Abstracts for the 15th International Conference on Child and Adolescent Psychopathology (ICCAP 2023), Kuching, Sarawak (on Borneo Island), August 7 –9, 2023

Background: Schools are potentially valuable for any health intervention modules.Most peer-led health promotion tends to use peers of the same age or slightly older to deliver school-based activities.Aims: This is an initiative to educate and promote healthy living habits, focusing on smoking cessation among secondary students who are active smokers in the school environment.Methods: We conducted a one-day health promotion for form 2 secondary school students in the PKD Gombak District, Selangor.The topic centred on smoking and vaping, the associated dangers and complications, and methods for quitting.After completion of the program, 14 active smokers were selected to participate in a small group counselling session, led by third year undergraduate medical students.Each group consists of 4-5 participants.The sessions were conducted based on the SNAAASS module.The main focus is to explore the 5Rs of smoking (Relevance, Risk, Roadblocks, Rewards, Repeat) and making plans for quitting.Results: There were four counselling sessions.The 1st session focuses on assessment of the participants' Fagerstrom Score, readiness for change and the 5Rs.During the 2nd and 3rd sessions, the 5Rs are explored in more depth and include sharing experiences of nicotine withdrawal symptoms.The STAR (set, tell, anticipate, and remove) approach was used as a strategy to quit smoking.In the fi nal session, the participants recapped the 5Rs and STAR and concluded with their plans for smoking cessation.Conclusions: SNAASSS is an initiative that off ers a peer-led approach which may assist the eff ort in beating nicotine addiction among adolescents.