Mobile Health (mHealth) Application for Smoking Cessation Among Adolescents in Indonesia

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age13-15
SponsorGadjah Mada University

About this trial

This mixed-methods study develops and evaluates a mobile health (mHealth) application for smoking cessation among Indonesian adolescents aged 13-15 years. The study uses a sequential exploratory approach with three phases: (1) qualitative research to inform app design; (2) app development using Rapid Application Development (RAD) model; and (3) a single-blind, two-arm randomized controlled trial comparing the mHealth intervention to paper-based materials. The intervention is grounded in the Unified Theory of Acceptance and Use of Technology (UTAUT2) and Transtheoretical Model (TTM). Primary outcome is smoking abstinence at 1-, 3-, and 6-month follow-ups measured through self-report questionnaires.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Adolescent smokers aged 13-15 years

Smoking at least one cigarette or vaping once per week

Key informants: teachers, parents, peers, healthcare workers with relevant experience

Adolescents aged 13-15 years

Disqualifiers

Currently using other smoking cessation apps or programs

Planning to change schools or relocate outside Padang during study period

Have severe psychiatric or medical conditions requiring intensive treatment

Unable to use smartphone applications due to literacy or technical limitations

Trial design

Design model

Parallel

Treatments tested in this trial

  • mHealth Smoking Cessation Application

    Behavioral

    Participants receive the mHealth smoking cessation application with: * Educational content about smoking risks and cessation benefits * Motivational messages and progress tracking * Social support features * Interactive elements and quizzes * Monthly monitoring and support

  • Paper-based Control Materials

    Behavioral

    Participants receive paper-based smoking cessation module containing equivalent content: * Motivational content and cessation benefits * Ex-smoker success stories * Trigger identification and coping strategies * Weekly quizzes with prizes (online access) * Monthly check-ins

Treatment groups

110 Participants
are divided into 2 treatment groups
Group A: mHealth Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Self-reported smoking abstinence measured through questionnaire (Yes/No response where Yes = abstinent, No = not abstinent)

Time frame
1, 3, and 6 months post-intervention

Secondary outcomes

1

Smoking cessation self-efficacy using SEQ-12 (12-item Smoking Self-Efficacy Questionnaire)

Scale range: 12-60, where higher scores indicate greater self-efficacy for smoking cessation

Time frame
Baseline, 1, 2, 3, and 6 months
2

Motivation assessed via Richmond Test

Scale range: 0-10, where higher scores indicate greater motivation to quit smoking

Time frame
Baseline, 1, 2, 3, and 6 months
3

Social support measured through Multidimensional Scale of Perceived Social Support (MSPSS)

Scale range: 12-84, where higher scores indicate greater perceived social support

Time frame
Baseline, 1, 2, 3, and 6 months
4

Dependence level using Fagerström Test for Nicotine Dependence (FTND)

Scale range: 0-10, where higher scores indicate greater nicotine dependence

Time frame
Baseline, 1, 2, 3, and 6 months

Other outcomes

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