本研究旨在瞭解運用Line的營養教育介入對國小家長健康飲食知識、健康飲食教養態度、教養自我效能、教養行為之影響。以準實驗研究方法，選取新北市108學年度兩所國民小學六年級學生家長為研究對象，共計完成246份有效問卷，實驗組106人，對照組140人。實驗組介入時間約7週，透過Line APP每週給予兩則營養教育訊息，共計13則訊息，訊息內容包含蔬果與乳品攝取、拒絕油炸物和含糖飲料等知識，及家長在教養兒童健康飲食的技巧與方法。對照組僅實施前後測問卷測量。利用廣義估計方程式（Generalized estimating equations）進行分析，評價運用Line的營養教育介入之效果。
研究結果發現運用Line的營養教育介入後，可顯著提升家長健康飲食知識（如：蔬果攝取份量、充足飲水量等）、增進健康飲食教養態度（如：教導、準備健康飲食）、提升健康飲食教養自我效能（如：鼓勵、準備、以身作則）、以身作則的健康飲食行為，及水果與乳品的攝取亦顯著提升。
本研究建議學校可運用新媒體增進家長的參與及增能家長營養教養的知能，政府可提供健康飲食與教養資訊，並獎勵學校應用新媒體增進家長參與學校健康促進推動。

The purposes of this study were to develop food parenting LINE message intervention and to evaluate the effect on parents’ healthy dietary knowledge, healthy food parenting attitude, self-efficacy, and behaviors. This study was a quasi-experimental design. In 2019, the participants included 246 parents from two elementary schools in New Tapei City. There were 106 parents in the experimental group and 140 parents in the control group. The experimental group received pre- and post-test and 13 Line messages regarding increasing intake of fruits, vegetables, dairy products, decreasing fried foods and sugary beverages, and enhancing food parenting skills during 2 months. The control group was given only pre- and post-test survey. Generalized Estimating Equations method was used to evaluate the effect of the intervention.
The results indicated that the Line message intervention significantly increased parents’ healthy dietary knowledge (i.e., intake of fruits and vegetables), healthy food parenting attitude (i.e., teaching and preparing), food parenting self-efficacy (i.e., eccouraging, teaching and preparing), parental modeling of healthy eating bahaviors, and intake of fruits, vegetables and diary products.
It was suggested that schools could use new media to engage parents and enhance food parenting competence, while government could provide healthy eating and food parenting information for schools to adopt new media and to increase parental involvement in school health promotion practices.

方姵茹（2017）。國小導師運用Line通訊軟體於親師溝通現況與知覺之研究。未出版的碩士論文，國立臺灣海洋大學。
朱潔茹（2016）。以即時通訊LINE作為國小低年級親師溝通媒介之研究。未出版的碩士論文，臺北市立大學。
李璧如（2006）。兒童肥胖問題探析。中醫兒科醫學雜誌，8（1），29-32. doi:10.30033/jtcdm.200608.0009
余思慧、翁楊絲、茜黃麗衡（2014）。網路親子社群參與者資訊分享行為之研究。朝陽人文社會學刊，12（2），91-120。
吳壁如（2001）。家長參與學校教育：實務工作者與學者看法之分析。教育研究集刊，47，185-214。
林薇、劉貴雲、高儷玲、李雅雯（2002）。涵蓋家長之營養教育對國小高年級學童脂肪攝取之影響。師大學報：教育類，47（1），107-122。doi:10.29882/jtnue.200204.0006
凃保民、黃月琴（2017）。行動即時通訊（LINE）與親師溝通－探究影響教師接受之正、負向影響因子。資訊社會研究（33），115-146。 doi:10.29843/jccis.201707_(33).0004
張承晋、林湜婷（2006）。膳食製備者飲食型態影響因素之研究。餐旅暨家政學刊，3（4），569-585。doi:10.6572/jhhe.3(4).7
衛生福利部國民健康署（2019）。肥胖100問。取自https://www.hpa.gov.tw/Pages/EBook.aspx?nodeid=4087
教育部統計處（2019）。國小學生體位趨勢。取自https://depart.
more.edu.tw/ED4500/cp.aspx?n=DCD2BE18CFAF30D0
黃美利、柯淑婷、鄭榮祿（2017）。教師使用LINE進行親師溝通之研究。管理資訊計算，672-81。doi:10.6285/mic.6(Andrea de Silva-Sanigorski1 et al.).07
黃馨儀、王瑞霞（2016）。影響學齡前兒童父母高熱量飲食餵養行為因素之探討－計畫行為理論之應用。長庚護理，27（2），167-179。doi:10.3966/102673012016062702002
黃馨儀（2017）。運用Line為親師溝通之個案研究。未出版的碩士論文，國立臺南大學。
童方、李輝、夏秀蘭、于洋、孫淑英（2005）。北京市低年級學生單純肥胖症的流行學研究。中國醫刊，40（5），39-41。
鄭惠美、古息珠（2001）。自我導向學習營養知能效果研究。健康促進暨衛生教育雜誌，21，1-7。
賴苡汝、廖梨伶（2011）。學童蔬果攝取教育介入計畫之發展與評價－社會行銷輪轉模式之應用。臺灣營養學會雜誌，36（3），58-67。
劉潔心（2013）。臺灣推動健康促進學校之現況與展望。中等教育，64（1），6-25。 doi:10.6249/se.2013.64.1.01
衛生福利部國民健康署（2019）。國民營養健康狀況變遷調查（102-105年）。取自2019年7月12日https://www.hpa.gov.tw/Pages/
Detail.aspx?nodeid=3999&pid=11145
賴香如（2008）。各國健康促進學校計劃之特色與啟示.。學校衛生（52），107-115。doi:10.30026/cjsh.200806.0007
藍天雄、郭東昇、張俐儀（2015）。國小學童生活型態與體位之相關研究。管理資訊計算，4（2）， 83-93. doi:10.6285/mic.4（2）.07
Adab, P., Pallan, M. J., Lancashire, E. R., Hemming, K., Frew, E., Griffin, T., . . . Cheng, K. K. (2015). A cluster-randomised controlled trial to assess the effectiveness and cost-effectiveness of a childhood obesity prevention programme delivered through schools, targeting 6–7 year old children: the WAVES study protocol. BMC Public Health, 15(1), 488. doi:10.1186/s12889-015-1800-8
Andrea de Silva-Sanigorski1, Rosie, Ashbolt1, , J. G., , H. C., , Benedict Keith1, Elisha Riggs1,5 and, & Waters1, E. (2013). Parental self-efficacy and oralhealth-related knowledge areassociated with parent and childoral health behaviors andself-reported oral health status.
Angeles-Agdeppa, I., Monville-Oro, E., Gonsalves, J. F., & Capanzana, M. V. (2019). Integrated school based nutrition programme improved the knowledge of mother and schoolchildren. Maternal & Child Nutrition, 15 Suppl 3(Suppl Suppl 3), e12794-e12794.
doi:10.1111/mcn.12794
Ash, T., Agaronov, A., Young, T. L., Aftosmes-Tobio, A., & Davison, K. K. (2017). Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. The international journal of behavioral nutrition and physical activity, 14(1), 113-113. doi:10.1186/s12966-017-0571-2
Azevedo, J., Padrão, P., Gregório, M. J., Almeida, C., Moutinho, N., Lien, N., & Barros, R. (2019). A Web-Based Gamification Program to Improve Nutrition Literacy in Families of 3- to 5-Year-Old Children: The Nutriscience Project. Journal of Nutrition Education and Behavior, 51(3), 326-334. doi:https://doi.org/10.1016/j.jneb.2018.10.008
Bailey-Davis, L., Peyer, K. L., Fang, Y., Kim, J. K., & Welk, G. J. (2017). Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors. Childhood obesity (Print), 13(2), 164-171. doi:10.1089/chi.2016.0177
Bakırcı-Taylor, A. L., Reed, D. B., McCool, B., & Dawson, J. A. (2019). mHealth Improved Fruit and Vegetable Accessibility and Intake in Young Children. Journal of Nutrition Education and Behavior, 51(5), 556-566. doi:10.1016/j.jneb.2018.11.008
Baumrind, D. (1971). Current patterns of parental authority. Developmental Psychology, 4(1, Pt.2), 1-103. doi:10.1037/h0030372
Blaine, R. E., Kachurak, A., Davison, K. K., Klabunde, R., & Fisher, J. O. (2017). Food parenting and child snacking: a systematic review. The international journal of behavioral nutrition and physical activity, 14(1), 146-146. doi:10.1186/s12966-017-0593-9
Blitstein, J. L., Cates, S. C., Hersey, J., Montgomery, D., Shelley, M., Hradek, C., . . . Singh, A. (2016). Adding a Social Marketing Campaign to a School-Based Nutrition Education Program Improves Children’s Dietary Intake: A Quasi-Experimental Study. Journal of the Academy of Nutrition and Dietetics, 116(8), 1285-1294. doi:https://doi.org/10.1016/j.jand.2015.12.016
Boots, S. B., Tiggemann, M., Corsini, N., & Mattiske, J. (2015). Managing young children's snack food intake. The role of parenting style and feeding strategies. Appetite, 92, 94-101. doi:https://doi.org/10.1016/j.appet.2015.05.012
Bordalba, M. M., & Bochaca, J. G. (2019). Digital media for family-school communication? Parents' and teachers' beliefs. Computers & Education, 132, 44-62. doi:https://doi.org/10.1016/j.compedu.2019.01.006
Chen, J.-L., Weiss, S., Heyman, M. B., Cooper, B., & Lustig, R. H. (2011). The efficacy of the web-based childhood obesity prevention program in Chinese American adolescents (Web ABC study). The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 49(2), 148-154. doi:10.1016/j.jadohealth.2010.11.243
DeCosta, P., Møller, P., Frøst, M. B., & Olsen, A. (2017). Changing children's eating behaviour - A review of experimental research. Appetite, 113, 327-357. doi:https://doi.org/10.1016/j.appet.2017.03.004
Demir, D., & Bektas, M. (2017). The effect of childrens' eating behaviors and parental feeding style on childhood obesity. Eat Behav, 26, 137-142. doi:10.1016/j.eatbeh.2017.03.004
Doaei, S., Gholamalizadeh, M., & Entezari, M. H. (2015). Maternal self-efficacy and feeding practices in children aged 3-6 years. Iranian journal of psychiatry, 10(4), 278-284.
Eisenmann, J. C., Bartee, R. T., & Wang, M. Q. (2002). Physical Activity, TV Viewing, and Weight in U.S. Youth: 1999 Youth Risk Behavior Survey. Obesity Research, 10(5), 379-385. doi:10.1038/oby.2002.52
Ek, A., Sorjonen, K., Nyman, J., Marcus, C., & Nowicka, P. (2015). Child behaviors associated with childhood obesity and parents’ self-efficacy to handle them: Confirmatory factor analysis of the Lifestyle Behavior Checklist. International Journal of Behavioral Nutrition and Physical Activity, 12(1), 36. doi:10.1186/s12966-015-0194-4
Gibson, E. L., Wardle, J., & Watts, C. J. (1998). Fruit and Vegetable Consumption, Nutritional Knowledge and Beliefs in Mothers and Children. Appetite, 31(2), 205-228. doi:https://doi.org/10.1006/appe.1998.0180
Golley, R. K., Hendrie, G. A., Slater, A., & Corsini, N. (2011). Interventions that involve parents to improve children's weight-related nutrition intake and activity patterns – what nutrition and activity targets and behaviour change techniques are associated with intervention effectiveness? Obesity Reviews, 12(2), 114-130. doi:10.1111/j.1467-789X.2010.00745.x
Gonzalez, M., Feinstein, R., Iezzi, C., & Fisher, M. (2015). Nutrition intake and physical activity in a middle school in New York City. In International Journal of Adolescent Medicine and Health (Vol. 27, pp. 335).
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2017). Prevalence of Obesity Among Adults and Youth: United States, 2015-2016. NCHS Data Brief(288), 1-8.
Hammersley, M. L., Jones, R. A., & Okely, A. D. (2016). Parent-Focused Childhood and Adolescent Overweight and Obesity eHealth Interventions: A Systematic Review and Meta-Analysis. Journal of medical Internet research, 18(7), e203. doi:10.2196/jmir.5893
Hart, L. M., Damiano, S. R., Cornell, C., & Paxton, S. J. (2015). What parents know and want to learn about healthy eating and body image in preschool children: a triangulated qualitative study with parents and Early Childhood Professionals. BMC Public Health, 15(1), 596. doi:10.1186/s12889-015-1865-4
Haughton, C. F., Wang, M. L., & Lemon, S. C. (2016). Racial/Ethnic Disparities in Meeting 5-2-1-0 Recommendations among Children and Adolescents in the United States. The Journal of pediatrics, 175, 188-194.e181. doi:10.1016/j.jpeds.2016.03.055
Hendrie, G., Sohonpal, G., Lange, K., & Golley, R. (2013). Change in the family food environment is associated with positive dietary change in children. International Journal of Behavioral Nutrition and Physical Activity, 10(1), 4. doi:10.1186/1479-5868-10-4
Khalsa, A. S., Kharofa, R., Ollberding, N. J., Bishop, L., & Copeland, K. A. (2017). Attainment of '5-2-1-0' obesity recommendations in preschool-aged children. Preventive medicine reports, 8, 79-87.
doi:10.1016/j.pmedr.2017.08.003
Kim, H. S., Park, J., Park, K. Y., Lee, M. N., & Ham, O. K. (2016). Parent Involvement Intervention in Developing Weight Management Skills for both Parents and Overweight/Obese Children. Asian Nurs Res (Korean Soc Nurs Sci), 10(1), 11-17. doi:10.1016/j.anr.2015.07.006
Kipping, R. R., Howe, L. D., Jago, R., Campbell, R., Wells, S., Chittleborough, C. R., . . . Lawlor, D. A. (2014). Effect of intervention aimed at increasing physical activity, reducing sedentary behaviour, and increasing fruit and vegetable consumption in children: Active for Life Year 5 (AFLY5) school based cluster randomised controlled trial. BMJ : British Medical Journal, 348, g3256. doi:10.1136/bmj.g3256
Klassen, K. M., Douglass, C. H., Brennan, L., Truby, H., & Lim, M. S. C. (2018). Social media use for nutrition outcomes in young adults: a mixed-methods systematic review. The international journal of behavioral nutrition and physical activity, 15(1), 70-70.
doi:10.1186/s12966-018-0696-y
Lai, Y.-H. (2016). The Effect of Nutrition Education System for Elementary School Students in Nutrition Knowledge, Springer, Cham.
Langer, S. L., Seburg, E., JaKa, M. M., Sherwood, N. E., & Levy, R. L. (2017). Predicting dietary intake among children classified as overweight or at risk for overweight: Independent and interactive effects of parenting practices and styles. Appetite, 110, 72-79.
doi:10.1016/j.appet.2016.12.011
Lewis, L. L., Kim, Y. A., & Ashby Bey, J. (2011). Teaching practices and strategies to involve inner-city parents at home and in the school. Teaching and Teacher Education, 27(1), 221-234. doi:https://doi.org/10.1016/j.tate.2010.08.005
Lopez, N. V., Schembre, S., Belcher, B. R., O'Connor, S., Maher, J. P., Arbel, R., . . . Dunton, G. F. (2018). Parenting styles, food-related parenting practices, and children's healthy eating: A mediation analysis to examine relationships between parenting and child diet. Appetite, 128, 205-213. doi:https://doi.org/10.1016/j.appet.2018.06.021
Lytle, L. A., Kubik, M. Y., Perry, C., Story, M., Birnbaum, A. S., & Murray, D. M. (2006). Influencing healthful food choices in school and home environments: Results from the TEENS study. Preventive Medicine, 43(1), 8-13. doi:https://doi.org/10.1016/j.ypmed.2006.03.020
Mittmann, S., Austel, A., & Ellrott, T. (2016). Behavioural effects of a short school-based fruit and vegetable promotion programme: 5-a-Day for kids. Health Education, 116(3), 222-237. doi:doi:10.1108/HE-04-2014-0062
Moens, E., Goossens, L., Verbeken, S., Vandeweghe, L., & Braet, C. (2018). Parental feeding behavior in relation to children's tasting behavior: An observational study. Appetite, 120, 205-211. doi:https://doi.org/10.1016/j.appet.2017.08.028
Murimi, M. W., Moyeda-Carabaza, A. F., Nguyen, B., Saha, S., Amin, R., & Njike, V. (2018). Factors that contribute to effective nutrition education interventions in children: a systematic review. Nutrition Reviews, 76(8), 553-580. doi:10.1093/nutrit/nuy020
Musher-Eizenman, D. R., & Kiefner, A. (2013). Food parenting: a selective review of current measurement and an empirical examination to inform future measurement. Childhood obesity (Print), 9 Suppl(Suppl 1), S32-S39. doi:10.1089/chi.2013.0030
Nicely, S., Miller, M. E., & Craviotto, M. d.-T. (2019). Parents’ Perceptions of 5210 Nutrition Messaging and Child Weight Status. Journal of Nutrition Education and Behavior, 51(5), 629-635. doi:https://doi.org/10.1016/j.jneb.2019.01.023
Nowicka, P., Sorjonen, K., Pietrobelli, A., Flodmark, C.-E., & Faith, M. S. (2014). Parental feeding practices and associations with child weight status. Swedish validation of the Child Feeding Questionnaire finds parents of 4-year-olds less restrictive. Appetite, 81, 232-241. doi:https://doi.org/10.1016/j.appet.2014.06.027
Patino-Fernandez, A. M., Hernandez, J., Villa, M., & Delamater, A. (2013). School-Based Health Promotion Intervention: Parent and School Staff Perspectives. Journal of School Health, 83(11), 763-770. doi:10.1111/josh.12092
Rausch, J. C., Berger-Jenkins, E., Nieto, A. R., McCord, M., & Meyer, D. (2015). Effect of a School-Based Intervention on Parents' Nutrition and Exercise Knowledge, Attitudes, and Behaviors. American Journal of Health Education, 46(1), 33-39. doi:10.1080/19325037.2014.977411
Roseman, M. G., Riddell, M. C., & Haynes, J. N. (2011). A Content Analysis of Kindergarten-12th Grade School-based Nutrition Interventions: Taking Advantage of Past Learning. Journal of Nutrition Education and Behavior, 43(1), 2-18. doi:https://doi.org/10.1016/j.jneb.2010.07.009
Rozin, P., & Vollmecke, T. A. (1986). Food Likes and Dislikes. Annual Review of Nutrition, 6(1), 433-456. doi:10.1146/annurev.nu.06.070186.002245
Sekine, M., Yamagami, T., Handa, K., Saito, T., Nanri, S., Kawaminami, K., . . . Kagamimori, S. (2002). A dose–response relationship between short sleeping hours and childhood obesity: results of the Toyama Birth Cohort Study. Child: Care, Health and Development, 28(2), 163-170. doi:10.1046/j.1365-2214.2002.00260.x
Shloim, N., Edelson, L. R., Martin, N., & Hetherington, M. M. (2015). Parenting Styles, Feeding Styles, Feeding Practices, and Weight Status in 4-12 Year-Old Children: A Systematic Review of the Literature. Frontiers in psychology, 6, 1849-1849.
doi:10.3389/fpsyg.2015.01849
Spencer, G., Hood, P., Agboola, S., & Pritchard, C. (2018). Parental engagement in school-based health promotion and education. Health Education, 118(6), 513-527. doi:doi:10.1108/HE-03-2018-0016
Swindle, T. M., Ward, W. L., & Whiteside-Mansell, L. (2018). Facebook: The Use of Social Media to Engage Parents in a Preschool Obesity Prevention Curriculum. Journal of Nutrition Education and Behavior, 50(1), 4-10.e11. doi:10.1016/j.jneb.2017.05.344
Thompson, D., Bhatt, R., Vazquez, I., Cullen, K. W., Baranowski, J., Baranowski, T., & Liu, Y. (2015). Creating action plans in a serious video game increases and maintains child fruit-vegetable intake: a randomized controlled trial. The international journal of behavioral nutrition and physical activity, 12, 39. doi:10.1186/s12966-015-0199-z
Tu, A. W., Watts, A. W., Chanoine, J.-P., Panagiotopoulos, C., Geller, J., Brant, R., . . . Mâsse, L. (2017). Does parental and adolescent participation in an e-health lifestyle modification intervention improves weight outcomes? BMC Public Health, 17(1), 352-352.
doi:10.1186/s12889-017-4220-0
Van Ansem, W. J. C., Schrijvers, C. T. M., Rodenburg, G., & van de Mheen, D. (2014). Maternal educational level and children’s healthy eating behaviour: role of the home food environment (cross-sectional results from the INPACT study). International Journal of Behavioral Nutrition and Physical Activity, 11(1), 113. doi:10.1186/s12966-014-0113-0
Van Der Kruk, J. J., Kortekaas, F., Lucas, C., & Jager-Wittenaar, H. (2013). Obesity: a systematic review on parental involvement in long-term European childhood weight control interventions with a nutritional focus. Obesity reviews : an official journal of the International Association for the Study of Obesity, 14(9), 745-760.
doi:10.1111/obr.12046
Van. Lippevelde, W., Verloigne, M., De Bourdeaudhuij, I., Brug, J., Bjelland, M., Lien, N., & Maes, L. (2012). Does parental involvement make a difference in school-based nutrition and physical activity interventions? A systematic review of randomized controlled trials. International Journal of Public Health, 57(4), 673-678. doi:10.1007/s00038-012-0335-3
Vaughn, A. E., Ward, D. S., Fisher, J. O., Faith, M. S., Hughes, S. O., Kremers, S. P. J., . . . Power, T. G. (2016). Fundamental constructs in food parenting practices: a content map to guide future research. Nutrition Reviews, 74(2), 98-117. doi:10.1093/nutrit/nuv061
Verjans-Janssen, S. R. B., van de Kolk, I., Van Kann, D. H. H., Kremers, S. P. J., & Gerards, S. M. P. L. (2018). Effectiveness of school-based physical activity and nutrition interventions with direct parental involvement on children’s BMI and energy balance-related behaviors – A systematic review. PLOS ONE, 13(9), e0204560. doi:10.1371/journal.pone.0204560
Vilchis-Gil, J., Klünder-Klünder, M., Duque, X., & Flores-Huerta, S. (2016). Decreased Body Mass Index in Schoolchildren After Yearlong Information Sessions With Parents Reinforced With Web and Mobile Phone Resources: Community Trial. Journal of medical Internet research, 18(6), e174-e174. doi:10.2196/jmir.5584
Webber, L., Cooke, L., Hill, C., & Wardle, J. (2010). Associations between children's appetitive traits and maternal feeding practices. J Am Diet Assoc, 110(11), 1718-1722. doi:10.1016/j.jada.2010.08.007
World Health Organization. (2018). Taking action on childhood obesity report. Retrieved from https://www.who.int/end-childhood-obesity/publications/taking-action-childhood-obesity-report/en/
Wyse, R., Campbell, E., Nathan, N., & Wolfenden, L. (2011). Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: A cross-sectional study. BMC Public Health, 11(1), 938. doi:10.1186/1471-2458-11-938
Yabancı, N., Kısaç, İ., & Karakuş, S. Ş. (2014). The Effects of Mother's Nutritional Knowledge on Attitudes and Behaviors of Children about Nutrition. Procedia - Social and Behavioral Sciences, 116, 4477-4481. doi:https://doi.org/10.1016/j.sbspro.2014.01.970
Yung, T. K. C., Lee, A., Ho, M. M., Keung, V. M. W., & Lee, J. C. K. (2010). Maternal influences on fruit and vegetable consumption of schoolchildren: case study in Hong Kong. Maternal & Child Nutrition, 6(2), 190-198. doi:10.1111/j.1740-8709.2009.00198.x