本研究目的以沒有吸食毒品習慣之高中職學生為對象，透過紙本與AR桌遊課程教學來提升學生學習動機，以提升學生毒品基本識能、態度、生活技能、主觀規範、自己對拒絕毒品的知覺行為控制以及不用藥的行為意圖，以有效達成反毒行為。
本研究共招募600位高中職學生，其有效樣本為578人，並分為三組，194人接受紙本桌遊課程介入；194人接受AR桌遊課程介入；對照組190人，介入時間為2堂課，共計100分鐘，三組在桌遊課程前一週進行前測問卷，於教學介入後立即後測。使用SPSS for Windows version 23.0 進行分析，採用描述性統計、配對t檢定、多變量檢定及廣義估計方程式分析介入前後之變化差異。
研究結果顯示以桌遊結合擴增實境(AR)教學之學生在毒品基本識能、生活技能、主觀規範、知覺行為控制以及行為意圖皆顯著進步，學生也表示桌遊課程有助於藥物濫用學習並提升學習成效。
本研究顯示使用紙本及AR桌遊教學皆可提升高中職學生毒品基本識能、生活技能、主觀規範、知覺行為控制以及行為意圖，可強化國內反毒之深度並加以推廣，建議學校往後可以參考本藥物濫用桌遊教學，以提升學生藥物濫用相關識能。

Under the context of the prevalence of illegal drugs among students in high schools, an augmented reality (AR) table game incorporated anti-drug course was designed for adolescents who did not have a problem with illegal drug use to increase their anti-drug literacy, attitude, skills, social norms, perceived behavioral control, and intention of refusing drugs.
Six-hundred students were recruited as participants, and the effective sample size was 578, which were randomly assigned to one of the three groups as follows: the group with AR board games, the group with regular board games, and the control group. The course was comprised of two sessions. Questionnaires were administered before and after the course. Descriptive statistics "paired t-tests" multivariate approach and Generalized Estimating Equations (GEE) were used to examine the improvements in the pre- and post-tests with SPSS in Windows version 23.0.
The results showed that the students who used the incorporated board games and augmented reality (AR) teaching had significant progress in literacy, life skills, social norms, perceived behavioral control, and intention. The students also stated that the board game course could help drug abuse learning and improve learning effectiveness.
In conclusion, the effectiveness of the board games and AR board games teaching can improve student’s literacy, life skills, social norms, perceived behavioral control, and intention among senior high school students, and strengthen the understanding of anti-drug and even promote it. It’s suggested that schools could modify courses with AR board games and apply them to other drug-use prevention programs.

一、中文部分
王肇峰(2012)。擴增實境教學對於注意力缺陷過動學生學習之影響。國
立臺灣師範大學科技應用與人力資源發展學系之碩士論文，未出版，台北市。
王寶麟(2015)。桌上遊戲教學對國小四年級學童健康教育課程學習成效之影響。國立臺北教育大學數位科技設計學系(含玩具與遊戲設計碩士班) 學位論文，未出版，台北市。
李慧娟(2014)。應用計畫行為理論探討不使用非法藥物行為意圖及性別
差異－以國小高年級學生為例。國立臺灣師範大學健康促進與衛生
教育學系之碩士論文，未出版，台北市。
林育陞(2016)。藥物濫用生理，心理狀態之探究—以青少年藥物濫用為例。諮商與輔導，(368),37-42。
周家興(2013)。結合擴增實境與桌上遊戲對台灣地名學習之影響。國立
臺北教育大學數位科技設計學系(含玩具與遊戲設計碩士班)學位論文，未出版，台北市。
紀雪雲、徐凱芬(2018)。桌上遊戲在反毒教育上的意義。衛生福利部食品藥物管理署管制藥品簡訊，76，1-9。
侯惠澤(2018)。寓教於樂：知識主題桌上遊戲設計。新北市：台科大圖
書股份有限公司。
侯淳馨、金凱儀、王慶生(2018)。應用擴增實境技術於古蹟導覽教學系
統對學習注意力之影響，國立臺灣科技大學人文社會學報，
14(4)，341-363。
秦文鎮(2018)。新興毒品概論及其防制。臺灣醫界，61 (9)，30-34。
教育部(2017)。行政院毒品防治會報拒毒預防組106年執行成果報告。
1-48。
陳介宇、王沐嵐（2017)。臺灣桌上遊戲研究與文獻之回顧分析。取
自：https://sites.google.com/site/taiwanbgstudy/home
陳佳琪(2012)。紙盤遊戲團體方案對氣喘病童之自我照顧效果研究。國立高雄師範大學諮商輔導學系之碩士論文，未出版，高雄市。
陳建志(2019)。職場反菸拒檳毒，補上反毒策略的一塊拼圖。衛生福利
部食品藥物管理署管制藥品簡訊，79，1-6。
陳為堅、陳琦雅、吳上奇(2018)。藥物濫用者之醫療使用及健康危害。
衛生福利部食品藥物管理署管制藥品簡訊，74，1-8。
楊秋燕、陳明琡、沈金蘭、郭俊巖(2017)。以遊會友桌遊處遇團體研究-南區老人之家為例。社會發展研究學刊，(19)，78-111。
鄭秉漢(2019)。科學桌遊與他們的X。國立臺灣師範大學科學教育學系
之博士論文，未出版，台北市。
蔡蒼柏(2018)。新世代反毒策略。刑事雙月刊，84，1-80。
衛生福利部(2018)。107年藥物濫用案件暨檢驗統計資料年報。台北：
衛生福利部。
衛生福利部食品藥物管制藥品組(2018)。藥物濫用防制指引。台北：衛生福利部。
衛生福利部食品藥物管理署(2017)。職場藥物濫用防制教育模式的建立
與評價之研究。台北：衛生福利部。
謝月鄉(2017)。桌上遊戲應用於國小營養教育之研究。國立臺北教育大
學數位科技設計學系學位論文，未出版，台北市。
魏米秀、張美娟、謝至鎠、尤瑞鴻、Jürgen M. Pelikan、王英偉（2018）。健康識能機構實務指引。台北：衛生福利部國民健康署。
二、英文部分
Ajzen, I. (1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
Armitage, C. J., & Conner, M. (2001). Efficacy of the theory of planned behaviour: A meta‐analytic review. British journal of social psychology, 40(4), 471-499.
Azuma, R. T. (1997). A Survey of Augmented Reality. In Presence: Teleoperators and Virtual Environment. 6(4), 355-385.
Bangor, A., Kortum, P., & Miller, J. (2009). Determining what individual SUS scores mean: Adding an adjective rating scale. Journal of usability studies, 4(3), 114-123.
Bashirian, S., Hidarnia, A., Allahverdipour, H., & Hajizadeh, E. (2012).Application of the theory of planned behavior to predict drug abuse related behaviors among adolescents. Journal of research in health sciences, 12(1), 54-59.
Billinghurst, M. (2002). Augmented reality in education. New horizons for learning, 12(5), 1-5.
Billinghurst, M., & Duenser, A. (2012). Augmented reality in the classroom. Computer, 45(7), 56-63.
Botvin, G. J., Griffin, K. W., & Williams, C. (2015). Preventing daily substance use among high school students using a cognitive-behavioral competence enhancement approach. World Journal of Preventive Medicine, 3(3), 48-53.
Bujak, K. R., Radu, I., Catrambone, R., Macintyre, B., Zheng, R., & Golubski, G. (2013). A psychological perspective on augmented reality in the mathematics classroom. Computers & Education, 68, 536-544.
Chen, P., Liu, X., Cheng, W., & Huang, R. (2017). A review of using Augmented Reality in Education from 2011 to 2016. In Innovations in smart learning (pp. 13-18). Springer, Singapore.
Csikszentmihalyi, M. (1991). Flow: The Psychology of Optimal Experience: Steps toward Enhancing the Quality of Life. New York: Harper Collins Publishers.
Czuchry, M., Sia, T. L., & Dansereau, D. F. (1999). Preventing alcohol abuse: An examination of the “Downward Spiral” game and educational videos. Journal of Drug Education, 29, 323-325
Dewar, G. (2016). Board Games for Kids: Can they teach critical thinking? 2009-2012 copyrighted.
Dirksen, J. (2012). Design for how people learn. Berkeley, CA: New Riders
Dunleavy, M., Dede, C., & Mitchell, R. (2009). Affordances and limitations of immersive participatory augmented reality simulations for teaching and learning. Journal of science Education and Technology, 18(1), 7-22.
Fidan, M., & Tuncel, M. (2019). Integrating augmented reality into problem based learning: The effects on learning achievement and attitude in physics education. Computers & Education, 142, 103635.
Garris, R., Ahlers, R., & Driskell, J. E. (2002). Games, motivation, and learning: A research and practice model. Simulation & gaming, 33(4), 441-467.
Guo, J. L., Lee, T. C., Liao, J. Y., & Huang, C. M. (2015). Prevention of illicit drug use through a school-based program: results of a longitudinal, cluster-randomized controlled trial. Journal of Adolescent Health, 56(3), 314-322.
Global Drug Survey(2019).
https://www.globaldrugsurvey.com/wp-content/themes/globaldrugsurvey/results/GDS2019-Exec-Summary.pdf
Hsiao, K. F., & Rashvand, H. F. (2011). Integrating body language movements in augmented reality learning environment. Human-centric Computing and Information Sciences, 1(1), 1.
Hsiao, K. F., Chen, N. S., & Huang, S. Y. (2012). Learning while exercising for science education in augmented reality among adolescents. Interactive learning environments, 20(4), 331-349.
Hsiao, K. F. (2013). Using augmented reality for students health-case of combining educational learning with standard fitness. Multimedia tools and applications, 64(2), 407-421.
Huang, C. M., Chien, L. Y., Cheng, C. F., & Guo, J. L. (2012). Integrating Life Skills Into a Theory‐Based Drug‐Use Prevention Program: Effectiveness Among Junior High Students in Taiwan. 82(7), 328-335.
Huang, S. F., Zheng, W. L., Liao, J. Y., Huang, C. M., Lin, T. Y., & Guo, J. L. (2018). The effectiveness of a theory-based drama intervention in preventing illegal drug use among students aged 14–15 years in Taiwan. 77(4), 470-481.
Hughes, C. E., Stapleton, C. B., Hughes, D. E., & Smith, E. M. (2005). Mixed reality in education, entertainment, and training. IEEE computer graphics and applications, 25(6), 24-30.
Kamphuis, C., Barsom, E., Schijven, M., & Christoph, N. (2014). Augmented reality in medical education?. Perspectives on medical education, 3(4), 300-311.
Keshav, N. U., Vogt-Lowell, K., Vahabzadeh, A., & Sahin, N. T. (2019). Digital Attention-Related Augmented-Reality Game: Significant Correlation between Student Game Performance and Validated Clinical Measures of Attention-Deficit/Hyperactivity Disorder (ADHD). Children, 6(6), 72.
Lee, A., Lo, A. S. C., Keung, M. W., Kwong, C. M. A., & Wong, K. K.(2019). Effective health promoting school for better health of children and adolescents: indicators for success. BMC public health, 19(1), 1088.
Liao, J. Y., Huang, C. M., Lee, C. T. C., Hsu, H. P., Chang, C. C., Chuang, C. J., & Guo, J. L. (2018). Risk and protective factors for adolescents’ illicit drug use: A population-based study. Health Education Journal, 77(7), 749-761.
Lin, Y. H., & Lin, H. C. K. (2019). Using an Augmented-Reality Board Game for Drug Addiction Prevention at a University in Taiwan. In International Conference on Innovative Technologies and Learning (pp. 24-32). Springer, Cham.
Miech, R., Johnston, L., O'Malley, P., Bachman, J., Schulenberg, J., & Patrick, M. (2019). Monitoring the future national survey results on drug use, 1975-2018: volume I, secondary school students.
Milgram, P., Takemura, H., Utsumi, A., & Kishino, F. (1995, December). Augmented reality: A class of displays on the reality-virtuality continuum. In Telemanipulator and telepresence technologies (Vol. 2351, pp. 282-293). International Society for Optics and Photonics
Mirzaei Alavijeh, M., Jalilian, F., Zinat Motlagh, F., Mazloomy Mahmodabad,S., Zolghadr, R., & Hatamzadeh, N. (2015). Effectiveness of drug abuse preventative intervention among Iranian Medical College Students based
on the theory of planned behavior. Health Education & Health Promotion, 2(1), 41-52.
Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international, 15(3), 259-267.
Nool, M. (2013). Ecstasy use by young adults: The theory of planned behavior and the ecstasy use of friends (Master's thesis).
Schmitz B, Specht M, Klemke R. An analysis of the educational potential of augmented reality games for learning. In: Proceedings of the 11th world conference on mobile and contextual learning.Helsinki; 2012. pp. 140–147. http://hdl.handle.net/1820/4790. Accessed 31 Oct 2013.
Starks, K. (2014). Cognitive behavioral game design: a unified model for designing serious games. Frontiers in psychology, 5, 28.
United Nations Office on Drugs and Crime. (2019).World Drug Report 2019. United Nations. Retrieved June, 2019 from https://wdr.unodc.org/wdr2019/prelaunch/WDR19_Booklet_1_EXECUTIVE_SUMMARY.pdf
Viggiano, E., Viggiano, A., Di Costanzo, A., Viggiano, A., Viggiano, A., Andreozzi, E., ... & Incarnato, L. (2018). Healthy lifestyle promotion in primary schools through the board game Kaledo: a pilot cluster randomized trial. European journal of pediatrics, 1-5.
Van Krevelen, D., & Poelman, R. (2007). Augmented reality: Technologies, applications, and limitations. Vrije Univ. Amsterdam, Dep. Comput. Sci.
Wills, T. A., Gibbons, F. X., Sargent, J. D., Gerrard, M., Lee, H.-R., & Dal Cin, S. (2010). Good self-control moderates the effect of mass media on adolescent tobacco and alcohol use: tests with studies of children and adolescents. Health Psychology, 29(5), 539.
Woods, E., Billinghurst, M., Looser, J., Aldridge, G., Brown, D., Garrie, B., & Nelles, C. (2004, June). Augmenting the science centre and museum experience. In Proceedings of the 2nd international conference on Computer graphics and interactive techniques in Australasia and South East Asia (pp. 230-236). ACM.
Wu, H. K., Lee, S. W. Y., Chang, H. Y., & Liang, J. C. (2013). Current status, opportunities and challenges of augmented reality in education. Computers & education, 62, 41-49.
Yoon, B., Rodriguez, L., Faselis, C. J., & Liappis, A. P. (2014). Using a board game to reinforce learning. The Journal of Continuing Education in Nursing, 45(3), 110-111.
Yu, D., Jin, J. S., Luo, S., Lai, W., & Huang, Q. (2009). A useful visualization technique: a literature review for augmented reality and its application, limitation & future direction. In Visual information communication (pp. 311-337). Springer, Boston, MA.
Zhao, X., White, K. M., & McD Young, R. (2019). A TPB-based smoking intervention among Chinese high school students. Substance use & misuse, 54(3), 459-472.
三、參考網站
https://interestingengineering.com/augmented-reality-the-future-of-education
https://www.boardgamegeek.com/