervention for Dutch adolescents: A randomized controlled trial. J Med Internet Res. 2014;16(3):e82. https://doi.org/10.2196/jmir.2469 PMid:24657434 DOI: https://doi.org/10.1080/14622200802323183
Creswell JW. Research Design, Qualitative, Quantitative, and Mixed Methods Approaches. 4th ed. United States of America: Sage Publications; 2014.
Ayubi E, Sani M, Safiri S, Khedmati Morasae E, Almasi-Hashiani A, Nazarzadeh M. Socioeconomic determinants of inequality in smoking stages: A distributive analysis on a sample of male high school students. Am J Mens Health. 2017;11(4):1162-8. https://doi.org/10.1177/1557988315585822 PMid:26008735 DOI: https://doi.org/10.1177/1557988315585822
Bryman A, Burgess B. Analyzing Qualitative Data. Newyork: Routledge; 2002. DOI: https://doi.org/10.4324/9780203413081
Petrie J, Bunn F, Byrne G. Parenting programs for preventing tobacco, alcohol or drugs misuse in children <18: A systematic review. Health Educ Res. 2007;22(2):177-91. DOI: https://doi.org/10.1093/her/cyl061
Fosco GM, Frank JL, Stormshak EA, Dishion TJ. Opening the “Black Box”: Family Check-Up intervention effects on self-regulation prevent growth in problem behavior and substance use. J Sch Psychol. 2013;51:455-46. https://doi.org/10.1016/j.jsp.2013.02.001 PMid:23870441 DOI: https://doi.org/10.1016/j.jsp.2013.02.001
Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: The RE-AIM framework. Am J Public Health. 1999;89:1322-7. https://doi.org/10.2105/ajph.89.9.1322 PMid:10474547 DOI: https://doi.org/10.2105/AJPH.89.9.1322
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