Page 56 - Abstract Book KONIKA 18

Developmental Behavioral & Community Pediatrics

O–DBCP-005
The Social Mastery and Resilience Training against Tobacco and E-Cigarette
Using E-Learning and Social Media (SMART TEENS Project) Pilot Study:
Is it Effective?

Rabid Yahya Putradasa, Hera Afidjati, Eldesta Nisa Nabila, Anshorulloh Abd Fath, Bernie Endyarni Medise
Department of Child Health, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo General Hospital,
Jakarta, Indonesia

Abstract
Background The smoking of conventional and e-cigarettes in teenagers remain a public health concern.
25% of smoking adolescents ignore pandemic health protocols and physically gather to smoke during
lockdown period. We are designing the SMART TEENS Project (TSTP), an online anti-tobacco campaign
for teenagers. Objective We aim to evaluate the initial efficacy of TSTP in improving teenagers’ knowledge,
attitude, intention and behavior (KAIB) regarding smoking and vaping. Methods We coordinated with
Dinas Kesehatan Kota Metro, Lampung to recruit youth health cadres and youth Red Cross in the area. We
measured KAIB using a 72-item validated online questionnaire. Bogus pipeline procedure was conducted
to reduce the risk of data falsification. Wilcoxon test was used to compare the KAIB scores pre- and post-
intervention. Results A total of 38 teenagers participated in our study. After completing the program, there
were significant differences in participant’s scores pre- versus post intervention on knowledge (5,8±1,43
vs. 6.6±1.2; P=0.01), attitude (52.4±6.1 vs. 55.3±5.6; P=0.026) and intention (8.2±5.0 vs. 11.7±1.3;
P< 0.001) regarding vaping. There were improvements in the variables regarding cigarette smoking, but none
were statistically significant. Conclusion TSTP offers a promising method to prevent smoking and vaping
in teenagers, with preliminary proof of efficacy. A larger trial with a control arm and power calculation is
warranted. Our study did not produce a statistically significant improvement in KAIB scores regarding
conventional cigarettes. However, it may be due to a ceiling effect or due to the small sample of the trial.
Keywords: E-cigarette; tobacco; prevention; adolescent; social media

O–DBCP-006
The Association Between Screen Time and School Readiness
in Preschool Children: A Cross-Sectional Study

Chatryn Soetanto, Handoko Lowis, Lydia Wangke, E. David Kaunang, Hesti Lestari
Department of Child Health, Faculty of Medicine Universitas Sam Ratulangi/Prof. Dr. R. D Kandou General Hospital,
Manado, North Sulawesi, Indonesia

Abstract
Background Excessive screen viewing in early childhood is associated with cognitive, language, social/
emotional delays, secondary to decreases in parent–child interaction and poorer family functioning in
households. Whether the delays affect school readiness remain questions. Objective To determine the
association between screen-time and school readiness. Methods A cross sectional study was conducted from
September 2020 to January 2021 at three preschools located in Malalayang District, Manado, North Sulawesi,
Indonesia. Nijmeegse Schoolbekwaamheids Test (NST) was used by psychologist to adjust school readiness
of children aged 4-6 years old. The parents were interviewed to obtain data about type of devices, duration
of screen time, type of programs, and duration of parent-children interaction during screen time in a day.
The data were analysed using t-test or Mann-Whitney U, Chi-Square or Fisher Exact, and regression test.
Results Fifty-one children were included, consisted of 28 (55%) boys and 23 (45%) girls. Type of devices
showed no association with school readiness. Each additional hour of children exposed to digital media
screens in a day decreased NST scores by approximately 2 points (95%CI -3.89 to -0.12; P=0.043). Each
additional hour of parent-child interaction during screen time in a day increased the average NST score by 5
points (95%CI 2.30 to 6.65; P<0.001). Children who exposed to educational programs had higher NST score
rather than cartoons (95%CI 5.58 to 15.94; P<0.001). Conclusion Prolonged screen time resulted in delayed
school readiness, while increased parent-child interaction during screen time hastened school readiness.
Keywords: screen-time; school readiness; children

10 KONIKA XVIII Abstract Book