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


Risk Management and Healthcare Policy, vol.14, pp.925-945, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14
  • Publication Date: 2021
  • Doi Number: 10.2147/rmhp.s280393
  • Journal Name: Risk Management and Healthcare Policy
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, EMBASE, Directory of Open Access Journals
  • Page Numbers: pp.925-945
  • Keywords: health promotion and risk management, youth-peer education, smoking quit, randomized controlled trial, university student, youth studies, cognitive/behavioral processes, TRANSTHEORETICAL MODEL, CESSATION, VALIDATION, RELAPSE, BALANCE, STAGE
  • Eskisehir Osmangazi University Affiliated: Yes


© 2021 Orsal and Ergun.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 subdimension 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.