Presentation Information

[O-17-02]Culturally Adapted Mobile App-Based Intervention for Preventing Smoking Initiation and Mitigating Addiction Risk Among Indonesian Adolescents: A Feasibility Study

*Nice Maylani Asril1, Luh Ayu Tirtayani2, Ni Wayan Surya Mahayanti1, Ni Komang Arie Suwastini1 (1.Universitas Pendidikan Ganesha(Indonesia), 2.Universitas Brawijaya(Indonesia))
PDF DownloadDownload PDF

Keywords:

smoking prevention,addiction risk,culturally adapted prevention,feasibility study,adolescent

Background:
Adolescent smoking is a significant public health issue in Indonesia, with more than 30% of adolescents engaging in the habit. Smoking initiation generally occurs between the ages of 10 and 19, determined by social and cultural influences. Traditional anti-smoking initiatives have proven mainly ineffective. Since the widespread usage of smartphones among Indonesian adolescents, a mobile application intervention is an appropriate choice for smoking prevention, integrating culturally relevant content and peer support. Method:
This pilot study utilized a randomized controlled trial design including two groups: an intervention group using a mobile application and a control group receiving traditional anti-smoking education. The application was developed on the COM-B Model (Capability, Opportunity, Motivation, Behavior) and Self-Determination Theory, incorporating elements such as culturally adapted information, gamification, peer support, and individualized feedback. Forty participants, aged 12 to 18, were recruited from two urban schools in Indonesia. Data were gathered using pre- and post-surveys, focus groups, and application engagement metrics. Results:
The intervention group exhibited substantial engagement, with 87% consistently utilizing the app. Participants exhibited a 65% enhancement in smoking-related knowledge, in contrast to 10% in the control group. Qualitative feedback revealed that the culturally appropriate knowledge and peer support components were significantly important, enhancing motivation to prevent smoking initiation. A significant number of participants appreciated the integration of community examples and the chance to interact with their peers through the application. Discussion:
The mobile application intervention proved to be both feasible and effective in enhancing smoking-related information and engagement among Indonesian adolescents. The integration of culturally customized content, gamification, and peer support seems to markedly improve motivation and behavioral modification. Future research involving larger numbers of participants is necessary to evaluate long-term effects; however, this method demonstrates promise for scalable smoking prevention initiatives across varied cultural contexts. prevent