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Effectiveness of a Social Marketing Mix Intervention on Changing the Smoking Behavior of Santri in Traditional Islamic Boarding Schools in Indonesia

  • Ismail, Ismail (Department of Nursing, Polytechnic of Health, Ministry of Health) ;
  • Teuku, Tahlil (Department of Community Health Nursing, Faculty of Nursing, Universitas Syiah Kuala) ;
  • Nursalam, Nursalam (Department of Nursing, Faculty of Nursing, Airlangga University) ;
  • Zurnila Marli, Kesuma (Department of Statistics, Faculty of Mathematics and Natural Science, Universitas Syiah Kuala) ;
  • Syarifah Rauzhatul, Jannah (Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, Universitas Syiah Kuala) ;
  • Hajjul, Kamil (Department of Leadership and Management Nursing, Faculty of Nursing, Universitas Syiah Kuala) ;
  • Fithria, Fithria (Department of Family Health Nursing, Faculty of Nursing, Universitas Syiah Kuala) ;
  • Kintoko, Rochadi (Faculty of Public Health, University of North Sumatra)
  • Received : 2022.05.23
  • Accepted : 2022.11.08
  • Published : 2022.11.30

Abstract

Objectives: This study investigated the effectiveness of the social marketing mix approach in increasing students' knowledge about smoking, promoting positive attitudes toward smoking cessation, and decreasing smoking behavior. Methods: This quantitative research study incorporated a quasi-experimental method with a pretest-posttest non-equivalent group design. Using the purposive sampling technique, 152 smoking students were selected as participants. They were divided into 2 equal groups, with 76 students in the control group and 76 in the intervention group. The data were collected using questionnaires and analyzed with the chi-square test, independent t-test, Wilcoxon signed-rank test, and Mann-Whitney U-test. Results: The social marketing mix intervention was effective in increasing the students' knowledge about smoking (p<0.001), improving their attitude toward smoking cessation (p<0.001), and reducing their smoking behavior (p=0.014). Conclusions: This approach should be implemented by local governments to reduce smoking behavior in the community, especially among teenagers, in addition to instituting a smoking ban and applying fines.

Keywords

Acknowledgement

The authors would like to thank the Traditional boarding schools in Aceh Besar District for their contribution/assistance in the study, and for the invited speakers for sharing knowledge to change the study participants' smoking behavior.

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