本論文的研究目的是為瞭解大專健康促進學校計畫執行之情形，運用RE-AIM模式的五個層面進行評價，針對2017年大專健康促進學校計畫執行之成果報告以文本分析和質性訪談，以立意取樣篩選出十所學校，運用RE-AIM模式來探討並瞭解大專健康促進計畫一般學校與得獎學校之間的差異情形。
本論文研究發現健康促進計畫在一般學校執行情形在涵蓋面無法全校性推廣，對象侷限在教職員工及學生；在有效面，一般學校無法使用量化數據呈現結果；採納面則校內跨處室合作不易，而實施面推行方式單一；在維持面認為若缺乏經費，議題推行困難。而得獎學校在涵蓋面，推行對象包含教職員工、學生及廣泛社區民眾；善用網路通訊媒體增加涵蓋面及有效面，成果皆能使用量化數據呈現；在採納面計畫受校內主管重視並且主動參與，跨處室合作，計畫實施方式多元，在維持面得獎學校表示依據推行經驗和已建立的健康生活型態，即使沒有經費補助亦能持續辦理。僅以本研究之結果提供建議，作為未來推動大專校院健康促進計畫執行之參考。

The purpose of the study is to evaluate the implementation of health promotion programs at universities and colleges based on the five dimensions of the RE-AIM framework. Textual analysis from the Outcome Evaluation Report of the College Health Promotion Programs in 2017 and qualitative interviews with purposive sampling were employed to examine and compare the differences of health promotion programs between those that were awarded and those that were not.
Findings of the study were as follows. On the Reach dimension, non-awaded schools failed to promote programs widely and only reached out to faculty, staff and students; on the Effectiveness dimension, results were not quantitatively presented; on the Adoption dimension, collaboration across departments encountered difficulties; on the Implementation dimension, the delivery was monotonous; on the Maintenance dimension, these schools attributed the difficulty to raise the awareness. On the contrary, awarded schools also outreached to the community and took advantage of internet and media communications to enhance their effectiveness; on the Adoption dimension, campus administrators took programs seriously and participated in them while facilitating collaboration across departments and units on campus; on the Implementation dimension, programs were carried out in a diverse approach. On the Maintenance dimension, they continued to promote health programs based on prior experiences and healthy life styles previously established among individuals and in institutions.
The study indicated several important implications and suggestions for universities in implementing their campus health programs in the future.

中文部份
宋素卿、黃慧琪、林梅香、林秀純、陳慧郡、侯淑雲（2014）。推動校園
性健康促進計畫歷程與成效之初探。台灣性學學刊，20（1），27-54。
李永祥、余宗龍（2014）。計畫行為理論對大學生從事規律運動行為影響因素。大專體育學刊，16（1）45-58。
李蘭、晏涵文、陳富莉、陸玓玲、吳文琪、江宜珍（2010）。健康行為與健康教育。臺北市：巨流圖書公司。
吳秋芬、劉曦宸、黃姝慈、陳慧珊（2010）。新世代健康領航計畫建構整合性社區健康照護網絡試辦計畫效益評估（國立陽明大學）。臺北市：行政院研究發展考核委員會委託研究。
林蕙王亭、陳志哲（2010）。以RE-AIM模式評價健康促進學校計畫之執行情形。健康生活與成功老化學刊，4（1），48-68。
林耀豐、黃芊葳（2014）。健康促進對生活型態影響之探討。國立屏東教育大學，177-182。
洪升呈（2011）。大學生運動價值觀研究：以龍華科技大學為例。嘉大體育健康休閒期刊，10（22），47-59。
洪英源、陳金海、方介民、侯淑玲（2017）。大學日間部新生體適能評估探討。長榮運動休閒學刊，11，14-23。
施惠雯、陳漢瑛（2008）。大學生健康促進生活型態及相關因素研究~ 以北部某國立大學為例（碩士論文）。國立臺北教育大學。
黃毓華、邱啟潤（1997）。高雄地區大學生健康促進生活型態之預測因子。中華公共衛生雜誌，16（1），24-36。
黃靖婷、陳孝平（2015）。矯正機關收容人納入全民健康保險─以RE-AIM架構為基礎之政策評估（碩士論文）。臺灣嘉義市：國立中正大學。
郭鐘隆（2005）。推動學校本位的健康促進學校。臺灣教育（634），14-19。　　　　　　
陳敏郎、顏嘉盈（2015）。大學生自覺健康、健康認知及飲食行為相關
因素之研究以中部四所大學為例。弘光學報，76，111-122。
陳慧如、陳政友、朱基銘、程淑華、王桂芸（2017）。台灣軍校大專生
自我效能及健康控握信念與健康危害行為之關係。源遠護理，11（3），35-46。
陳玉霞（2008）。宜蘭縣先驅性健康促進學校執行成效評估之研究（碩士論文）。臺北市：國立臺灣師範大學健康促進與衛生教育學系。
教育部青年發展署（2018）。中程施政計畫。資料取自網址
https://www.yda.gov.tw/Content/Messagess/contents.aspx?&SiteID=563426067575657313&MmmID=653624307364710731&MSID=65362431027742673。
教育部統計處（2018）。大專校院校數。取自網址 http://stats.moe.gov.tw/result.aspx?qno=MQA3ADkAMQA1
游美惠（2000）。內容分析、文本分析與論述分析在社會研究的運用。調查研究（8），5-42。
張世沛、郭政茂、楊哲冠、黃瑞臻、施國森（2011）。大專院校學生運動餐與及體適能評估研究。運動與遊憩研究，6（2），1-15。
張怡雅（2011）。校園菸害防制教育現況之分析：以某一科技大學為例。彰化護理 18（4），6-8。
湯豐誠、蘇文羚、黃淑玲（2015）。大學生健康促進生活型態執行情形及其相關因子探討。人因工程學刊，17（1），27-38。
葉琇珠（2000）。大學生健康概念與健康促進生活型態之探討（未發表的碩士論文）。臺北市：國立陽明大學社區護理研究所。
鄭其嘉、林孟燕（2014）。健康促進生活型態與健康之相關性探討─以北
部某綜合大學新生為例。輔仁醫學期刊，12（4），227-237。
劉潔心（2013）。臺灣推動健康促進學校之現況。中等教育，64（1），6-25。
賴玉敏、陳柔亦、孫嘉玲、陳珮英。（2016）。大學生營養知識、飲食行為與健康狀態相關研究。健康與建築雜誌，3（3），52-60。
衛生福利部（2016）。國民健康署。2016統計資料。
臺灣健康促進學校（2018）。臺灣健康促進學校。取自網址:http://hpshome.hphe.ntnu.edu.tw/About/Taiwan.aspx.
蕭涵芸（2008）。以RE-AIM架構模式評價彰化縣糖尿病共同照護網之成效 （碩士論文）。臺灣臺中市：亞洲大學健康管理研究所。
蘇怡尹、陳嬿今、柯乃熒（2015）。大專校院推動性教育（含愛滋病防治）示範及推廣學校成果。愛之關懷季刊，（93），34-44。

英文部份
Allen, K., Zoellner, J., Motley, M., Estabrooks, & P. A. (2011). Understanding the internal and external validity of health literacy interventions:A systematic literature review using the RE-AIM framework. Journal of Health Communication, 16(sup3), 55-72。
Almutairi, K. M., Alonazi, W. B.,Vinluan, J. M., Almigbal, T. H., Batais, M. A., Alodhayani, A. A., Alhoqail, R. I. (2018).Health promoting lifestyle of university students in Saudi Arabia: a cross-sectional assessment. BMC Public Health,18(1), 1093.
Arco-Tirado, J. L. F.-M., F.; Ramos-Garcia, A. M.; Littvay, L.; Villoria, J.; Naranjo, J. A. (2018). A counterfactual impact evaluation of a bilingual program on students' grade point average at a spanish university. Evaluation and Program Planning, 68, 81-89.
Arnett, J. J. (2000). High Hopes in a Grim World: Emerging Adults Views of their Futures and “Generation X”. Youth & Society, 31(3), 267-286.
Assocation, A. C. H. (2018). ACHA. retrieved from: http://www.acha.org/ACHA/Programs/CHWC/ACHA/Programs_and_Services/Consulting.aspx?hkey=7c104661-c802-4f78-9a94-225bfadf3ebc. ACHA.
Bakken, S. R., C. M. (2009). Translating clinical informatics interventions into routine clinical care: how can the RE-AIM framework help? Journal of the American Medical Informatics Association, 16(6), 889-897.
Balatsoukas, P., Kennedy, C. M., Buchan,I., Powell, J., & Ainsworth, J. (2015). The Role of Social Network Technologies in Online Health Promotion: A Narrative Review of Theoretical and Empirical Factors Influencing Intervention Effectiveness. Journal of Medical Internet Research, 17(6), e141.
Ball, T. J. (2009). Selected barriers and incentives to participation in a university wellness program. Utah State University.
Belza, B., Toobert, Deborah J., Glasgow, Russell. E. (2007). RE-AIM for program planning: overview and applications.Washington, DC:National Council on Aging,165.
Blackman, K. C. A., Zoellner, J., Berrey, L. M., Alexander, R., Fanning, J., Hill, J. L., & Estabrooks, P. A. (2013). Assessing the Internal and External Validity of Mobile Health Physical Activity Promotion Interventions: A Systematic Literature Review Using the RE-AIM Framework. Journal of Medical Internet Research, 15(10), e224.
Boreham, C., Robson, P.J., Gallagher,A. M., Cran, G.W., Savage,J. M., & Murray, L. J. (2004). Tracking of physical activity, fitness, body composition and diet from adolescence to young adulthood: The Young Hearts Project, Northern Ireland. International Journal of Behavioral Nutrition and Physical Activity, 1(1), 14.
Bowen, G. A. (2009). Document analysis as a qualitative research method. Qualitative Research Journal, 9(2), 27-40.
Bresnahan, M. P., Sacks, R., Farley, S. M., Mandel-Ricci, J., Patterson, T.,& Lamberson, P. (2016). Going tobacco-free on 24 New York City university campuses: A public health agency's partnership with a large urban public university system. Journal of American College Health, 64(4), 343-347.
Bridget Gaglio, P., Jo AnnShoup, MSW, MA, MS, and Russell E. Glasgow, PhD. (2013). The RE-AIM Framework A Systematic Review. American Journal of Public Health, 103(6), e38-46.
Bridget Gaglio, S. M. P., Suzanne Heurtin-Roberts, Michael A Sanchez, Russell E Glasgow. (2014). How pragmatic is it Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research. Implementation Scienc, 9(96), 1-11.
Carlfjord, S., Andersson, A., Bendtsen, P., Nilsen, P., & Lindberg, M. (2011). Applying the RE-AIM framework to evaluate two implementation strategies used to introduce a tool for lifestyle intervention in Swedish primary health care. Health Promotion International, 27(2), 167-176.
Choi, E. P., Wong, J. Y., Lo, H. H., Wong, W., Chio, J. H., & Fong, D. Y. (2016a). The association between smartphone dating applications and college students'casual sex encounters and condom use. Sexual & Reproductive Healthcare, 9, 38-41.
Choi, E. P., Wong, J. Y., Lo, H. H.,Wong, W., Chio, J. H., & Fong, D. Y. (2016b). The Impacts of Using Smartphone Dating Applications on Sexual Risk Behaviours in College Students in Hong Kong. PLoS One, 11(11), e0165394.
Compernolle, S., DeCocker, K., Lakerveld, J., Mackenbach, J. D., Nijpels, G., Oppert, J. M., De Bourdeaudhuij, I. (2014). A RE-AIM evaluation of evidence-based multi-level interventions to improve obesity-related behaviours in adults:a systematic review(the SPOTLIGHT project). International Journal of Behavioral Nutrition and Physical Activity, 11,147.
Cooke, R., & Papadaki, A. (2014). Nutrition label use mediates the positive relationship between nutrition knowledge and attitudes towards healthy eating with dietary quality among university students in the UK. Appetite, 83, 297-303.
Cushing, C. C. B., E. E.; Suorsa, K. I.; Wilson, D. K. (2014). Systematic review and meta-analysis of health promotion interventions for children and adolescents using an ecological framework. Journal of Pediatric Psychology, 39(8), 949-962.
Deschesnes, M., Martin, C., & Hill,A. J. (2003). Comprehensive approaches to school health promotion:how to achieve broader implementation? Health Promotion International, 18(4), 387-396.
Estabrooks, P. A., Smith-Ray, R. L., Dzewaltowski, D. A., Dowdy, D., Lattimore, D., Rheaume, C., Wilcox, S. (2011). Sustainability of evidence-based community-based physical activity programs for older adults: lessons from Active for Life. Translational Behavioral Medicine, 1(2), 208-215.
Freudenberg, N., Manzo, L., Mongiello, L.,Jones, H., Boeri, N., & Lamberson, P. (2013). Promoting the health of young adults in urban public universities: a case study from City University of New York. Journal of American College Health, 61(7), 422-430.
Gaborone, B. (2006). The use of documentary research methods in social research. African Sociological Review, 10(1), 221-230.
Gaglio, B., Shoup, J. A., & Glasgow, R. E. (2013). The RE-AIM framework: a systematic review of use over time. American Journal of Public Health, 103(6), e38-46.
Gerber, M. E., K.; Herrmann, C.; Colledge, F.; Brand,S.; Donath, L.; Faude, O.; Puhse,U.; Hanssen, H.; Zahner, L. (2017). Fitness, Stress, and Body Composition in Primary Schoolchildren. Medicine & Science in Sports & Exercise, 49(3), 581-587.
Glasgow RE, Vogt TM, Boles SM. (1999). Evaluating the Public Health Impact of Health Promotion Interventions: The RE-AIM Framework. American Journal of Public Health, 89(9):1322-1327.
Glasgow, R. E., Klesges, L. M., Dzewaltowski, D. A., Estabrooks, P. A., & Vogt, T. M. (2006). Evaluating the impact of health promotion programs:using the RE-AIM framework to form summary measures for decision making involving complex issues. Health Education Research, 21(5), 688-694.
Glasgow, R. E., Nelson, C. C., Strycker, L. A., & King, D. K. (2006). Using RE-AIM metrics to evaluate diabetes self-management support interventions. American Journal of Preventive Medicine., 30(1), 67-73.
Glasgow, R. E. E., P. E. (2018). Pragmatic Applications of RE-AIM for Health Care Initiatives in Community and Clinical Settings. Preventing Chronic Disease,15, E02.
Glasgow, R. E. K., D. K. (2009). Implications of Active Living by Design for broad adoption,successful implementation,and long-term sustainability. American Journal of Preventive Medicine, 37(6 Suppl2), S450-452.
Gokee-LaRose, J. G., A. A.; Raynor, H. A.; Wing, R. R. (2008). Standard behavioral treatment is not effective for weight loss in young adults.In Poster presented at the annual meeting of The Obesity Society. Arizona:Phoenix.
Gokee-LaRose, J. G., A . A; Raynor, HA; Laska, MN; Jeffery, RW ; Levy, RL; Wing, RR. (2009). Are standard behavioral weight loss programs effective for young adults? International Journal of Obesity, 33 (12), 1374.
Green, L. W. G., Russell E. (2006). Evaluating the Relevance, Generalization, and Applicability of Research:Issues in External Validation and Translation Methodology. Evaluation & The Health Professions, 29 (1), 126-153.
Hill-Mey, P. E., Kumpfer, K. L., Merrill, R. M., Reel, J., Hyatt-Neville, B., & Richardson, G. E. (2015). Worksite health promotion programs in college settings. Journal of Education and Health Promotion, 4, 12.
Holtrop, J. S. R., B. A.; Glasgow, R. E. (2018). Qualitative approaches to use of the RE-AIM framework: rationale and methods. BMC Health Services Research, 18(1), 177.
Hornsby, P. R., Rebecca H. M. S.; Gwaltney, Jack M., Jr.Md,; Parsons, Bryan D. M. S.; Morse, R. Michael M. D. (1997). The University of Virginia Health Promotion and Disease Prevention Program. American Journal of Preventive Medicine, 13(1), 36-44.
Horodyska, K., Luszczynska, A., Hayes, C.B., O'Shea, M. P., Langoien, L. J., Roos, G., Brug, J. (2015). Implementation conditions for diet and physical activity interventions and policies:an umbrella review. BMC Public Health,15,1250.
Joshi, D., Poudyal, P., Jimba, M., Mishra, P., Neave, L., & Maharjan, M. (2001). Controlling Taenia solium in Nepal using the PRECEDE-PROCEED model. Southeast Asian Journal of Tropical Medicine and Public Health, 32, 94-97.
Joh, H.- K., Kim, H.-J., Kim, Y.-O., Lee, J.-Y., Cho, B., Lim, C. S., & Jung, S.-E. (2017). Health promotion in young adults at a university in Korea: A cross-sectional study of 625 participants in a university. Medicine (Baltimore), 96(7), e6157-e6157.
Jung, M. (2016). Consumer Health Informatics:Promoting Patient Self-care Management of Illnesses and Health. Health Care Manag (Frederick), 35(4), 312-320.
Kim, R. W. N., Vinayak K. (2017). A Guide for Understanding Health Education and Promotion Programs. Health Promotion Practice, 19(2), 167-169.
King, D. K., Glasgow, R. E.,& Leeman-Castillo, B. (2010). RE-AIMing RE-AIM: using the model to plan, implement, and evaluate the effects of environmental change approaches to enhancing population health. American Journal of Public Health, 100(11), 2076-2084.
King, D. K. G., R. E.; Leeman-Castillo, B. (2010). RE-AIMing RE-AIM: using the model to plan, implement, and evaluate the effects of environmental change approaches to enhancing population health. American Jouranl Public Health, 100(11), 2076-2084.
Kupersmidt, J. B., Scull, T. M., Benson, J. W. (2017). Using Qualitative Methods to Understand Perceptions of Risk and Condom Use in African American College Women: Implications for Sexual Health Promotion. Journal Health Communcation, 44(5), 805-814.
Leahey, T. M., Kumar, R., Weinberg, B. M., & Wing,R.R. (2012). Teammates and social influence affect weight loss outcomes in a team‐based weight loss competition. Obesity, 20(7), 1413-1418.
Leijon, M., Arvidsson, D., Nilsen, P., Stark Ekman, D., Carlfjord,S., Andersson, A., Bendtsen, P. (2011). Improvement of Physical Activity by a Kiosk-based Electronic Screening and Brief Intervention in Routine Primary Health Care: Patient-Initiated Versus Staff-Referred. Journal of Medical Internet Research, 13(4), e99.
Mathur, C., Stigler, M., Lust, K., & Laska, M. (2014). A latent class analysis of weight-related health behaviors among 2-and 4-year college students and associated risk of obesity. Health Education & Behavior, 41(6), 663-672.
McLaurin-Jones, T. L., Lashley, M. B. Marshall,V.J. (2017). Using Qualitative Methods to Understand Perceptions of Risk and Condom Use in African American College Women: Implications for Sexual Health Promotion. Health Education & Behavior, 44(5), 805-814.
McTigue, K. M., Garrett, J. M.,& Popkin, B. M. (2002). THe natural history of the development of obesity in a cohort of young u.s. adults between 1981 and 1998. Annals of Internal Medicine, 136(12), 857-864.
Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., King, A. C. (1995). Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Journal of American Medical Association, 273(5), 402-407.
Price, A. A. W.-G., M. C.; Kraus, C.L.; McKenzie, M. J. (2016). Body Composition, Fitness Status, and Health Behaviors Upon Entering College: An Examination of Female College Students From Diverse Populations. Clinical Medicine Insights: Women's Health, 9 (Suppl1), 23-29.
Raeann, L., Louise, Vincent. (2018). Measuring the Impact A RE-AIM Framework for Evaluation of a Needle Exchange Program University of Massachusetts Amherst ScholarWorks.
Ragnar Van Acker, I. D. B., Katrien De Cocker, Lisa M Klesges, Greet Cardon. (2011). The impact of disseminating a RE-AIM analysis. BMC Public Health, 11(3), 1-11.
Ragnar Van Acker.; Ilse De Bourdeaudhuij, K. D. C., Lisa M Klesges,; Greet Cardon. (2011). The impact of disseminating a RE-AIM analysis. Van Acker et al. BMC Public Health, 11(3), 1-11.
Robroek, S. J. W., van Lenthe,F .J., van Empelen, P.,& Burdorf, A. (2009). Determinants of participation in worksite health promotion programmes: a systematic review. International Journal of Behavioral Nutrition and Physical Activity, 6(1), 26.
Ryan, G. W., Bernard, H. R. (2000). Data management and analysis methods.
Scull, T. M., Kupersmidt, J. B., Malik, C. V., & Keefe, E. M. (2018). Examining the efficacy of an mHealth media literacy education program for sexual health promotion in older adolescents attending community college. Journal of American Colledge Health, 66(3), 165-177.
Scull, T. M., Malik, C. V., & Kupersmidt, J. B. (2017). Understanding the unique role of media message processing in predicting adolescent sexual behavior intentions in the United States. Journal of Children and Media, 1-17.
Scull, T. M., Kupersmidt, J. B., Malik, C. V., & Morgan-Lopez, A. A. (2018). Using Media Literacy Education for Adolescent Sexual Health Promotion in Middle School: Randomized Control Trial of Media Aware. Journal of Health Communication, 23(12), 1051-1063.
Shoup, J. A. G., B.;Varda, D.; Glasgow, R. E. (2015). Network analysis of RE-AIM framework:chronology of the field and the connectivity of its contributors. Translational Behavioral Medicine, 5(2), 216-232.
Tchernof, A. and J. P. Després (2013). Pathophysiology of human visceral obesity: an update. Physiological Reviews, 93(1), 359-404.
Ward, S. C., A. F.; Humbert, M. L.; Belanger, M.; Muhajarine, N.; Vatanparast, H.; Leis, A. (2018). Promoting physical activity,healthy eating and gross motor skills development among preschoolers attending childcare centers: Process evaluation of the Healthy Start-Depart Sante intervention using the RE-AIM framework. Evaluation and Program Planning, 68, 90-98.
Wesley, J. J. (2010). Qualitative document analysis in political science. Paper presented at the T2PP Workshop.
Zimmermann-Sloutskis, D., Wanner, M., Zimmermann, E., & Martin, B. W. (2010). Physical activity levels and determinants of change in young adults:a longitudinal panel study. International Journal of Behavioral Nutrition and Physical Activity, 7(1),2.
Zizzi, M. L. B. S. J.(2010). A Mixed-Method Evaluation of a College Student Fitness Program Using the RE-AIM Framework. Californian Journal of Health Promotion, 8(1), 46-59.