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Self-efficacy and parental commitment to prevent health risk behavior among adolescents in East Java
Ilya Krisnana
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ilya-k@fkp.unair.ac.id

Corresponding author.
, Praba Diyan Rachmawati, Iqlima Dwi Kurnia
Faculty of Nursing, Universitas Airlangga, Surabaya, East Java, Indonesia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Adolescence is a critical period in risky behaviour and lifestyle&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">1</span></a> Peer influence has strongly affect to adolescents&#44; because at this stage they begins to adapt to a new environment&#44; as well as the pressure that comes from friends to engage in risky behaviour such as smoking and drinking alcohol&#46;<a class="elsevierStyleCrossRef" href="#bib0105"><span class="elsevierStyleSup">2</span></a> These risky behaviours can prevent adolescents from reaching the optimal stage&#46;<a class="elsevierStyleCrossRef" href="#bib0110"><span class="elsevierStyleSup">3</span></a> Data from WHO states that 1&#46;2 million adolescents who died in 2015 due to a problem that can be prevented or overcome&#46; Road accidents are the most significant cause of death among adolescents&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Factors that cause smoking and drinking behaviour in adolescents are the environment&#44; peers&#44; family economic status&#44; perceptions about smoking&#44; cigarette advertising&#44; psychological environment&#44; and lack of parental interaction with children&#46;<a class="elsevierStyleCrossRef" href="#bib0115"><span class="elsevierStyleSup">4</span></a> Family environmental factors include parenting style&#44; child communication with parents&#44; socioeconomic status&#46; Parenting style is a factor that influences health risk behaviour in adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0120"><span class="elsevierStyleSup">5</span></a> The previous studies of 744 adolescents showed there a significant relationship between smoking and drinking behaviour with the parent-child interaction&#46;<a class="elsevierStyleCrossRef" href="#bib0125"><span class="elsevierStyleSup">6</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Health behaviours are significantly influenced by the self-efficacy factor&#46;<a class="elsevierStyleCrossRef" href="#bib0130"><span class="elsevierStyleSup">7</span></a> Prevention of health-risk behaviours in adolescents is the parents&#8217; responsibility as caregivers and role models&#46; To implement the behaviour&#44; parents must have good efficacy and commitments&#46; Yet&#44; the relationship between parental knowledge and commitment to preventing health-risk behaviours in adolescents remains unexplained&#46; The aims of this study was to analyse the relationship between self-efficacy and parental commitment in preventing health risk behaviour among adolescents&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Methodology</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Design</span><p id="par0020" class="elsevierStylePara elsevierViewall">The research design used was cross-sectional with correlation analysis&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Population and scope of study</span><p id="par0025" class="elsevierStylePara elsevierViewall">The population was parents who had adolescent children in East Java&#46; The sample was selected based on inclusion criteria including&#59; &#40;1&#41; parents of adolescents aged 15&#8211;19 years old&#44; &#40;2&#41; parents of adolescents enrolled in Senior High School &#40;SMA&#41;&#47;Vocational High School &#40;SMK&#41;&#47;Islamic Senior High School &#40;MA&#41;&#44; &#40;3&#41; parents who can fill out online questionnaires&#44; and &#40;4&#41; parents who are willing to be the respondents in this study&#46; The researchers distributed online questionnaires for three months and obtained 704 respondents&#46; An independent variable in this study was the self-efficacy of parents in preventing health-risk behaviours in adolescents&#46; The dependent variable&#44; meanwhile&#44; is a parental commitment to preventing health-risk behaviours in adolescents&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">The other variable in the same research project has been published on other Journal with the title &#8220;Factors Related to Parental Involvement in the Prevention of Health Risk Behaviors among Adolescents&#58; A Cross-sectional Study in East Java Indonesia&#8221;&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">8</span></a></p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Data collection</span><p id="par0030" class="elsevierStylePara elsevierViewall">Concerning the COVID-19 pandemic situation&#44; the data collection was done through the spread of online questionnaires&#47;social media application to the parents or guardians of high school students and high school teachers in Surabaya and East Java&#46; Before filling out the questionnaire&#44; respondents got a detailed explanation of the research&#46; Then&#44; if they agreed&#44; the respondents gave the signature directly through the online media as proof of approval&#46; Respondents who agreed then continued to fill out the questionnaire completely&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Instruments</span><p id="par0035" class="elsevierStylePara elsevierViewall">Instruments for measuring self-efficacy refer to the Self-Efficacy for Exercise &#40;SEE&#41; scale questionnaire&#46;<a class="elsevierStyleCrossRefs" href="#bib0135"><span class="elsevierStyleSup">9&#44;10</span></a> We modified &#8220;exercise&#8221; into &#8220;children&#8217; oral health care&#46;&#8221; The questionnaire to measure levels of self-efficacy consisted of 9 questions about the mother&#39;s confidence in carrying out activities to maintain oral health&#46; The answer response is in the range of 0&#8211;10 to describe situations ranging from 0 &#40;not confident&#41; to 10 &#40;very confident&#41;&#46; The higher the score&#44; the higher the self-efficacy of the mother&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The commitment questionnaire used a shortened Committed Action Questionnaire &#40;CAQ-8&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0145"><span class="elsevierStyleSup">11</span></a> The questionnaire was adapted and modified according to the topic of prevention of health-risk behaviours in adolescents&#46; The commitment questionnaire consisted of 8 questions with answer responses&#59; &#40;1&#41; &#8220;never true&#8221; with the score 0&#44; &#40;2&#41; &#8220;very rarely true&#8221; with the score 1&#44; &#40;3&#41; &#8220;rarely true&#8221; with the score 2&#44; &#40;4&#41; &#8220;sometimes true&#8221; with the score 3&#44; &#40;5&#41; &#8220;often true&#8221; with the score 4&#44; &#40;6&#41; &#8220;almost always true&#8221; with the score 5&#44; and &#40;7&#41; &#8220;always true&#8221; with the score 6&#46; The greater the score&#44; the higher the commitment that parents have in preventing health-risk behaviours&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Data analysis</span><p id="par0045" class="elsevierStylePara elsevierViewall">The collected data were analysed using Spearman rank correlation statistical test with a level of <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Ethical consideration</span><p id="par0050" class="elsevierStylePara elsevierViewall">This research was conducted with respect for human rights by applying ethical principles to human subjects&#46; The researcher provides an explanation through an online questionnaire&#44; if parents were willing&#44; then they provide a signature on the online form&#46; The identity of the respondent was kept confidential and anonymity&#44; they only using the initials of the name&#46; This research has obtained ethical clearance from the Health Research Ethics Commission of the Faculty of Nursing&#44; Universitas Airlangga with certificate number 2057-KEPK&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Results</span><p id="par0055" class="elsevierStylePara elsevierViewall">The results of the study showed that the number of children who attend high school is almost equal between females and males&#46; Meanwhile&#44; father&#39;s education has a high level of variation&#46; More than a half of parents have Junior High School &#40;50&#46;7&#37;&#41;&#46; But there are also parents with an elementary education level&#46; The most type of transportation used by children was motorbike &#40;59&#46;8&#37;&#41; and a few children take public transportation to school &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0060" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a> shows that parental self-efficacy in preventing health risk behaviour among adolescents varies widely&#46; The minimum self-efficacy score is nine which mean that there are parents who do not have any self-efficacy level at all&#46; Parents with a very high level of self-efficacy and obtain a perfect answer score of 90&#46; Also&#44; there are parents who get 10 points &#40;very confident&#41; in every question&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0065" class="elsevierStylePara elsevierViewall">Parents&#8217; commitment to preventing health risk behaviour among adolescents is also varied&#44; but there were no parents who did not commit at all or obtained a score of 0&#46; In contrast&#44; there is a maximum score of commitment&#44; which is 48&#46; Maximum score means that there are parents who have a very high commitment even perfect to preventing health risk behaviour in adolescents&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The test results using the Spearman Rank Correlation showed that there is a significant relationship between self-efficacy and parental&#46;</p></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Discussion</span><p id="par0075" class="elsevierStylePara elsevierViewall">Parents need a complete efficacy to form a commitment for preventing health risk behaviour in adolescents&#46; WHO mentioned the risky behaviours are smoking&#44; drinking&#44; early pregnancy and childbirth&#44; HIV&#44; infectious diseases&#44; mental health&#44; violent behaviour&#44; alcohol and drugs&#44; injury&#44; malnutrition and obesity&#44; sports and diet&#44; and adolescent human rights&#46;<a class="elsevierStyleCrossRef" href="#bib0150"><span class="elsevierStyleSup">12</span></a> Parents need self-efficacy to carry out their roles properly to properly care for their children&#46;<a class="elsevierStyleCrossRefs" href="#bib0155"><span class="elsevierStyleSup">13&#44;14</span></a> Self-efficacy can be defined as the belief to achieve a specific goal&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">15</span></a> Self-confidence will encourage parents to plan a series of tasks effectively&#46;<a class="elsevierStyleCrossRef" href="#bib0155"><span class="elsevierStyleSup">13</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Parents&#8217; role is crucial to preventing health risk behaviour among adolescents&#46;<a class="elsevierStyleCrossRef" href="#bib0170"><span class="elsevierStyleSup">16</span></a> Naturally&#44; parents certainly want to take action to prevent their children from engaging in dangerous behaviours&#44; especially those related to health&#46; Lack of self-efficacy can be an obstacle for parents to take preventive behaviours&#46; The results showed that the level of parental confidence varied widely&#46; There are even parents who do not have the confidence to take preventive action against health risk behaviours in adolescents&#46; The lowest score is on the question item about parental confidence related to comfort in preventing health risk behaviour in adolescents&#46; Parents will feel confident if the action does not disturb their comfort&#46; Conversely&#44; when parents feel confident in themselves&#44; boredom will not arise&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">Parents are the determinants of adolescent behaviour&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">17</span></a> Self-efficacy that is owned by parents is the basis for the growth of commitment to prevent risky behaviour in adolescents&#46; High self-efficacy will also form a high commitment&#46;<a class="elsevierStyleCrossRef" href="#bib0180"><span class="elsevierStyleSup">18</span></a> The results showed that self-efficacy had a positive relationship with parental commitment&#46; The higher the parental confidence level&#44; the higher the parents&#8217; commitment to preventing health risk behaviour in adolescents&#46; Parents&#8217; daily life involvement can prevent health risk behaviours such as smoking&#44; drug abuse&#44; and free sex&#46;<a class="elsevierStyleCrossRef" href="#bib0185"><span class="elsevierStyleSup">19</span></a> Self-efficacy will determine parental commitment so that the behaviour displayed can be long-lasting&#46;<a class="elsevierStyleCrossRef" href="#bib0190"><span class="elsevierStyleSup">20</span></a> Through high commitment&#44; parents have a sense of responsibility for adolescent behaviour&#44; so even under stressful conditions&#44; it does not hinder efforts to prevent health risk behaviour in adolescents&#46; High commitment encourages parents to be highly motivated without knowing boredom in taking action&#46;</p><p id="par0090" class="elsevierStylePara elsevierViewall">Parental self-efficacy has a strong relationship with a parental commitment to preventing the health risk behaviour of adolescent&#46; When parents already have a high level of self-efficacy&#44; boredom does not prevent parents from taking preventive action&#46; Commitment owned by parents can maintain long-lasting preventive action&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Conflict of interest</span><p id="par0110" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The critical period for developing risky behaviours and lifestyle occurs during adolescence&#46; Self-efficacy and parental commitment are factors in shaping prevention of risk behaviour in adolescents&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Objective</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The purpose of this study was to analyse the relationship between self-efficacy and parental commitment in preventing health risk behaviour among adolescents&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Methods</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The research design used a cross sectional approach to correlation study&#46; The study population was parents of adolescents who attended high school in East Java&#46; The sample size was 704 parents&#46; The research instruments were CAQ-8 and self-efficacy questionnaires adopted from The Self-Efficacy for Exercise &#40;SEE&#41; scale&#46; The online questionnaires were distributed via social media&#46; The data were analysed using the Spearman Rank Correlation statistical test with a significance level of <span class="elsevierStyleItalic">&#945;</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Results</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">It was found that there was a significant relationship between parental self-efficacy and commitment to prevent health risk behaviour among adolescents &#40;<span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span>&#8804;<span class="elsevierStyleHsp" style=""></span>0&#46;001&#59; <span class="elsevierStyleItalic">r</span><span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#46;174&#41;&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Conclusion</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The higher the level of parental confidence&#44; the higher the commitment they have to prevent health risk behaviour in adolescents&#46;</p></span>"
        "secciones" => array:5 [
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            "identificador" => "abst0005"
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          1 => array:2 [
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            "identificador" => "abst0020"
            "titulo" => "Results"
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          4 => array:2 [
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the 3rd Aceh International Nursing Conference &#40;AINC&#41;&#46; Full-text and the content of it is under responsibility of authors of the article&#46;</p>"
      ]
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                  \t\t\t\t">10&#46;1&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">357&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">50&#46;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Senior high school &#40;SMA&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">213&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">31&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">7&#46;701&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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Original language: English
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es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos