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Author: 徐美玲
Meei-Ling Shyu
Thesis Title: 多層面促進幼兒健康之行為量表建構研究
Multidimensional Construction and Validation Study of the Toddler Health Promoting Inventory(THPI)
Advisor: 黃淑貞
Huang, Sheu-Jen
Degree: 博士
Doctor
Department: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
Thesis Publication Year: 2008
Academic Year: 96
Language: 中文
Number of pages: 131
Keywords (in Chinese): 促進幼兒健康行為量表常模
Keywords (in English): toddler health promotion, behavior scale, norm
Thesis Type: Academic thesis/ dissertation
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  • 本論文旨在建構一個具信效度及常模的「多層面促進幼兒健康之行為量表」。以台北市南區某醫學中心健兒門診1~3歲幼兒的主要照顧者為研究對象,預試樣本80人,正式施測樣本410人。研究工具由研究生所編製的一個
    多層面「促進幼兒健康之行為量表」,包括「飲食習慣」、「衛生習慣」、「生活作息」、「安全保護」、「體適能」、「促進發展」、「心理健康」
    、「維護健康」等八個層面。本研究資料分別以項目分析、內在一致性及重
    測信度、內容效度、建構效度、K平均集群法、效標關聯效度等統計方法進
    行分析。
    本研究結果如下:
    1.完成「促進幼兒健康之行為量表」編製:共計56題,八個層面題數分別為
    「飲食習慣」10題、「衛生習慣」10題、「生活作息」4題、「安全保護」
    5題、「體適能」7題、「促進發展」6題、「心理健康」7題、「維護健
    康」7題。
    2.本量表內在一致性α係數的分析,總量表α值為.93,八個層面分量表的α值
    介於.70~.81,顯示本量表具有良好的內在一致性信度。本量表重測信度r
    值介於.57~.84,顯示本量表穩定性尚好。
    3.量表效度考驗:(1)與內容有關的效度證據,本研究採專家學者檢定,所
    有題目內容效度指數均達.80以上。(2)與建構有關的效度證據,以探索性
    因素分析來考驗促進幼兒健康之行為量表的因素結構,結果支持原研究構
    念。(3)與效標有關的效度證據,本研究量表與效標,即「過去一年內幼兒
    生病或受傷就醫的頻率」之相關係數r值為.54,顯示中度相關。
    4.建立量表常模:本量表建立原始分數的百分等級常模,以及「飲食習慣」、
    「衛生習慣」、「生活作息」、「安全保護」、「體適能」、「促進發
    展」、「心理健康」、「維護健康」等八個層面分量表的百分等級常模。
    本研究根據研究結果提出多項具體的建議,以供醫療機構、衛生機關或教育團體的參考。

    This research aims to develop a multidimensional construction and validation study of the Toddler Health Promoting Inventory(THPI). Subjects were recruited from
    the primary caregivers who visited OPD with toddler in a medical center and regional hospital in Taipei. Data collected were analyzed with SPSS statistical package. Descriptive statistics, item analysis, Cronbach's Alpha, test-retest, correlation, factor analysis, and K-means cluster method were conducted.
    The results are as follows:
    1.The final version of the THPI consists of 56 items, which
    is divided into eight subscales, with 10, 10, 4, 5, 7, 6,
    7, and 7 items in eating habits, hygienic habits, routine
    of life, safety life, physical fitnss, deveoplment
    promotion, mental health, and maintain health.
    2.The reliability coefficients of the eight subscales have
    yielded Cronbach's α coefficients ranging from .70
    to .81, with that of total THPI being .93. The test-
    retest reliability coefficients range from .57 to .84,
    indicating substantial stability.
    3.Test of validity:(1) Content validity-all the items have
    been developed out of related literature and reviewed by
    scholars and experts in the field of toddler health
    promotion. (2) Construct validity:Factor analysis has
    been used in the study to test the factor structure of
    THPI. The result supports the original research
    construct. (3)Criterion validity:The coefficients of the
    THPI were .54.
    4. The norm of the percentile rank for the THPI as well as
    the eight subscales have been constructed.
    Based on the findings, suggestions are offered for reference for educational agencies, medical development and people working in related fields.

    第一章 緒論……………………………………………………… 1 第一節 研究背景與動機 ………………………………………… 1 第二節 研究重要性……………………………………………… 3 第三節 研究目的………………………………………………… 4 第四節 研究問題………………………………………………… 5 第五節 研究假設………………………………………………… 6 第六節 名詞界定………………………………………………… 6 第二章 文獻探討………………………………………………… 7 第一節 促進幼兒健康的概念…………………………………… 7 第二節 促進幼兒健康的行為及相關研究……………………… 10 第三章 研究方法………………………………………………… 31 第一節 研究設計………………………………………………… 31 第二節 研究架構………………………………………………… 32 第三節 研究對象………………………………………………… 34 第四節 研究工具………………………………………………… 37 第五節 資料收集的過程………………………………………… 40 第六節 資料處理與分析………………………………………… 42 第四章 研究結果………………………………………………… 47 第一節 項目分析………………………………………………… 47 第二節 信度檢定………………………………………………… 53 第三節 效度檢定………………………………………………… 58 第四節 建立量表常模…………………………………………… 86 第五章 重要發現與討論………………………………………… 92 第一節 項目分析………………………………………………… 92 第二節 內在一致性信度………………………………………… 95 第三節 重測信度………………………………………………… 96 第四節 內容效度………………………………………………… 97 第五節 建構效度………………………………………………… 99 第六節 效標關聯效度……………………………………………101 第七節 建立量表常模……………………………………………103 第六章 結論與建議………………………………………………105 第一節 結論 …………………………………………………… 105 第二節 建議 …………………………………………………… 107 第三節 研究限制 ……………………………………………… 110 參考文獻…………………………………………………………… 111 附錄一 研究同意書…………………………………………… 121 附錄二 問卷………………………………………………………122 附錄三 促進幼兒健康的行為量表………………………… 127

    一、中文部分
    內政部(2007):台閩地區人口統計。內政部編印。
    王瑞壎(2004):大陸和外籍新娘婚生子女適應與學習能力之探討。台灣教
    育,626,25-31。
    王宗平、許明珠、陳秋鳳、柯慧貞、陳惠玲、蕭迺新、潘韻君、劉文姬
    (2005):幼稚園體適能教學活動設計。台北市:教育局。
    王保進(2006):視窗版SPSS與行為科學研究。台北市:心理。
    史良銘(2004):小兒肥胖。中醫兒科醫學雜誌,6(1),44-46。
    行政院衛生署(2005):健康白皮書。2005年6月20日取自
    http://www.cichb.gov.tw/white_new/ m-o8htm.
    行政院衛生署(2007):事故傷害統計。2007年11月20日取自
    http://www.doh.gov.tw.
    交通部(2007):道路交通安全規則。2007年8月14日,取自
    http://law.moj.gov.tw/Scripts/Query4A.asp
    呂鴻基(2001):小兒科與兒童保健的回顧與展望。兒童保健,7(3),7-12。
    李小龍、周榮輝(2004):幼兒體能訓練之探討。文化體育學刊,2,161-
    169。
    邱文達、蔡宛真、蔡卓城、邱弘毅、謝屈平、蔡維謀等(2003):台灣地區學
    齡前兒童頭部外傷之探討。中華民國急救加護醫學會雜誌,14(1),
    7=12。
    邱皓政(2007):量化研究與統計分析。台北:五南。
    周弘傑(2005):危機四伏-談嬰幼兒的傷害預防。健康世界,329,7-11。
    許添盛(2004):身心靈健康的10堂必修課。台北:遠流。
    黃松元(2000):健康促進與衛生教育。台北:師大書苑。
    黃森泉、張雯雁(2003):外籍新娘婚姻適應與子女教養問題之探討。社會科
    教研究,8,135-168。
    黃迺毓(2004):親密的危機。商業周刊,863。
    陳怡如、李麗君、于漱、黃璉華(2005):校園關懷:外籍配偶子女的健康照
    護需求與因應。護理雜誌,52(2),10-13。
    陳雯琪(2004):維持口腔衛生照顧寶寶的小牙。育兒生活,164,157-
    161。
    陳正昌、程炳林、陳新豐、劉子鍵(2003):多變量分析方法-統計軟體應用。
    台北:五南。
    徐庭蘭(2004):親子共讀對語言發展遲緩幼兒語言理解與口語表達之學習成
    效。醫護科技學刊,6(4),349~370。
    葉重新(2004):教育研究法。台北:心理。
    董氏基金會(2003):菸害研究調查。2006年12月24日取自
    http://www.jtf.org.tw.
    楊麗燕(2003):當代人類發展學-幼兒期。台北:偉華。
    盧敏惠(2005):幼兒常見的飲食問題—偏食、食少、食多。2005年6月3日取
    自http://www.doctors.com.tw.

    二、英文部分
    Almedom, A. M. (1996). Recent development in hygiene
    behaviour research : an emphasis on methods and
    meaning. Tropical Medicine & Iinternational health, 1
    (2), 171-182.
    Bennett, H. (2004). Early toilt-training glitches. Today’s
    Parent, 21(10), 204.
    Bijur, P.E., Golding, J. & Haslum, M.(1988). Persistence of
    occurrence of injury: Can injuries of preschool
    children predict injuries of school-aged children?
    Pediatrics, 82(5), 707-712.
    Birch, L., Savage, J. S. & Ventura, A. (2007). Influences
    on the development of children’s eating behaviors:
    From infancy to adolescence. Canadian Journal of
    Dietetic Practice and Reasearch, 68(1), S1-5.
    Boehnlein, M. M. ( 1984). Parents and Nutrition: Teaching
    Guides. Ohio: Ohio.
    Bonanno, B. (2004). Have fun this summer, safely! FDA
    Consum, 38(3), 40.
    Cluskey, M. D. (1999). Maternal self-efficacy and maternal
    perception of health as predictors of healthy
    lifestyles in young children from low income families.
    The Catholic University of America, 117, 15-26.
    Cottingham, A. (2004). Now wash your hands please: Teaching
    health concepts to very young children. Pediatric
    Nursing, 16(8), 33-35.
    Cousens, S., Kanki, B., Toure, S., Diallo, I. & Curtis, V.
    (1996). Reactivity and repeatability of hygiene
    behaviour: structured observations from Burkina. Social
    Science & Medicine, 43(9), 1299-1308.
    Cross, T. L. (2001). Social / Emotional needs. Winter, 24
    (1), 54-61.
    Daniels, F., Moore, W., Conti, C., Norville-Perez, L. C.,
    Gaines, B. M., Hood, R. G. & Swain, J.J. (2002). The
    role of the African-American physician in reducing
    traffic-related injury and death among African-
    Americans: Consensus report of the national medical
    association. Journal of The National Medical
    Association, 94(2), 108~118.
    Dodici, B. J., Draper, D. C. & Peterson, C. A. (2003).
    Early parent-child interaction and early literacy
    development. Topics Early Childhood Special. Education,
    23(3), 124-136.
    Dye, B. A., Shenkin, J. D., Ogden, C. L., Marshall, T. A.,
    Levy, S. M. & Kanellis, M. J. (2004). The relationship
    between healthful eating practices and dental caries in
    children aged 2-5 years in the United States, 1988-
    1994. Journal of the American Dental Association, 15
    (1), 55-66.
    Edelman, C. L. & Mandle, C. L. (2002). Health promotion:
    throughout the lifespan(5th ed). Missouri: Mosby, Inc.
    Fisher, A., Reilly, J. J., Kelly, A., Montgomery, C ,
    Williamson, A., Paton, J. Y. & Grant, S. (2005).
    Fundamental movement skills and habitual physical
    activity in young children. Medician & Science in
    Sports Exercise, 37(4), 684-668.
    Flaherty, M. (1986). Preschool children’s conceptions of
    health and health behaviors. Maternal- Child Nursing
    Journal, 15(4), 205-265.
    Frye, C. (1993). Handwashing. Mayo Clinic Health Letter.
    Rochester, MN: The Mayo Clinic.
    Garner, P. W. (1995). Toddler’s emotion regulation
    behaviors: the roles of social context and family
    expressiveness. The Journal of Genetic Psychology, 156,
    417-430.
    Garner, P. W. & Landry, S. H. (1994). Effects of maternal
    attention- directing strategies on preterm infants’
    affective expressions during joint toy play. Infant
    Behavior and Deveiopment, 17, 15-22.
    Genovesi, N. (2000). The nutrition priority. Montessori
    Life, 12(4), 9-10.
    Gill, D. (2005). Be health, Be happy. Parenting, 19(3), 142-
    145.
    Goldman, S. L., Whitney-Saltiel, D., Granger, J., & Rodin,
    J. (1991). Childrn's reprsentations of everyday aspects
    of health and illness. Journal of Pediatric Psychology,
    16(6), 747-766.
    Gormly, A. V. (2003). Lifespan Human Development(6th ed).
    Trenton: Wadsworth, Inc.
    Gregory, A. M, & O’Connor, T. G. (2002). Sleep problem in
    childhood : A longitudinal study of development change
    and association with behabioral problems. Journal of
    the Amerian Academy of Children and Adolescence
    Psychiatry, 41(8), 964-971.
    Groot-Nievaart, M. A. & 及Veerkamp, J. S. (2002). Tooth
    brushing in babies and toddlers. Ned Tijdschr
    Tandheelkd, 109(4), 138-141.
    Guinan,M. McGuckin-Guinan, M. & Sevareid, A. (1997). Who
    washes hand after using the ballroom? American Journal
    of Infection Control, 25(5), 424-425.
    Hallett,K.B. (2000). Early childhood cares-A new name for
    an old problem. Annals of the Royal Australasian
    College of Dental Surgeons, 15, 268-275.
    Harkness, S. & Super, C.M. (1997). An Infant’s three Rs.
    Natural History, 106, 45-46.
    Harrison, R. L. & Wong, T. (2003). An oral health promotion
    program for an urban minority population of preschool
    children. Community Dentistry and Oral Epidemiology, 31
    (5),392-399.
    Helgason, A. R & Lund, K. E. (2001). Enviromental tobacco
    smoke exposure of young children—attitudes and health-
    risk awareness in the Nordic countries. Nicotin and
    Tobacco, 3(4), 341-345.
    Hendricks, C. M. & Reichert, A. (1996). Parents’ self-
    reported behaviors related to health and safety of
    very young children. The Journal of School Health, 66,
    247-251.
    Herrman, J.W. (2001). Pediatric nursing and healthy people
    2010: A call to action. Pediatric Nursing, 27(1), 82-86.
    Honig, A. S. (2001). Language flowering, Language
    empowering 20 ways parents and teacher can assist young
    children. Montessori Life, 13(4), 31-35.
    Honig, A. S. (2004). Building baby’s motor skills. School
    Early Child Today, 18(7), 22-24.
    Horsch, K. (2004). Good night, bady! Baby Talk, 69(6), 14.
    Huttly, S. R., Morris,S.S. & Pisani,V. (1997). Preventing
    of diarrhoea in young children in developing countries.
    WHO. Bulletin of the World Health Organization, 75(2),
    163-174.
    Irwin,J.R., Carter,A.S., & Briggs-Gowan, M.J. (2002). The
    social- emotional development of late-talking toddlers.
    Journal of the Amerian Academy of Children and
    Adolescence Psychiatry, 41(11), 1324-1332.
    Jochelson,T., Hua,M., & Rissel,R. (2003). Knowledage
    attitudes and behaviours of caregivers regarding
    children’s exposure to environmetal tobacco smoke
    among Arabic and Vietnamese-speaking communities in
    Sydney, Australia. Ethnicity & Health, 8(4), 339-351.
    Klassen,A.F., Lee,S.K., Raina,P., Chan, Herbert W.P.,
    Matthew,D.& Brabyn,D. (2004). Health status and health-
    related quality of life in population-based sample of
    neonatal intensive care unit graduates. Pediatrics, 113
    (3), 594-600.
    Kotch,J.B., Chalmers,D.J. Langley,J.D. & Marshall,S.W.
    (1993). Child day care and home injuries involving
    playground equipment. Journal of Paediatric and Child
    Health, 29, 222-227.
    Laflamme,L. & Eilert-Petersson,E. (1998). Injuries to pre-
    school children in a home setting: patterns and related
    products. Acta Pediatrics, 87, 206- 211.
    Landry,S.H., Smith,K.E., Swank,P.R., Assel,M.A. & Vellet,S.
    (2001). Doseearly responsive parenting have a special
    importance for children’s development or is
    consistency across early childhood necessary?
    Development Psychology, 37, 387-403.
    Lombardi, J. (2004). Starting right: Building on proven
    strategies to promote development in very young
    children. American Prospect, 15(1), A14-A15.
    MacArthur,C. (2003). Evaluation of safe kids week 2001:
    prevention of scald and burn injuries in young
    children.injury prevention. Injury Prevention, 9(2),112-
    116.
    Mobley, C. E. & Evashevski, J. (2000). Evaluating health
    and safety knowledge of preschoolers: Assessing their
    early start to being healt smart. Journal of Pediatric
    health Care, 14(4), 160-165.
    Moore, L. L., Lombardi, D. A., While, M. J., Campbell, J.
    L, Oliveria, S A. & Ellison, R. C. (1991). Journal of
    Pediatrice, 118(2), 215-219.
    Morgenthaler, S. K. (2002). Wellness, fitness, and young
    children. Lutheran Education, 137(4), 313-314.
    Murphy, D. (2000). Killer bacteria: What you need to know
    about food safety. Current Health, 26(7), 6-12.
    Nanney, H. J. (2002). Prevention of overweight and obesity
    in children influences on the food environment.
    Diabetes Education, 28(3), 415-423.
    National Association for Sport and Physical Education
    (NASPE). (2002). Active Start: A statement of physical
    activity guidelines for children birth to five years.
    Oxon Hill, DM: Author.
    National Institute of Child Health and Human Development
    (NICHD). (1999). Early child care research network:
    Child-care and mother- child interaction in the first 3
    years of life. Development Psychology, 35, 1399-1413.
    Newman, R. (1997). Learning healthful habits for a
    lifetime. Childhood Education, 73, 234-235.
    Noack, H. (1987). Concepts of health and health
    promotions.WHO Regional Office for Europe.
    Ortiz, C., Stowe, R. M. & Arnold, D. H. (2001). Parental
    influence on children interest in shared picture books
    reading. Early Childhood Research Quarterly, 16, 263-
    281.
    Pangrazi, R. P. & Corbin, Ch. B. (2000). Health foundation:
    Toward a focus on physical activity promotion. Physical
    Education, 37(2), 40-49.
    Parashar, U. D., Bresee, J. S. & Glass, R. I. (2003). The
    global burden of diarrhoeal disease in children. Bull
    World Health Organ, 81, 236.
    Parashar, U. D., Hummelman, E. G., Bresee, J. S., Miller,
    M. A. & Glass, R. I. (2003). Global illness and deaths
    caused by rotavirus disease in children. Emergency
    Infection Diseases, 9, 565-572.
    Parish, L.E. & Rudisill. M. E. (2006). Healthy today and
    tomorrow. Young Children, 61(3), 32-34.
    Pender, N. J. (1996). Health promotion in nursing practice.
    East Norwalk: Appleton & Lange.
    Preboth, M. (2002). Physical activity in infants, toddlers,
    and preschoolers. American Family Physician, 65(8),
    1694-1696.
    Randolph, L. (1994). Our children’s health. Social Policy,
    24(4), 25-30.
    Rowley, C., Dixon, L. & Palk, R. (2007). Promoting physical
    activity: Walking programmes for mothers and children.
    Community Practitioner, 80(3), 28-32.
    Sauver, J. ST., Khurana, M., Kao, A., & Foxman, B. (1998).
    Hygienic practices and acute reapiratopry illnessin
    family and group day care homes. Public Health Reports,
    113(6), 544-551.
    Schnitzer, P. G. (2006). Prevention of unintentional
    childhood injuries. American Family Physician, 74(11),
    1864-1869.
    Sherriff, A & Golding, J. (2002). Factors associated with
    different hygiene practices in the homes of 15 month
    old infants. Archives of Disease in Childhood, 87(1),
    30-35.
    Sothern, M. S. & Gordon, S. T. (2003). Prevention of
    obesity in young children: a critical challenge for
    medical professionals. Clinical Pediatrics, 42, 101-111.
    Speaker, K. M., Taylor, D. & Kamen, R. (2004).
    Storytelling: Enhancing language acquisition in young
    children. Education, 125(1), 3-14.
    Staton, D. M. & Harding, M. H. (2004). Protecting child
    health worldwide. Pediatric Annals, 33(10), 647-655.
    Strachan, D. P., Jarvis, M. J. & Feyerabend, C. (1990). The
    relationship of salivary cotinine to respiratory
    symptoms, spirometry and exercise- Induced bronchospasm
    in seven-year-old children. American Review Respiratory
    Disease, 142, 147-151.
    Strina, A., Cairncross, S., Barreto, M. L., Larrea, C. &
    Prado, M. S. (2003). Childhood diarrhea and observed
    hygiene behavior in Salvador, Brazil. American Journal
    of Epidemiology, 157(11), 1032-1038.
    Tabachnick, B. G. & Fidell, L. S. (2001). Using
    multivariate statistics(4th ed). MA: Allyn & Bacon.
    Timm, N. H. (2002). Applied multivariate analysis. New
    York: Springer- Verlag.
    Tomasello, M. & Farrar, M. J. (1986). Joint attention and
    early language. Child Development, 57, 1454-1463.
    Ulione, M. S. (1997). Health promotion and injury
    prevention in a child development centr. Journal of
    pediatric nursing, 12(3), 148-154.
    United States Departmnt of Health and Human Services
    (USDHHS). (2000). Healthy people 2010: Understanding
    and improving health, objectives for improving health,
    tracking healthy pople 2010. Washington, DC: Author.
    Vermandel,A., Kampen, M., Gorp, C. & Wyndaele, J.J. (2008).
    How to toilet train healthy children? Neurourology &
    Urodynamics. 27(3),162 -166.
    Wong, D. L. (2004). Whaley and Wong’s essentials of
    pediatric nursing. London, Missouri: Mosby Inc.

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