Articles
Open Access

Effectiveness of Digital Peer Education in Supporting Adolescent Smoking Cessation: A Systematic Review

1 Fakultas Ilmu Keperawatan Universitas Indonesia
Download PDF

Abstract

Smoking behavior among adolescents in Indonesia is increasingly alarming, with the number of active smokers reaching 70 million and a significant rise observed in the 13–15 age group. Early initiation of smoking increases the risk of nicotine addiction, non-communicable diseases, and the economic burden on both families and the nation. This study aims to evaluate the effectiveness of digital peer education in enhancing adolescents’ motivation to quit smoking.

Methods: This systematic review was conducted following the PRISMA 2020 guidelines. Article searches were performed in Scopus, ScienceDirect, and ProQuest databases between March and April 2025. Inclusion criteria were developed based on the PICO framework and focused on quantitative studies involving adolescents aged 10–19 years who participated in digital peer education interventions. A total of 10 studies (4 randomized controlled trials, 2 quasi-experimental studies, 2 cohort studies, and 2 cross-sectional studies) met the inclusion criteria and were critically appraised using the JBI Critical Appraisal Checklist.

Results: The review revealed that digital peer-based interventions significantly improved adolescents’ self-efficacy, knowledge, and intention to quit smoking. The interventions included online peer education, digital games, social media messaging, and school-based modules. Most studies demonstrated positive outcomes, although variations in evidence strength were noted due to methodological differences, limited follow-up, and reliance on self-reported data.

Conclusion: Digital peer education has strong potential as an effective strategy to enhance adolescents’ motivation to quit smoking. Further studies with more rigorous designs and longer follow-up periods are recommended to strengthen the generalizability of these findings.

References

1
Kementerian Kesehatan Republik Indonesia. Laporan Akuntabilitas Kinerja Kementerian Kesehatan Tahun 2023 [Internet]. Jakarta: Kementerian Kesehatan RI; 2024 [diunduh 10 Okt 2025]. Available from: https://www.kemkes.go.id.
2
2. WHO global report on trends in prevalence of tobacco use 2000-2030 [Internet]. 2024. Available from: https://iris.who.int/.
3
3. Sharapova S, Reyes-Guzman C, Singh T, Phillips E, Marynak KL, Agaku I. Age of tobacco use initiation and association with current use and nicotine dependence among US middle and high school students, 2014-2016. Tob Control. 2020;29(1):49–54.
4
4. Ye BZ, Wang XY, Wang YF, Liu NN, Xie M, Gao X, et al. Impact of Tobacco Smoking on Health Care Utilization and Medical Costs in Chronic Obstructive Pulmonary Disease, Coronary Heart Disease and Diabetes. Curr Med Sci. 2022;42(2):304–16.
5
5. Agarwal A, Lubet A, Chen S, Khoury A, Bloom DE. Non-communicable Diseases and Their Macroeconomic Impact in India. Econ Polit Wkly. 2021;56(51):56–63.
Downloads
Download data is not yet available.

How to Cite

1.
Effectiveness of Digital Peer Education in Supporting Adolescent Smoking Cessation: A Systematic Review. J Keskom [Internet]. 2025 Nov. 30 [cited 2026 Aug. 16];11(3):567-76. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/2372

Similar Articles

131-140 of 207

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)