2021年因台灣特殊傳染性肺炎疫情險峻，企業為保障員工健康安全，紛紛展開居家辦公模式，本文運用「設計思考」 (Design Thinking) 改善高科技公司居家辦公員工的身體活動，並評價介入後之成效。研究對象為某高科技公司員工，研究方式依英國設計協會所提出的設計思考四步驟實施。研究結果顯示：於「探索」階段，訪談十名員工，在居家辦公下衍生的健康問題包括身體活動減少、與同事交流及社交皆減少、工時延長、容易分心、飲食變化及睡眠型態改變等，特別是身體活動大幅減少的困擾；在「定義」階段，針對居家辦公所面臨的身體活動不足問題，員工建議可辦理健康促進活動及提供獎金。在「發展」階段，與七名跨領域團隊小組成員，運用腦力激盪方式，構想出「21天健走計畫」，並建立LINE @ 群組提升互動感，提供獎勵，提升參與率。在「實行」階段，共有73名員工參與21天健走計畫，評價結果顯示，員工每日步數從活動前4189步提升至介入後9029步，運動頻率從每週平均為1.84次提升至3.45次，運動時間從每次34分鐘提升至54分鐘，運動強度從2.04分提升至2.29分，顯示21天健走計畫可改善高科技公司居家辦公員工的身體活動，本研究可提供企業提升員工身體活動量及推動職場健康促進參考。

Due to the severe COVID-19 pandemic in Taiwan in 2021, several companies began a work-from-home program to ensure the health and safety of their employees. This study applied design thinking to improve the physical activity of high-tech company employees working from home, and evaluated the effectiveness of the intervention. Employees from high-tech companies took part in the research. The research method was carried out in accordance with the four steps of design thinking proposed by the Design Council. The results of ten employee interviews in the “Discover” stage revealed that the health problems associated with working from home include decreased physical activity, decreased communication, decreased socialization with colleagues, increased working hours, being easily distracted, changes in diet and sleep patterns, and so on. Among these health issues, the reduction in physical activity was the biggest concern. In the “Definition” stage, employees recommended holding health promotion activities and offering extra bonuses in response to the problem of insufficient physical activity while working from home. In the “Develop” stage, seven cross-disciplinary team members brainstormed to create the “21-Day Walking Program,” a LINE@ group to increase interactivity, and rewards to increase participation. In the “Deliver” stage, a total of 73 employees participated in the 21-Day Walking Program. The number of daily steps increased from 4189 to 9029 steps after the intervention, the average weekly exercise frequency increased from 1.84 to 3.45 times, the time per exercise increased from 34 to 54 minutes, and the exercise intensity increased from 2.04 to 2.29 scores, demonstrating that the 21-Day Walking Program can increase physical activity among high-tech company employees working from home. This study can serve as a reference for companies looking to increase employee physical activity and promote workplace health.

一、中文部分
吳佩諭（2021）。4成上班族WFH單身最樂，已婚族崩潰喊苦。 1111產經新聞網。取自https://www.1111.com.tw/news/jobns/139206
吳莉苓（2013）。八週戶外健走對高科技產業員工疲勞與生活品質之影響（未出版之碩士論文）。國立臺北護理健康大學。 http://140.131.94.7/handle/987654321/3467
林志遠（2015）。行為模式改變在職場對健康促進效應之研究 （未出版之碩士論文）。國立成功大學。
林姿君、王嘉康（2021）。多元健康促進活動打造健康會員新境界計畫。健康促進研究與實務，4（1），213-218。
林彥良（2020）。遠距工作的資安風險與防護重點。會計研究月刊（414）， 56-62。https://doi.org/10.6650/arm.202005_(414).0008
俞靜庭（2020）。以服務設計思維建立標準化人員服務SOP：以臺灣長照巴士司機為例（未出版之碩士論文）。國立臺灣科技大學設計研究所，臺北。
張家慧（2020）。高科技公司員工職業久坐行為與心血管疾病及其危險因子之關聯性研究（未出版之碩士論文）。國立臺灣師範大學。
陳美雅（2018）。高科技產業員工的工作滿意、工作壓力 與個人健康關係之研究（未出版之碩士論文）。國立清華大學]。
陳福才（2017）。高科技產業員工工作壓力，休閒調適與生活品質之研究-以新竹台積電員工為例（未出版之碩士論文）。國立屏東大學。
勞動部（2020）。事業單位善用臨場健康服務醫護人員，加強職場防疫措施。 取自https://www.mol.gov.tw/announcement/2099/45308/
勞動部職業安全衛生署（2014）。人因性危害預防計畫指引（初版）。台北市：勞動部職業安全衛生署。取自https://www.osha.gov.tw/media/7186523/%e4%ba%ba%e5%9b%a0%e6%80%a7%e5%8d%b1%e5%ae%b3%e9%a0%90%e9%98%b2%e8%a8%88%e7%95%ab%e6%8c%87%e5%bc%95.pdf
勞動部職業安全衛生署（2021）。居家工作職業安全衛生參考指引。取自https://www.osha.gov.tw/1106/29647/28004/33994/34298/
彭依萍、蕭瑋鈴、趙枋豷、吳孟嬪（2020）。因應COVID-19社區護理的轉型及創新。北市醫學雜誌（預刊文章），1-12。 https://doi.org/10.6200/tcmj.202010/pp.0011
童雅欣（2011）。八週健走遊戲課程對社區中高齡者身體活動與健康相關生活品質之影響（未出版之碩士論文）。國立體育大學。
楊素玲、陳俊瑜（2011）。高科技產業推行健康促進及女性操作員工生活型態之探討。工業安全衛生（266），15-23。
楊慎絢、黃芬芬、李帶琪、陳美如（2007）。科技職場之體能與健康評估。北市醫學雜誌，4（3），258-263。https://doi.org/10.6200/tcmj.2007.4.3.08
劉美蘭、陳俊瑜、徐儆暉（2013）。高科技職場員工健康促進介入性方案對代謝症候群員工之影響。健康促進與衛生教育學報（39），27-52。 https://doi.org/10.3966/207010632013060039002
衛生福利部國民健康署（2018a）。全民身體活動指引。 取自https://www.hpa.gov.tw/Pages/EBook.aspx?nodeid=1411
衛生福利部國民健康署（2018b）。健康促進推動方法。取自https://health.hpa.gov.tw/hpa/info/health_push_in.aspx?enc=7SUOmC/2JdQ3dzCyG1enXA==
賴偉文（2020）。新冠肺炎下新工作模式的轉變。經濟前瞻（189），25-30。
薛名淳、黃品瑄、廖邕（2017）。久坐行為流行病學之研究架構。大專體育（142），65-74。
羅歆慈（2018）。設計思考圖鑑。 ACADECK。 http://acadeck.com/
 
二、英文部分
Almansi, S. (2014). Feasibility of Using Pedometer-Driven Walking to Promote Physical Activity, and Improve Health-Related Quality of Life Among Meat Processing Workers University of Otago].
Baltrusch, S., Houdijk, H., van Dieën, J., & de Kruif, J. T. C. (2021). Passive trunk exoskeleton acceptability and effects on self-efficacy in employees with low-back pain: a mixed method approach. Journal of occupational rehabilitation, 31(1), 129.
Brown, T., & Wyatt, J. (2010). Design thinking for social innovation. Development Outreach, 12(1), 29-43.
Buomprisco, G., Ricci, S., Perri, R., & De Sio, S. (2021). Health and Telework: New Challenges after COVID-19 Pandemic. European Journal of Environment and Public Health, 5(2), em0073.
Carroll, M., Goldman, S., Britos, L., Koh, J., Royalty, A., & Hornstein, M. (2010). Destination, imagination and the fires within: Design thinking in a middle school classroom. International Journal of Art & Design Education, 29(1), 37-53.
De Sio, S., Cedrone, F., Nieto, H., Lapteva, E., Perri, R., Greco, E., Mucci, N., Pacella, E., & Buomprisco, G. (2021). Telework and its effects on mental health during the COVID-19 lockdown. European Review for Medical and Pharmacological Sciences, 25(10), 3914-3922.
Designcouncil. (2019). The Design Process: What is the Double Diamond? https://www.designcouncil.org.uk/news-opinion/what-framework-innovation-design-councils-evolved-double-diamond
Ekpanyaskul, C., & Padungtod, C. (2021). Occupational Health Problems and Lifestyle Changes Among Novice Working-From-Home Workers Amid the COVID-19 Pandemic. Safety and health at work.
Ferreira, B., Silva, W., Oliveira, E., & Conte, T. (2015). Designing Personas with Empathy Map. SEKE,
Fukushima, N., Machida, M., Kikuchi, H., Amagasa, S., Hayashi, T., Odagiri, Y., Takamiya, T., & Inoue, S. (2021). Associations of working from home with occupational physical activity and sedentary behavior under the COVID-19 pandemic. Journal of Occupational Health, 63(1), e12212.
Hallman, D. M., Januario, L. B., Mathiassen, S. E., Heiden, M., Svensson, S., & Bergström, G. (2021). Working from home during the COVID-19 outbreak in Sweden: effects on 24-h time-use in office workers. BMC public health, 21(1), 1-10.
Novianti, K. R., & Roz, K. (2020). Teleworking and Workload Balance on Job Satisfaction: Indonesian Public Sector Workers During Covid-19 Pandemic. APMBA (Asia Pacific Management and Business Application), 9(1), 1-10.
Qualtrics. (2020). Not in the same boat: Career progression in the pandemic. https://www.qualtrics.com/blog/inequitable-effects-of-pandemic-on-careers/
Selamet, J. (2020). Human-Centered Design Approach Toward the Physical Activity Initiative for Work-from-Home Workers During the Covid-19 Outbreak. The International Journal of Designed Objects, 14(2), 1-17.
Taylor, N. F., Evans, O. M., & Goldie, P. A. (2003). The effect of walking faster on people with acute low back pain. European Spine Journal, 12(2), 166-172.
Vandekerckhove, P., Vandekerckhove, Y., Tavernier, R., De Jaegher, K., & de Mul, M. (2020). Leveraging user experience to improve video consultations in a cardiology practice during the COVID-19 pandemic: initial insights. Journal of Medical Internet Research, 22(6), e19771.
VMware. (2019). The Value of Digital Employee Experience [Infographic]. https://www.vmware.com/cn/company/news/releases/2020/Digital_workspace_taking_the_long_view_to_solve_the_immediate_concern.html
Woodruff, S. J., Coyne, P., & St‐Pierre, E. (2021). Stress, physical activity, and screen‐related sedentary behaviour within the first month of the COVID‐19 pandemic. Applied Psychology: Health and Well‐Being, 13(2), 454-468.
Xiao, Y., Becerik-Gerber, B., Lucas, G., & Roll, S. C. (2021). Impacts of working from home during COVID-19 pandemic on physical and mental well-being of office workstation users. Journal of Occupational and Environmental Medicine, 63(3), 181.
Yoshimoto, T., Fujii, T., Oka, H., Kasahara, S., Kawamata, K., & Matsudaira, K. (2021). Pain Status and Its Association with Physical Activity, Psychological Stress, and Telework among Japanese Workers with Pain during the COVID-19 Pandemic. International journal of environmental research and public health, 18(11), 5595.