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研究生: 李淑卿
Lee, Shu-Ching
論文名稱: 青少年戒菸教育種籽教師培訓計畫成效之研究
Effects of the Training Programs for Adolescent Smoking Cessation Education Seed Teachers
指導教授: 李景美
Lee, Ching-Mei
張鳳琴
Chang, Fong-Ching
學位類別: 博士
Doctor
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2016
畢業學年度: 104
語文別: 中文
論文頁數: 157
中文關鍵詞: 青少年戒菸教育教師培訓評價Kirkpatrick層級評估模式
英文關鍵詞: adolescent, cessation education, teacher training, evaluation, Kirkpatrick's four levels model
DOI URL: https://doi.org/10.6345/NTNU202203586
論文種類: 學術論文
相關次數: 點閱:198下載:43
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  • 本研究旨在評估「校園戒菸教育種籽教師培訓計畫」之成效,並依據Kirkpatrick「層級評估模式」四層次進行培訓成效之評估。
    研究設計採前實驗設計,研究對象為參加行政院衛生署委託臺北醫學大學辦理「2011年校園戒菸教育種籽教師訓練計畫」之國高中教師共120名。計畫內容包括舉辦教師培訓課程、後續進行追蹤輔導、期末成果觀摩會等。計畫於2011年3月中旬分別於北、中、南區各辦理兩天期初課程培訓,內容主要以衛生福利部發行之「青少年戒菸教材─元氣青春叢書」為主,10月下旬舉辦期末成果觀摩會,課程內容包括菸害課程與推動戒菸教育工作經驗分享,以培訓具有協助其他戒菸教育種籽教師的能力。資料收集透過結構式前後測問卷、期中訪談題綱、輔導訪談紀錄單、戒菸教育種籽教師期末成果報告書等方式取得。
    本研究結果以Kirkpatrick「層級評估模式」四層次分別說明。
    (一)反應層次:種籽教師對培訓課程內容、講師、教學方式及教材等評價,平均得分為3.28~3.62分,無論是期初研習或期末成果觀摩會,教師對培訓各方面的滿意度皆達到九成以上。培訓課程內容、講師、教學方式及教材等評價,平均得分為3.28~3.62分,無論是期初研習或期末成果觀摩會,教師對培訓各方面的滿意度皆達到九成以上。
    (二)學習層次:培訓皆能提升種籽教師菸害認知、戒菸教育專業知能、辦理學生戒菸教育態度、辦理戒菸教育自我效能。
    (三)行為層次:教師在培訓後辦理戒菸教育情形方面,2011年底止,由完成前後測的120人中,培訓後總計收回成果報告書100份,繳回比率為83.3%,八成以上教師皆能返校辦理戒菸教育。
    (四)結果層次:種籽教師培訓後學生戒菸行為改變情形,包括呼氣一
    氧化碳(CO)值、尼古丁依賴指數(FTQ)、每日吸菸量、戒菸改變階段等,皆能朝向戒菸方向改變。
    本研究以Kirkpatrick「層級評估模式」進行學校戒菸教育種籽教師培訓後,建議未來可由多層次評價指標中,找出有效的核心指標,以提高師資培訓與學校戒菸教育之成效。

    Abstract
    The main purpose of this study was the evaluation of the Kirkpatrick's four levels model on adolescent cessation education among seed teachers.
    A pre-experimental design was employed in the study. The subjects consisted of 120 junior and senior high school teachers attending the program for adolesent smoking cessation education held by Taipei Medical University in 2011. Contents of the program included training for teachers, following and assisting afterwards, and a final outcome demonstration. There were two-day training courses held in the northern, central, and southern areas in Taiwan respectively in the middle of March, 2011, and the teaching contents were mainly the handbook of Adolescent Smoking Cessation released by Ministry of Health and Welfare. The final outcome demonstration took place at the end of October, including lessons about harmful impacts of smoking and sharing the experience in promoting smoking cessation education in order to cultivate the ability to assist other smoking cessation education seed teachers. The data was collected by using structurally questionnaires beforehand and afterwards, mid-term interview summary, interview records, and the Smoking Cessation Education Seed Teachers Term-end Reports.
    The result of this study was illustrated by Kirkpatrick's four-level model respectively.
    1. Reaction level: Training lessons' contents, lecturers, ways of teaching and teaching materials was scored from 3.28 to 3.62 by seed teachers' responds. Teachers expressed high level of satisfaction for the program in each aspect, with 90 percent or more of the teachers.
    2. Learning level: The training could elevate seed teachers' cognition, expertise in smoking cessation education, attitude toward smoking cessation education for students, and self-efficiency of promoting smoking cessation education.
    3. Behavior level: At the end of 2011, 100 final reports from 120 seed teachers attending the program, were hand in which accounts for 83.3% in total, indicating that more than 80 percent of the teachers could promote smoking cessation education in their schools.
    4. Results level: After seed teachers promoting smoking cessation education, the evaluations were collected to measure the changes among the smoking students. The indicators included the data of CO, FTO, daily tobacco consumption, the stage of change for smoking cessation. These indicators have encountered positive changes towards quitting.
    The research proposes advice in all aspects after conducting training pograms for smoking cessation education seed teachers by Kirkpatrick's four-level model. In the future, we can figure out effective core indicator in multilevel judging indicator to elevate effects of teacher training and smoking cessation education at school.

    書名頁 博士論文通過簽名表 致謝 中文摘要 英文摘要 目次 表目次 圖目次 第一章 緒論 1 第一節 研究動機 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 7 第六節 研究限制 9 第二章 文獻探討 10 第一節 戒菸教育師資培訓 10 第二節 青少年戒菸教材之研究 36 第三節 培訓計畫成效評估模式之探討 45 第四節 戒菸教育師資培訓實證研究評價指標探討 53 第三章 研究方法 63 第一節 研究設計 63 第二節 研究對象 64 第三節 研究架構 65 第四節 培訓課程規劃 66 第五節 研究工具 74 第六節 研究步驟 81 第七節 資料處理與分析 83 第四章 研究結果與討論 84 第一節 戒菸教育種籽教師培訓情形 84 第二節 戒菸教育種籽教師培訓成效 87 第三節 「層級評估模式」層次間關聯之探討 109 第四節 研究特色與貢獻 120 第五章 結論與建議 123 第一節 研究結論 123 第二節 研究建議 124 參考文獻 128 中文部分 128 西文部分 131 附錄一 元氣青春-青少年戒菸教育叢書內容簡介 139 附錄二 戒菸教育種籽教師培訓意見調查表(前測) 144 附錄三 戒菸教育種籽教師培訓意見調查表(後測) 149 附錄四 100年度校園戒菸教育種籽師資培訓教學評核表 154 附錄五「100年度校園戒菸教育種籽教師訓練」訪談題綱 155 附錄六100年度戒菸教育種籽教師訓練計畫-輔導記錄表….157

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