Evaluating the Impact of Comprehensive Smoking Cessation Programs on Adolescents Smoking Behavior and Nicotine Dependence

Winda Sari; Nandar  Makmur; Hasbi  Abdullah

doi:10.71435/595703

Authors

Winda Sari Health Polytechnic of Makassar
Nandar Makmur Health Polytechnic of Makassar
Hasbi Abdullah Health Polytechnic of Makassar

DOI:

https://doi.org/10.71435/595703

Keywords:

Adolescent Smoking, Smoking Cessation, Nicotine Dependence, Behavioral Therapy

Abstract

Adolescent smoking remains a significant public health issue globally, with millions of young individuals continuing to smoke despite widespread anti-smoking campaigns. This study aimed to evaluate the effectiveness of smoking cessation programs for adolescents, focusing on reducing smoking frequency, nicotine dependence, and improving quit rates. A total of 200 adolescents participated, with 100 in the experimental group undergoing a comprehensive smoking cessation program combining behavioral therapy and pharmacotherapy, while the control group received standard health education. Results showed that the experimental group experienced a significant reduction in smoking frequency and nicotine dependence, as evidenced by lower scores on the Fagerström Test for Nicotine Dependence (FTND) and self-reported smoking behavior. The quit rate in the experimental group was 55%, compared to 30% in the control group. Furthermore, the program’s integration of mobile health tools and school-based support structures was particularly effective in engaging participants. The findings highlight the importance of multifaceted interventions tailored to the specific needs of adolescents, emphasizing behavioral, pharmacological, and technological support. This study provides valuable insights into the potential of comprehensive, youth-centered smoking cessation programs and advocates for further research into their long-term effectiveness and scalability

References

Amato, M. S., Bottcher, M. M., Cha, S., Jacobs, M. A., Pearson, J. L., & Graham, A. L. (2021). “It’s really addictive and I’m trapped:” a qualitative analysis of the reasons for quitting vaping among treatment-seeking young people. Addictive Behaviors, 112, 106599. https://doi.org/10.1016/j.addbeh.2020.106599

Arshad, S. H., Hodgekiss, C., Holloway, J. W., Kurukulaaratchy, R., Karmaus, W., Zhang, H., & Roberts, G. (2020). Association of asthma and smoking with lung function impairment in adolescence and early adulthood: the Isle of Wight Birth Cohort Study. European Respiratory Journal, 55(3). https://doi.org/10.1183/13993003.00477-2019

Bellmann, L., & Hübler, O. (2021). Working from home, job satisfaction and work–life balance–robust or heterogeneous links? International journal of manpower, 42(3), 424-441. https://doi.org/10.1108/IJM-10-2019-0458

Bricker, J. B., Watson, N. L., Mull, K. E., Sullivan, B. M., & Heffner, J. L. (2020). Efficacy of smartphone applications for smoking cessation: a randomized clinical trial. JAMA internal medicine, 180(11), 1472-1480. https://doi.org/10.1001/jamainternmed.2020.4055

Brown, J. L., Rosen, D., Carmona, M. G., Parra, N., Hurley, M., & Cohen, J. E. (2023). Spinning a global web: tactics used by Big Tobacco to attract children at tobacco points-of-sale. https://doi.org/10.1136/tobaccocontrol-2021-057095

Califf, R. M., & King, B. A. (2023). The need for a smoking cessation “care package”. Jama, 329(3), 203-204. https://doi.org/10.1001/jama.2022.24398

Cunningham, R. (2022). Tobacco package health warnings: a global success story. Tobacco Control, 31(2), 272-283. https://doi.org/10.1136/tobaccocontrol-2021-056560

Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., & Aboujaoude, E. (2021). Live psychotherapy by video versus in‐person: A meta‐analysis of efficacy and its relationship to types and targets of treatment. Clinical Psychology & Psychotherapy, 28(6), 1535-1549. https://doi.org/10.1002/cpp.2594

Frimpong, J. B., Agyei, M., Apaak, D., Ansah, E. W., & True, L. (2022). Improving body mass index of school-aged children using a nine-week rope skipping training intervention: a one-group pre-test post-test design. Children, 9(11), 1715. https://doi.org/10.3390/children9111715

Gorini, G., Gallus, S., Carreras, G., De Mei, B., Masocco, M., Faggiano, F., ... & Barone-Adesi, F. (2020). Prevalence of tobacco smoking and electronic cigarette use among adolescents in Italy: Global Youth Tobacco Surveys (GYTS), 2010, 2014, 2018. Preventive medicine, 131, 105903. https://doi.org/10.1016/j.ypmed.2019.105903

Haleem, A., Javaid, M., Qadri, M. A., Singh, R. P., & Suman, R. (2022). Artificial intelligence (AI) applications for marketing: A literature-based study. International Journal of Intelligent Networks, 3, 119-132. https://doi.org/10.1016/j.ijin.2022.08.005

Klemperer, E. M., Mermelstein, R., Baker, T. B., Hughes, J. R., Fiore, M. C., Piper, M. E., ... & Cook, J. W. (2020). Predictors of smoking cessation attempts and success following motivation-phase interventions among people initially unwilling to quit smoking. Nicotine and Tobacco Research, 22(9), 1446-1452. https://doi.org/10.1093/ntr/ntaa051

Krist, A. H., Davidson, K. W., Mangione, C. M., Barry, M. J., Cabana, M., Caughey, A. B., ... & US Preventive Services Task Force. (2021). Interventions for tobacco smoking cessation in adults, including pregnant persons: US Preventive Services Task Force recommendation statement. Jama, 325(3), 265-279. https://doi.org/10.1001/jama.2020.25019

Littlecott, H. J., Moore, G. F., Evans, R. E., Melendez-Torres, G. J., McCann, M., Reed, H., ... & Hawkins, J. (2023). Perceptions of friendship, peers and influence on adolescent smoking according to tobacco control context: a systematic review and meta-ethnography of qualitative research. BMC Public Health, 23(1), 424. https://doi.org/10.1186/s12889-022-14727-z

Liu, J., Gaiha, S. M., & Halpern-Felsher, B. (2020). A breath of knowledge: overview of current adolescent e-cigarette prevention and cessation programs. Current Addiction Reports, 7, 520-532.

Owens, D. K., Davidson, K. W., Krist, A. H., Barry, M. J., Cabana, M., Caughey, A. B., ... & US Preventive Services Task Force. (2020). Primary care interventions for prevention and cessation of tobacco use in children and adolescents: US Preventive Services Task Force recommendation statement. Jama, 323(16), 1590-1598. https://doi.org/10.1001/jama.2020.4679

Rodrigues, L., Bherer, L., Bosquet, L., Vrinceanu, T., Nadeau, S., Lehr, L., ... & Berryman, N. (2020). Effects of an 8-week training cessation period on cognition and functional capacity in older adults. Experimental Gerontology, 134, 110890. https://doi.org/10.1016/j.exger.2020.110890

Sharma, M. K., Suman, L. N., Srivastava, K., Suma, N., & Vishwakarma, A. (2021). Psychometric properties of Fagerstrom Test of Nicotine Dependence: A systematic review. Industrial Psychiatry Journal, 30(2), 207-216. https://doi.org/10.4103/ipj.ipj_51_21

Villanti, A. C., West, J. C., Klemperer, E. M., Graham, A. L., Mays, D., Mermelstein, R. J., & Higgins, S. T. (2020). Smoking-cessation interventions for US young adults: updated systematic review. American journal of preventive medicine, 59(1), 123-136. https://doi.org/10.1016/j.amepre.2020.01.021

Yadav, M., Neate, S., Hassed, C., Chambers, R., Connaughton, S., & Nag, N. (2022). Mining the gems of a web-based mindfulness intervention: Qualitative analysis of factors aiding completion and implementation. JMIR Formative Research, 6(10), e37406. https://doi.org/10.2196/37406

Yao, Z., Zhu, H., & Kraut, R. E. (2022). Learning to become a volunteer counselor: Lessons from a peer-to-peer mental health community. Proceedings of the ACM on Human-Computer Interaction, 6(CSCW2), 1-24. https://doi.org/10.1145/3555200

Zulkiply, S. H., Ramli, L. F., Fisal, Z. A. M., Tabassum, B., & Abdul Manaf, R. (2020). Effectiveness of community health workers involvement in smoking cessation programme: A systematic review. PLoS One, 15(11), e0242691. https://doi.org/10.1371/journal.pone.0242691