The Effect of Peer Education on Decision-Making, Smoking-Promoting Factors, Self-Efficacy, Addiction, and Behavior Change in the Process of Quitting Smoking of Young People

Abstract

Purpose The study aims to examine the effect of peer education on the decision to quit smoking, factors that encourage smoking, self-efficacy, addiction, and behavior change in students who apply to the Youth Friendly Center to quit smoking. Participants and Methods This research is a Randomized Controlled Trials study. The experimental group consisted of students who were enrolled in the peer education course (n=759). The control group has consisted of students (n=1095) who did not enroll in this course. Results Participants in the experimental group to quit smoking, more than the control group (p>0,01). The addiction level of the participants in the experimental group, less than the participants in the control group (p>0,01). According to the scores of the participants in the control group of the participants in the experimental group, the factors that trigger smoking, and the benefit sub-dimension scores in the Decision Balance Scale were low. Loss sub-dimension scores, which show the losses from the harms of smoking, increased significantly in the Self-Efficacy Scale, Behavior Change Process Scale, and Decision Balance Scale (p>0,01). Conclusion Peer educators trained by the researcher and her team in the Youth Friendly Center Smoking Quit Program have an important effect in supporting/improving the cognitive and behavioral change processes of university students in smoking quit compared to those who do not receive an education. 94% success of the smoking quit program; Students’ voluntary application to receive professional support, students’ voluntary attendance of the treatment program for 6 months, strong communication and feedback, effective and functional professional counseling, and social support depend on strengthening the program with peer education. Especially with peer education, the development of leadership and role model characteristics made the smoking quit program preferred by students.

Promoting users’ smartphone avoidance intention: the role of health beliefs

“…Confirming the role of health self-efficacy in achieving health behavior change (Jackson et al. , 2007; Orsal and Ergun, 2021), we find that individuals’ high level of health self-efficacy can effectively prompt them to avoid problematic smartphone use.…”

“…Echoing previous findings that perceived benefits and barriers are crucial drivers of performing healthy behaviors (Rosenstock, 1974), our results authenticate the positive relationship between perceived benefits and smartphone avoidance intention as well as the negative relationship between perceived barriers and smartphone avoidance intention. Confirming the role of health selfefficacy in achieving health behavior change (Jackson et al, 2007;Orsal and Ergun, 2021), we find that individuals' high level of health self-efficacy can effectively prompt them to avoid problematic smartphone use.…”

Thoracic surgery in Turkey

“…The number of smoking cessation clinics is increasing ever since (14). Yet the tobacco consumption rate is still high especially in the younger population (15). According to the latest report of Turkey Statistics Institute tobacco consumption rate increased in the last decade in every age group.…”

Systematic Review: Interventions to Quit Tobacco Products for Young Adults

“…Baskerville et al, 2018;Epton et al, 2014) Orsal & Ergun (2021). used RCT study design to implement smoking cessation education but only showed 94.1% self-reported rate in the control group.…”

“…Harris et al (2010) described a self-reported quit rate of 31.4% at post-intervention and a bio-chemically veri ed 30-day abstinence rate of 20.4% at 6 months, which became slightly lower than the control group at 6 months compared to quit rates of 28.0% and 20.4% in the control arm, respectively(Harris et al, 2010). The study conducted byOrsal & Ergun (2021) examined the effects of peer education on the decision to quit smoking, factors that encourage smoking, self-e cacy, and behavior change among students who apply to the Youth Friendly Center to quit smoking. Results showed that participants in the experimental group had a higher quit rate than the control group (p > 0.01) and that 94% of students in the intervention group were free of nicotine addiction and had successfully quit at the seventh and eighth follow-up (p < 0.001).One study provided a booklet-based intervention with a booster phone call(Travis & Lawrance, 2009) with three arms of the RCT study, and this study reported a 11.4% self-reported 7-day abstinence rate at 3-month follow-up, compared to the usual care group or other booklet-based program, which was statistically signi cant.…”