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研究生: 黃懿民
Huang, Yi-Min
論文名稱: 學齡前發展遲緩兒童家長對其孩童身體活動行為之促進因子與障礙因子探討-以臺北市早療醫療院所為例
Parental factors impacting physical activity on preschool children with developmental delay -an example of early intervention facilities in Taipei
指導教授: 劉潔心
Liu, Chieh-Hsing
口試委員: 廖邕
Liao, Yung
曾頌惠
Tseng, Sung-Hui
口試日期: 2021/06/24
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2021
畢業學年度: 109
語文別: 中文
論文頁數: 123
中文關鍵詞: 學齡前兒童發展遲緩身體活動PRECEDE-PROCEED
英文關鍵詞: physical activity, preschool, developmental delays, parental perception, PREDEDE-PROCEED model
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202100770
論文種類: 學術論文
相關次數: 點閱:229下載:32
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  • 本研究目的為探討學齡前發展遲緩兒童身體活動之現況與家長對於其孩童在身體活動行為的相關因素,並運用PRECEDE-PROCEED模式中「教育評估和生態評估」的階段將相關因素進一步分析為促進因子與障礙因子,瞭解學齡前發展遲緩兒童之家長在前傾、增強、使能因素上如何促進或阻礙其孩童身體活動之行為。隨機抽樣選取臺北市進行早期療育的醫療院所之孩童(n=304),並以結構式問卷調查學齡前發展遲緩兒童的家長對孩童在身體活動上相關覺知以及障礙。
    研究結果顯示臺灣學齡前發展遲緩兒童平均一天的身體活動時間僅43.09分鐘,而家長對身體活動的覺知、親職支持、親職效能以及是否有專家提供建議以及家長本身的身體活動時間、孩童靜態遊戲時間能夠有效預測學齡前發展遲緩兒童的身體活動時間(R^2=.282)。
    為了能夠提升學齡前發展遲緩兒童的身體活動時間,本研究建議:(1)提升家長在孩童身體活動重要之相關知能 (2)專業人員應加強將身體活動融入日常的相關建議及衛教 (3)政府應設立臺灣學齡前身體活動的相關指引,其中也應包含學齡前發展遲緩兒童知相關建議 (4)政府應加強在遊戲空間提供適切且通用設計之共融設施。

    This study aims to present the parental facilitators and barriers that influence the physical activity of preschool children with developmental delay. This study is a cross-sectional study that use the stage of "Education Assessment and Ecological Assessment" in the PRECEDE-PROCEED model to develop a structured questionnaire. The questionnaire consists of 3 aspects include parental, social support, and policy. Researchers survey the parents of preschool children with developmental delay in Taipei city via questionnaire (n=304).
    The results of this study indicate that preschool children with developmental delay spent 43.09 minutes in average physical activity. Multiple regression analysis revealed that parent
    's perceptions of physical activity, parental support, parental efficacy, professional advice, physical activity of parents and static play time of children significantly predicted the physical activity time of preschool children with developmental delays (R^2=.282).
    This study suggests (1) educating parents the benefits and knowledge of physical activity (2) emphasizing professional advice for the importance of integrating physical activity into daily life (3) establishing policy of physical activity guidelines for preschoolers in Taiwan, including recommendations for children with developmental delays (4) constructing policy about appropriate and inclusive facilities in playground to improve the physical activity time of children with developmental delay.

    第一章 緒論 1 第一節 研究背景動機 1 第二節 研究目的 5 第三節 研究問題 6 第四節 研究假設 7 第五節 名詞界定 8 第二章 研究文獻探討 11 第一節 學齡前兒童的身體活動 11 第二節 發展遲緩兒童的身體活動 18 第三節 發展遲緩兒童身體活動行為的促進與障礙因子 21 第四節 PRECEDE-PROCEED模式在健康行為的應用 29 第三章 研究方法 35 第一節 研究設計與架構 35 第二節 研究對象 37 第三節 研究工具 38 第四節 研究步驟 40 第五節 資料處理分析 43 第四章 研究結果與討論 45 第一節 學齡前發展遲緩兒童之家長背景變項與其身體活動行為現況分析 45 第二節 學齡前發展遲緩兒童背景變項與其身體活動行為現況分析 50 第三節 人口學背景變項與發展遲緩兒童身體活動行為之差異 57 第四節 人口學背景變項與發展遲緩兒童身體活動的促進因子與障礙因子之差異 59 第五節 發展遲緩兒童身體活動時間與背景因素、促進及障礙因子之相關 67 第六節 發展遲緩兒童身體活動行為的促進因子、障礙因子與其每天身體活動時間的預測 73 第五章 結論與建議 78 第一節 研究限制 78 第二節 結論 79 第三節 建議 81 參考文獻 85 附錄一 問卷專家效度 94 附錄二 人體研究倫理委員會證明 110 附錄三 問卷 112

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