SELF-EFFICACY AND PROACTIVE COPING IN ADOLESCENT SMOKING CESSATION: A CORRELATIONAL STUDY

Authors

  • Wini Hadiyani STIKep PPNI Jawa Barat
  • Atika Nur Vicry STIKep PPNI Jawa Barat

DOI:

https://doi.org/10.70332/jkp.v3i2.44

Keywords:

self-efficacy, proactive coping, adolescents, smoking cessation, health promotion

Abstract

Background: Adolescence is a critical developmental stage marked by emotional, social, and environmental challenges that may increase susceptibility to smoking. Many adolescents perceive smoking as a coping mechanism for stress and peer pressure. Psychological resources such as self-efficacy and proactive coping are considered important protective factors in smoking prevention and cessation. Objective: This study aimed to examine the association between self-efficacy and proactive coping in smoking cessation among adolescents. Methods: A quantitative correlational study with a cross-sectional design was conducted among 125 junior high school students aged 13–16 years in West Java, Indonesia. Participants were selected using proportional and simple random sampling techniques. Data were collected using the Smoking Self-Efficacy Questionnaire-12 and the Proactive Coping Smoking Cessation questionnaire. Statistical analysis was performed using the Spearman rank correlation test with a significance level set at 0.05. Results: The findings showed that most participants demonstrated high levels of self-efficacy (78.4%) and proactive coping (68.8%). A significant positive correlation was identified between self-efficacy and proactive coping (r = 0.548; p < 0.05), indicating that adolescents with stronger confidence in resisting smoking were more likely to engage in proactive coping behaviors, such as avoiding high-risk situations and seeking social support. Conclusion: Self-efficacy is positively associated with proactive coping in adolescent smoking cessation. Strengthening both psychological confidence and adaptive coping skills should be prioritized in adolescent smoking prevention and cessation programs.

References

A J Rifiana, Mi Evelianti, V. G. P. (2023). Analisis Kebiasaan Merokok Pada Remaja Di Kampung. Jurnal Penelitian Perawat Profesional, 3(1), 153–158.

Choi, Y., Lee, C. M., Cho, B., Lee, E. S., Oh, S. W., Lee, N., & Yun, J. M. (2021). Behavioral interventions for smoking cessation among adolescents: A rapid review and meta-analysis for the Korea Preventive Services Task Force. Osong Public Health and Research Perspectives, 12(3), 177–186. https://doi.org/10.24171/J.PHRP.2021.0018

Didarloo, A., Sharafkhani, N., Rezapour, B., & Moghaddam-Tabrizi, F. (2023). Predictors of Smoking Preventive Behavior Based on Empowerment Components among Male Students of High Schools: A Cross-Sectional Study in Iran. Journal of Environmental and Public Health, 2023, 1–7. https://doi.org/10.1155/2023/4223794

Gallus, S., Cresci, C., Rigamonti, V., Lugo, A., Bagnardi, V., Fanucchi, T., Cirone, D., Ciaccheri, A., & Cardellicchio, S. (2023). Self-efficacy in predicting smoking cessation: a prospective study from Italy. Tobacco Prevention & Cessation, 9(April), 1–7. https://doi.org/10.18332/tpc/162942

Hadiyani, W., Furiyani, I., Nambia, N., & Said, F. binti M. (2022). The Effect of Empowerment Using Digital Media on Self-efficacy Among Adolescent Smokers. Malaysian Journal of Medicine and Health Sciences, 18, 108–114.

Hadiyani, W., Nambiar, N., Said, F. B. M., Lindayani, L., Rakhmawati, W., & Juniarti, N. (2023). Development and validation of proactive coping smoking cessation in adolescents. International Journal of Public Health Science, 12(1), 399–408. https://doi.org/10.11591/ijphs.v12i1.21817

Huo, X., Li, X., Gu, M., Qin, T., Qiao, K., Bai, X., Wang, Y., & Yang, Y. (2023). Mechanism of community quitters’ psychological traits on their smoking cessation effects: Based on a study of community intervention. Tobacco Induced Diseases, 21(May), 1–12. https://doi.org/10.18332/tid/162000

Ibrahim, M., Fatmawati, C. A., & Hadiyani, W. (2022). Pengaruh Empowerment Melalui Fotografi Terhadap Proactive Coping Pada Remaja Perokok. Risenologi, 7(1a), 14–20. https://doi.org/10.47028/j.risenologi.2022.71a.326

Ichimiya, M., Gerard, R., Mills, S., Brodsky, A., Cantrell, J., & Evans, W. D. (2022). The Measurement of Dose and Response for Smoking Behavior Change Interventions in the Digital Age: Systematic Review. Journal of Medical Internet Research, 24(8), 1–14. https://doi.org/10.2196/38470

Islam, K. F., Awal, A., Mazumder, H., Munni, U. R., Majumder, K., Afroz, K., Tabassum, M. N., & Hossain, M. M. (2023). Social cognitive theory-based health promotion in primary care practice: A scoping review. Heliyon, 9(4), e14889. https://doi.org/10.1016/j.heliyon.2023.e14889

Loukili, H., El Fatimy, R., & Amine, M. (2024). Self-efficacy and health warnings as predictors of smoking cessation intent among Moroccan adolescents: Evidence from the Global Youth Tobacco Survey data. Tobacco Induced Diseases, 22(November), 1–9. https://doi.org/10.18332/tid/185647

Mitchell J. Raper, P. B. (2021). Seeing into the future: The role of future-oriented coping and daily stress appraisal in relation to a future stressor. Stress & Health, 37(1), 186–197. https://doi.org/https://doi.org/10.1002/smi.2984

Ningsih, S., Aderita, N. I., & Yuliyanti, T. (2023). Hubungan Antara Sikap Dan Efikasi Diri Dengan Intensi Berhenti Merokok Pada Remaja Putra. Jurnal Penelitian Keperawatan, 9(1), 114–121. https://doi.org/10.32660/jpk.v9i1.647

Purwanti, I. S., Devhy, N. L. P., Prihatiningsih, D., Bintari, N. W. D., & Widana, A. A. G. O. (2021). Pencegahan Perilaku Merokok Remaja Melalui Penyuluhan Bahaya Rokok Elektrik dan Konvensional Ika. 2(2), 2017–2022.

Rajani, N. B., Mastellos, N., & Filippidis, F. T. (2021). Self-efficacy and motivation to quit of smokers seeking to quit: Quantitative assessment of smoking cessation mobile apps. JMIR MHealth and UHealth, 9(4). https://doi.org/10.2196/25030

Suryawati, I., & Gani, A. (2022). Analisis Faktor Penyebab Perilaku Merokok. Jurnal Keperawatan Silampari, 6(1), 497–505. https://doi.org/10.31539/jks.v6i1.3743

Xue, C., & Lin, Z. (2024). The Influence of Health Literacy among Undergraduates on Health-Promoting Lifestyles mediated by Health Behavior Self-Efficacy: Evidence from Jiangxi Province,China. Advances in Social Development and Education Research, 1(2), 57. https://doi.org/10.61935/asder.2.1.2024.p57

Yu, Y., Du, M., Wang, D. B., Wu, A. M. S., Chen, J. H., Li, S., Yen, S. H. Y., Zhang, G., Du, D., Du, M., & Lau, J. T. F. (2024). School climate and school identification as determinants of smoking conventional cigarettes or vaping among adolescents in China: Stress-coping mediation mechanisms. Tobacco Induced Diseases, 22, 1–11. https://doi.org/10.18332/tid/177171

Yulianti, N., Cleopatra, M., Sahrazad, S., Djafar, H. I., Widiyarto, S., Hasimongan, R. H., Widiarto, T., & Damayanti, N. (2023). Bagi Siswa Smp. 4(2), 3006–3012.

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Published

2025-12-30

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Vol. 3 No. 2 (2025): JURNAL KEPERAWATAN PPNI JAWA BARAT

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