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研究生: 兵逸儂
Yi-Nung Ping
論文名稱: 應用跨理論模式於北市士林區某高中學生每日五蔬果行為介入之
Application of Transtheoretical Model to5-a-day Behavior Intervention toward the Students of a Senior High School in Shilin District of Taipei City
指導教授: 鄭惠美
Jeng, Huey-Mei
學位類別: 碩士
Master
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: 2008
畢業學年度: 96
語文別: 中文
論文頁數: 227
中文關鍵詞: 每日五蔬果跨理論模式高中生營養教育
英文關鍵詞: 5-a-day, transtheoretical model, senior high school, nutrition education
論文種類: 學術論文
相關次數: 點閱:256下載:146
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  • 本研究旨在瞭解高中學生每日五蔬果知識、每日五蔬果社會心理變項、每日五蔬果攝取行為階段及一週達到每日五蔬果之天數、外食頻率、父母在家中備食頻率、自覺健康狀況的現況,分析影響研究對象每日五蔬果知識、每日五蔬果社會心理變項、每日五蔬果攝取行為之因素。並探討「以跨理論模式為依據之每日五蔬果教育介入活動」之成效以及過程評價。
    本研究採用『準實驗設計』,以台北市陽明高中一年級學生為實驗組、明倫高中為對照組。實驗組運用行為改變過程設計符合各行為改變階段的每日五蔬果教育介入措施,包含每日五蔬果專題演講、創意蔬果烹調比賽、每日五蔬果手冊等,而對照組則不採用任何介入措施。
    研究結果發現研究對象之每日五蔬果知識尚可,但較缺乏對於蔬果營養素相關知識的了解,每日五蔬果的利益性偏正向意見,每日五蔬果自覺障礙及每日五蔬果自我效能為中等程度,每日五蔬果行為階段處於前沉思期最多,一週有做到每日五蔬果的天數則為3.11天。研究對象之外食頻率以午餐為最高;父母一週備餐頻率則以午餐為最少,自覺飲食健康及自覺身體健康以普通佔最多。「以跨理論模式為基礎的每日五蔬果教育策略」對於研究對象的「每日五蔬果知識」、「每日五蔬果自覺障礙」、「每日五蔬果自我效能」、「每日五蔬果行為階段」等方面達顯著效果,但對於增進「每日五蔬果自覺利益」的效果不顯著。過程評價方面,學生大多較喜愛創意蔬果烹調比賽,所有行為階段的學生在「學習氣氛良好」、「教學活動喜歡程度」這兩項的評價都給予最高分,而「依照教導內容去做之程度」、「教學活動幫助程度」面向,大部分行為階段的人則以每日五蔬果手冊評價最高。
    整體而言,透過「以跨理論模式為依據之每日五蔬果教育介入活動」,可以
    有效提升高中學生每日五蔬果的相關知能,建議未來能探討不同生活型態及地區之高中職學生,並將此策略進一步推廣至其他學校中。

    The purpose of this study is to understand senior high school students’ current situations of 5-a-day knowledge, 5-a-day psychosocial variable, 5-a-day behavior stage of change, days in a week achieving 5-a-day, frequency of dining-out meal, frequency of parents cooking at home and self-perceived health to analyze the factors affecting the study subjects’ 5-a-day knowledge, 5-a-day psychosocial variable and 5-a-day behavior. Also, we explore the effect and process evaluation of “5-a-day education intervention based on transtheoretical model”.
    This study adopts “quasi-experiment design” using first-grade students of Yangming Senior High School as experiment group and Minglun Senior High School as control group. In the experiment group, we use processes of change meeting stage of change to design 5-a-day speech, creativity vege-fruit cooking contest and 5-a-day manual; while in the control group there are no interventions.
    In the study results, we find: the study subjects’ 5-a-day knowledge is fair, but they lack the understanding of knowledge of vege-fruit nutrition, 5-a-day perceived benefits are positive-bias opinion, 5-a-day perceived barriers and 5-a-day self-efficacy are of middle degree. 5-a-day behavior stage of change is mostly located at precontemplation. In a week, 3.11 days are achieved as 5-a-day. The study subjects’ highest dining-out meal frequency is lunch; the lowest parents cooking at home frequency is lunch, while the most of self-perceived food health and self-perceived body health is fair. “5-a-day education strategy based on transtheoretical model” reaches significant effect towards study subjects’ “5-a-day knowledge”, “5-a-day perceived barriers”, “5-a-day self-efficacy” and “5-a-day behavior stage of change”, while the effect is not significant toward enhancing “5-a-day perceived benefits”. On the aspect of process evaluation, most of students like creativity vege-fruit cooking contest, toward “good learning atmosphere” and “liking degree of teaching”, all the students at behavior stage give them the highest score; while toward “the degree to do according to teaching contents” and “the degree the teaching can help”, most of the students give the highest score to 5-a-day manual.
    Generally speaking, through “5-a-day education intervention based on transtheoretical model”, we can effectively upgrade senior high school students’ related knowledge about 5-a-day. We suggest that, in the future, se can explore senior high (vocational)school students in different life styles and regions as well as go further to promote this strategy to the other schools.

    第一章 緒論……………………………………………………………………1 第一節 研究背景與動機………………………………………………………1 第二節 研究目的………………………………………………………………5 第三節 研究問題………………………………………………………………6 第四節 研究假設………………………………………………………………7 第五節 名詞界定………………………………………………………………8 第二章 文獻探討………………………………………………………………10 第一節 台灣地區民眾五蔬果攝取情形…………………………………… 10 第二節 跨理論模式及其相關研究………………………………………… 12 第三節 飲食及蔬果的攝取行為之影響因素……………………………… 31 第四節 飲食與蔬果攝取之評估方法探討………………………………… 35 第五節 蔬果攝取行為教育探討…………………………………………… 40 第三章 研究方法與步驟………………………………………………………52 第一節 研究架構…………………………………………………………… 52 第二節 研究設計…………………………………………………………… 53 第三節 研究對象…………………………………………………………… 54 第四節 研究工具…………………………………………………………… 55 第五節 研究過程…………………………………………………………… 64 第六節 介入活動之設計與發展…………………………………………… 67 第七節 介入活動之教育意涵……………………………………………… 69 第八節 資料處理與分析…………………………………………………… 73 第四章 結果與討論……………………………………………………………75 第一節 研究對象基本資料和學習前狀況之描述與比較………………… 75 第二節 以跨理論模式為基礎的每日五蔬果教育介入成效……………… 88 第三節 研究對象每日五蔬果之相關因素………………………………… 102 第四節 以跨理論模式為基礎的每日五蔬果教育介入過程評價………… 115 第五章 研究限制、重要發現、結論與建議…………………………… 128 第一節 研究限制………………………………………………………128 第二節 重要發現…………………………………………………………… 128 第三節 結論………………………………………………………………… 133 第四節 建議………………………………………………………………… 135 參考文獻……………………………………………………………………… 138 中文文獻……………………………………………………………………… 138 英文文獻……………………………………………………………………… 141 附錄一、開放式問卷………………………………………………………… 150 附錄二、每日五蔬果教育介入成效評價問卷初稿………………………… 151 附錄三、問卷內容專家效度名單及審查說明……………………………… 157 附錄四、問卷內容專家效度審查結果……………………………………… 169 附錄五、每日五蔬果教育介入成效評價正式問卷………………………… 178 附錄六、每日五蔬果教育介入過程評價問卷……………………………… 184 附錄七、創意蔬果烹調比賽辦法…………………………………………… 186 附錄八、每日五蔬果手冊…………………………………………………… 187 附錄九、實驗組每日五蔬果知識、每日五蔬果自覺利益、每日五蔬果自覺障礙、每日五蔬果自我效能量表各題前後測………………………………… 218 附錄十、多元迴歸分析共線性檢定表……………………………………… 220 附錄十一、介入活動海報…………………………………………………… 222 附錄十二、介入活動照片…………………………………………………… 223

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