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研究生: 廖梨伶
論文名稱: 國民中學教師eHealth系統設計與實驗介入研究
指導教授: 劉潔心
Liu, Chieh-Hsing
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: 2007
畢業學年度: 95
語文別: 中文
論文頁數: 207
中文關鍵詞: eHealth國民中學教師量身訂作教育同儕支持社群專業促進與支持
論文種類: 學術論文
相關次數: 點閱:268下載:122
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本研究之目的在於運用eHealth系統之同儕支持社群、量身訂作教學、及專業促進與支持等介入方式,並以理性行動論、行為改變階段理論、社會認知理論、社會支持、及溝通說服矩陣等重要理論為依據而發展介入計畫,期能透過本介入計畫提升國民中學教師之在執行健康行為上的社會支持、自我效能、及行為意向。
  為了解本介入計畫成效,本研究以準實驗研究設計之實驗組對照組前後測設計方式,選取95學年度教育部訂定健康促進學校之國民中學教師為主要研究對象。本研究以台北縣市為主要介入縣市,共40名教師為實驗組對象,接受本介入計畫;而對照組對象則為48名,完全不予介入。實驗組、對照組皆於介入前即完成前測問卷,介入期間兩個月,於介入後同步進行後測,以了解介入之整體成效。本研究之評量工具包括形成評量、過程評量及成效評量,其中採用之工具包括:調查問卷、訪談大綱、及系統過程記錄程式等,以能充份收集介入歷程及結果之量性與質性評量資料。
研究之重要結論如下:
一、實驗組在執行健康行為之整體自我效能、執行健康行為相關技巧的能力、及特定情境下堅持執行健康行為的把握度上,皆顯著較對照組表現良好,且亦能顯著提升實驗組於執行健康行為之信心,代表eHealth介入計畫於提升執行健康行為之自我效能具有相當之成效。
二、實驗組在執行健康行為之社會支持之後測得分狀況雖較對照組良好,但並未能達顯著差異,且介入後亦未能顯著提升實驗組於執行健康行為之社會支持,代表eHealth介入計畫於提升執行健康行為之社會支持上效果仍相當有限。
三、無論是執行健康行為之整體行為意向、健康飲食行為的行為意向、身體活動行為的行為意向、以及促進心理安適行為的行為意向,實驗組皆能顯著較對照組表現良好,且介入後實驗組執行促進心理安適行為的行為意向亦有顯著提升,代表eHealth介入計畫於提升健康行為之行為意向具有相當之成效。
四、實驗組教師對整體介入計畫的喜歡程度約在八成左右;且無論是提升其態度、強化其生活技能、提供社會支持、或促進其自我效能上,教師多同意網站能提供其幫助,大部份也都自認為能依網站所教導的來執行健康行為。
五、本研究之參與者於介入的八週時間中,每位參與者平均上線次數為6.825次。而以瀏覽點擊次數及教師自評喜愛的單元,多是在於能吸收新的資訊(持續更新)、獲取同儕的意見與想法(同儕相關)、或是深具生活應用性(具實用性)的內容。而其中在於「同儕支持社群」的參與情況中,留言回應的使用者僅有13位,然卻為最多人次瀏覽點擊之單元。
  由研究結果可知,本研究所發展之eHealth介入工具經驗證後,於國民中學教師執行健康相關行為之自我效能及行為意向都具有良好的成效,並廣受國民中學教師的認同與喜愛。不同於傳統面對面課程的作法,運用同儕支持社群、量身訂作教學及專業與資源支持等策略所發展之eHealth介入計畫,除具有提供人際支持與連結、為個人量身訂作訊息、及提供專業資源等特質外,其將可在沒有地域與時間限制的情況下進行介入,也可以無限制的容納參與人數,此一克服過去時間與空間的障礙,且低成本高效率的介入方式,值得做為教師健康促進計畫中的重要參考工具,同時並期待能以此經驗,提供給相關學者及決策者,做為未來運用eHealth推動國民中學教師健康促進計畫之參考模式。

目 錄 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 6 第三節 待答問題 7 第四節 研究假設 8 第五節 名詞界定 9 第二章 文獻探討 11 第一節 eHealth的介紹與應用 11 第二節 eHealth系統設計的相關理論基礎 19 第三節 eHealth相關介入研究與效果探討 40 第三章 研究方法 49 第一節 研究設計 49 第二節 研究對象 51 第三節 研究架構 53 第四節 研究工具 54 第五節 實施步驟 61 第六節 資料處理分析 63 第四章 介入系統之設計與發展 64 第一節 介入系統之教育模式 64 第二節 介入系統之發展階段 65 第三節 介入之教育策略換轉 69 第四節 介入系統之教育意涵 77 第五章 結果與討論 90 第一節 研究對象基本資料的描述與比較 90 第二節 介入計畫之成效評量結果 93 第三節 過程評量結果 104 第四節 研究結果討論 118 第六章 結論、建議、與研究限制 125 第一節 研究結論 125 第二節 研究建議 131 第三節 研究限制 135 參考文獻 136 附錄一、2000-2004 eHealth相關研究整理列表 154 附錄二、媒體使用習慣次級資料擷取題項 166 附錄三、滿意度評量問卷 168 附錄四、前後測成效問卷專家效度名單 171 附錄五、前後測成效問卷 172 附錄六、媒體使用習慣次級資料分析結果 180 附錄七、焦點團體訪談之內容分析 184 附錄八、媒體審查專家名單 186 附錄九、媒體審查專家提供意見彙整 187 附錄十、使用者系統測試提供意見彙整 190 附錄十一、實驗組教師受訪者之基本資料 197 圖 表 目 錄 表目錄 表2-2.1、各階段應強調的改變方法 27 表3-4.1、研究工具之信度考驗 58 表3-6.1、資料處理方式統整表 63 表4-3.1、eHealth介入系統於說服溝通矩陣交叉對照結果 70 表4-4.1、介入內容策略摘要表 82 表4-4.2、量身訂作策略(活力處方箋)內容範例 88 表5-1.1、研究對象基本資料分布情形 92 表5-2.1、自我效能之組內迴歸係數同質性檢定結果 97 表5-2.2、自我效能之共變數分析、及調節後之平均值 98 表5-2.3、實驗介入前後自我效能之得分及配對t考驗結果 98 表5-2.4、社會支持之組內迴歸係數同質性檢定結果 100 表5-2.5、社會支持之共變數分析、及調節後之平均值 100 表5-2.6、實驗介入前後社會支持之得分及配對t考驗結果 100 表5-2.7、行為意向之組內迴歸係數同質性檢定結果 103 表5-2.8、行為意向之共變數分析、及調節後之平均值 103 表5-2.9、實驗介入前後行為意向之得分及配對t考驗結果 103 表5-3.1、對介入計畫的整體評價 106 表5-3.2、對介入工具型式的評價 106 表5-3.3、實際登入次數分佈(八週) 109 表5-3.4、介入單元瀏覽次數與優先瀏覽次數 110 表5-3.5、健康家族討論情形 112 表6-2.1、統計結果摘要表 127 圖目錄 圖3-1.1、研究設計 49 圖3-1.2、實驗組介入流程示意圖 50 圖3-3.1、研究架構 53 圖4-1.1、介入系統之教育模式 64 圖4-2.1、介入計畫發展階段 68 圖4-3.1、eHealth介入系統策略轉換流程圖 71 圖4-4.1、介入系統內容架構圖 81 圖4-4.2、量身訂作策略的介入流程 87 圖5-3.1、實際登入次數分佈圖(八週) 109 圖5-3.2、介入單元瀏覽次數分佈圖(八週) 110 圖5-3.3、介入單元優先瀏覽次數分佈圖(八週) 110

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