ABSTRACT
This study aimed to develop a smoking-cessation program for adolescents combining self-efficacy enhancement and stress reduction using self-hand massage. Participants were recruited from smokers enrolled in two high schools in South Korea. The experimental group (N = 22) smoking-cessation program combined self-efficacy information sources and self-hand massage; the comparison group (N = 20) program provided general information. The experimental group significantly improved compared to the control group in self-efficacy, stress, daily smoking, and urinary cotinine immediately following and four weeks after the intervention. The study showed that intervention strategies to improve self-efficacy and reduce stress could improve smoking cessation.