Browsing by Author "Guo, Jong-Long"

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3D VR園藝治療對老人身心健康之探討
(2019) 林宗毅; Lin, Tsung-Yi
目的：因應養護機構之老人受限於天氣、溫度及場域等因素，無法持續從事各項健康促進活動，本研究擬融入任務科技配適模型(Task-Technology Fit, TTF)來設計一套3D VR園藝治療教學活動課程，以改善老人的健康狀態、生命意義(meaning in life)、知覺被看重(perceived mattering)、憂鬱感、與孤寂感(Loneliness)。方法：本研究招募65歲以上老人，共計106人，分為實驗組(59人)與對照組(47人)，實驗組需接受2個月(8周)的3D VR園藝治療課程介入，對照組則否。兩組各施測三次（前測、後測及追蹤測），分別於介入前、介入完成後、及介入完成後2個月進行第三次的問卷填答。採結構式問卷包含健康狀態、生命意義、知覺被看重、孤寂感、憂鬱感。問卷蒐集完畢後，以廣義估計方程式(Generalized estimating equation, GEE)進行統計及分析。結果：本研究結的任務科技配適模式(TTF)相關變項之統計結果顯示，參與者多數練習次數為4次或5次以上。另在使用意圖、真實感(realism)、音效(sound)、互動性、及參與程度之結果均顯示參與者對於3D VR園藝治療課程之使用意圖甚高，且與使用次數的相關性達統計顯著水準；多元複迴歸分析結果顯示，參與程度與年齡為練習次數的預測因子。介入成效的部份，身心健康相關指標經GEE分析之後，結果顯示於課程介入後，健康狀態、生命意義、知覺被看重、孤寂感、憂鬱感等健康指標均顯著進步，顯示實驗組接受3D VR園藝治療課程之後，及完成介入後兩個月，其身心健康相關指標之表現均較對照組顯著進步。結論：本研究為首創之3D VR園藝治療課程，有別於傳統實作之園藝療法，研究結果顯示參與者的健康狀態及各項生命意義指標上於課程介入後均有正向顯著進步，且追蹤測之部分也均有正向之維持呈現。本研究發展課程介入之各變項結果可供後續老人健康促進研究者借鏡參考，另可將本研究所研發之課程加以推廣，讓機構老人可以在虛擬實境中享受園藝活動的操作樂趣增加其生理活動與心理紓壓，成為一適合老人且具教育意義的健康促進工具。
3D VR虛實結合園藝治療對社區老人健康介入成效探討
(2021) 范晶智; Fan, Ching-Chih
隨著科技進步，利用科技引導老人學習及健康照護是重要的，園藝治療已被證實為具有改善生心理健康之健康策略，本研究以3D VR虛實結合園藝治療探討對社區老人健康介入成效。招募參與新北市社區整體照顧服務計畫C單位之社區老人為研究對象，共62人。實驗組32人介入8周3D VR虛實結合園藝治療。以自尊、憂鬱、孤寂、自我掌控、成就動機量表搜集介入前後對心理層面之成效；另以目標效果量表，評值參與後對技能、學習態度與行為意圖之影響，透過心率變異檢測儀，瞭解對生理層面之影響。對照組30人，參與一般健康促進活動。分別以描述性統計、卡方、t檢定及廣義估計方程式(GEE)檢定分析介入成效。本研究結合科技，有別於傳統實作園藝治療，實驗組藉由3D VR虛實結合園藝治療提升自尊、自我掌控及成就動機，降低憂鬱與孤寂；對照組唯有自尊、憂鬱達顯著改善成效。經廣義估計方程式分析，結果顯示介入後於自尊、孤寂、自我掌控及成就動機等變項均較對照組顯著進步。另透過目標效果量表反應可引發參與之社區老人會參考虛實結合園藝課程內容，有意願嘗試及持續園藝相關活動，生理量測心率變異度結果顯示，可提升副交感神經調節。結論：3D VR 虛實結合園藝藝治療介入成效，透過主觀與客觀資料結果顯示，適合應用於社區老人，可作爲未來設計長期照護健康促進方案之參考。
Correction to: Evaluation of the effects of a designated program on illegal drug cessation among adolescents who experiment with drugs
(2019-10-30) Chang, Chiu-Ching; Liao, Jung-Yu; Huang, Chiu-Mieh; Hsu, Hsiao-Pei; Chen, Chih-Che; Guo, Jong-Long
Following publication of the original article [1], we have been notified that some data in the text should be changed.
Evaluation of the effects of a designated program on illegal drug cessation among adolescents who experiment with drugs
(2018-01-16) Chang, Chiu-Ching; Liao, Jung-Yu; Huang, Chiu-Mieh; Hsu, Hsiao-Pei; Chen, Chih-Che; Guo, Jong-Long
Abstract Background Studies indicate that adolescent-onset drug users experience a greater likelihood of dependence that continues into adulthood. The importance of early intervention was evident in treating adolescents before their substance use progressed. We examined the effectiveness of an intervention program that prevents students who experiment with drugs from reusing them. Methods The study was based on 10 out of 18 invited schools that were randomly assigned to either the intervention group (5 schools, n = 43) or the comparison group (5 schools, n = 41). The intervention group received an E-course program that comprised a main intervention course (12 sessions) and a booster course (2 sessions). By reducing the burden of teaching content during the 14 sessions, the in-class counselor had opportunities for face-to-face discussions with students on their ambivalence toward quitting illegal drugs. The comparison group received the conventional didactic drug prevention course (2 sessions). Outcomes in terms of stress management, refusal skills, pros of drug use, cons of drug use, and drug use resistance self-efficacy were measured via structured questionnaires conducted thrice: at baseline, after the main intervention sessions, and after the booster sessions. A linear mixed model (LMM) was employed to investigate the effects of time and groups on the outcome variables with group, time, and group × time as fixed effects. Subjects and schools were selected as random effects in order to consider both within-subject and within-school correlations. Results There was a significant group × time interaction with regard to stress management, refusal skills, pros of drug use, and drug use resistance self-efficacy, excluding cons of drug use. The intervention group displayed better stress management compared to the comparison group after the booster intervention. Similar between-group differences were identified in that the intervention group displayed better refusal skills and drug use resistance self-efficacy compared to that of the comparison group. The intervention group favored using drugs less (a decrease in the pros of drug use score) compared to the comparison group after the booster intervention. Conclusions Our program provided an example of the results of early intervention among students who experiment with illegal drugs.
Likelihood of a fecal occult blood test uptake among older adults: comparisons between health professionals and healthcare volunteers based on the health belief model
(2019-02-21) Lin, Tsung-Yi; Chuang, Shu-Tzu; Huang, Su-Fei; Hsu, Hsiao-Pei; Lu, Li-Ting; Guo, Jong-Long
Abstract Background Health professionals and healthcare volunteers play a critical role in promoting uptake of the fecal occult blood test (FOBT), which is an effective screening method for colorectal cancer. However, previous studies paid less attention to investigating both groups regarding their intention to undergo the test. This study used the Health Belief Model (HBM) to explore the likelihood of an FOBT uptake among health professionals and healthcare volunteers aged 50 years or older. Methods A cross-sectional survey was conducted at public health centers in a county in northern Taiwan. Health professionals and healthcare volunteers were invited to complete the questionnaires. Overall, 391 valid questionnaires were obtained (response rate = 93.10%). Structural equation modeling was used to examine the associations among the variables based on the HBM. Results The HBM explained 45, 44, and 50% of the variance in the likelihood of undergoing an FOBT in all participants, health professionals, and healthcare volunteers, respectively. The explained variance in healthcare volunteers outweighed that of professionals by 6%. Perceived benefits and self-efficacy significantly affected the likelihood of undergoing an FOBT. Self-efficacy significantly mediated the effects of perceived severity, benefits, and barriers on the likelihood of an FOBT uptake. A borderline significant difference in structural coefficients was found across groups. Conclusions The HBM model was used to examine the likelihood of an FOBT uptake among health professionals and healthcare volunteers, and the results showed that self-efficacy was the optimal predictor of the likelihood of an FOBT uptake, followed by perceived benefits. Future multifactorial interventions to promote FOBT uptake among health professionals and healthcare volunteers aged 50–75 years could include these significant factors.
New partnerships among single older adults: a Q methodology study
(2019-03-06) Huang, Su-Fei; Huang, Chiu-Mieh; Chen, Shueh-Fen; Lu, Li-Ting; Guo, Jong-Long
Abstract Background The social structure is changing with an increase in the ratio of the older population, resulting in a growing number of older people being faced with singlehood. This study identified and described single older adults’ differing perspectives on new relationships. Method We used a Q methodology approach for data collection and analysis, following in-depth interviews with 10 participants. Q statements were developed through content analysis of the interview data, which were then subjected to Q sorts performed by 49 older adults. A factor analysis was then completed on the collected data using PQ Method software. Results Five factors regarding common attitudes toward pursuing a new partner, which accounted for 53% of the total variance, were obtained in the final model: (1) being single, a companion, and already acquainted with the other person/potential partner; (2) high spiritual compatibility and a caring disposition; (3) an emphasis on physical intimacy and companionship; (4) easily influenced by others’ comments and highly concerned about being alone; and (5) physical and financial independence. Conclusions Clustering older adults according to their attitudes can help in acknowledging their expectations about new relationships in later life. Implications Practitioners can engage in successful consultations based on the recognition.
Patterns of perspectives on fall-prevention beliefs by community-dwelling older adults: a Q method investigation
(2016-07-07) Chen, Shueh-Fen; Huang, Su-Fei; Lu, Li-Ting; Wang, Mei-Chuen; Liao, Jung-Yu; Guo, Jong-Long
Abstract Background Falling has high incidence and reoccurrence rates and is an essential factor contributing to accidental injury or death for older adults. Enhancing the participation of community-dwelling older adults in fall-prevention programs is crucial. Understanding fall-prevention beliefs will be beneficial for developing a community-based fall-prevention program. The aim of the present study was to identify the distinct types of subjective views on the fall-prevention beliefs of community-dwelling older adults aged 80 years and older by applying the Q method. Methods The Q method was adopted to investigate the pattern of perception on fall-prevention beliefs. Forty-two older adults aged 80 − 92 years from a community care center in Northern Taiwan were recruited and requested to complete a Q-sorting. A series of Q-sorts was performed by the participants to rank 30 statements into a normal distribution Q-sort grid. The Q-sorts were subjected to principal component analysis by using PQMethod software Version 2.35. Results Four statistically independent perspectives were derived from the analysis and reflected distinct viewpoints on beliefs related to fall prevention. Participants in the Considerate perspective believed that health problems caused by falling were serious and fall prevention could decrease the burden they place on their family. Participants in the Promising perspective believed that existing health problems could cause a fall and that fall prevention contributed to their well-being. Participants in the Adaptable perspective perceived low barriers to execute fall prevention and displayed self-confidence and independence in preventing falls. Participants in the Ignorance perspective believed that they could not prevent falls and perceived barriers to fall prevention. Conclusions By combining theoretical constructs and the Q methodology approach, this study identified four distinct perspectives on fall prevention among community-dwelling older adults. Critical reflection on older adult personal perspectives and interpretations of the required responsive approach is a key element for appropriating fall-prevention support.
Prison sentencing increases the risk of unemployment among illegal heroin users in Taiwan
(2020-10-12) Lee, Charles T; Huang, Chiu-Mieh; Chang, Li-Chun; Wang, Shih-Wen; Hsu, Hsiao-Pei; Liao, Jung-Yu; Guo, Jong-Long
Abstract Background Previous studies have rarely explored the effect of type of sentencing on employment status among illegal heroin users, therefore, we aims to examine the association of the sentencing types and employment outcomes among illegal heroin users in Taiwan. Methods Participants with illegal heroin use were identified through the national prison register system and deferred prosecution system: 2406 with deferred prosecutions, 4741 with observation and rehabilitation, 15 compulsory rehabilitation and 1958 sentenced to prison in calendar 2011. Logistic regression models were built to estimate the effect of sentencing type on unemployment status at 2 years after release. Stratification analysis was conducted to determine the effect of sentencing type based on the offender’s employment status before sentencing. Results Illegal heroin users receiving a prison sentence were more than twice as likely to be unemployed 2 years later than those receiving deferred prosecution. The unemployment rate was also higher for those with observation and rehabilitation and compulsory rehabilitation than deferred prosecution in the 2 years following sentencing. Males, older users, without a job before sentencing, divorced or widowed and higher prior drug use criminal records were also higher risk of unemployment. Subgroup analysis by prior employment status revealed that being sentenced to prison, observation and rehabilitation and compulsory rehabilitation affected the subsequent employment status only for those heroin users with a job before sentencing. The strength of associations showed dose-dependent relationship between different sentencing types (sentenced to prison> compulsory rehabilitation> observation and rehabilitation) and employment outcomes. Conclusions Illegal heroin users who receive a prison sentence have a much higher risk of unemployment than those who receive deferred prosecution after controlling potential confounders, especially those who had a job before sentencing. The implication is the stronger freedom of punishment, the higher risk of unemployment outcomes. Our study support that illegal heroin user is legally regarded as a patient before being regarded as a criminal, so giving priority to quit addition rather than imprisonment.
The validity and reliability of the Mandarin Chinese version of the drug abuse screening test among adolescents in Taiwan
(2017-06-06) Liao, Jung-Yu; Chi, Hsueh-Yun; Guo, Jong-Long; Huang, Chiu-Mieh; Shih, Shu-Fang
Abstract Background This study aimed to investigate the validity and reliability of the Mandarin Chinese version of the Drug Abuse Screening Test (DAST-20) among adolescents, as well as examining the test’s predictability with regard to the actual level of drug abuse. Method A total of 100 adolescent participants were recruited with their consent, in which 49 were current drug users and 51 were non-users. Based on the frequency of their drug use, participants who had used drugs at least once every week during the past year were classified as regular users (34 participants); participants who had not reached the regular use frequency of once every week during the past year were classified as occasional users (15 participants). All of the participants were required to answer a sociodemographic questionnaire, and undergo a DAST-20 (Mandarin Chinese version). Results The DAST-20, which has a high reliability with a Cronbach’s alpha of 0.88, and a construct validity accounting for 61.87% of the variance. The area under the receiver operating characteristics (ROC) curve was 0.96 between the users and nonusers, and 0.93 between the occasional users and non-occasional users. A cut-off of three points could identify 93.5% of the drug users and 88.9% of nonusers, whereas a cut-off of six points could identify 85.3% of the regular users and 92.4% of non-regular users. Conclusions The DAST-20 was the strongest predictor of adolescents who were regular users, occasional users, and non-users after controlling for other potential covariates. The Mandarin Chinese version of the DAST is simple to use and has a satisfactory validity and reliability. It is an effective screening tool for drug users among adolescents.
以Q方法探討嬰幼兒之父母親保護子女免於二手菸暴露之信念
(2017) 許伊婷; Hsu, Yi-Ting
　許多研究證實二手菸當中的化學物質對人體健康有廣泛性的影響，二手菸內的致癌物質同時導致各種癌症發生，而吸菸所釋出的二手菸、熄掉香菸的斷菸殘蒂燃燒以及殘留在衣物或周圍環境中的菸氣，讓人吸入也會危害健康，尤其嬰幼兒孩童屬於脆弱的一群，更容易因為暴露於二手菸的環境而導致健康上的危害，本研究旨在探討父母親保護子女免於二手菸暴露之重要信念及可執行的有效策略與方法。因此，本研究採用「Q方法」，以來三重區衛生所民眾中，家中有0~5歲嬰幼兒之父母親，邀請50位受訪者為對象，將42句父母親保護子女免於二手菸暴露信念看法之Q-敘述句進行Q排列，研究結果運用PQ Method 2.35版統計軟體，進行量化統計分析，歸類受訪人數為43人，解釋變異量65%，本研究結果依嬰幼兒之父母親對保護子女免於二手菸暴露之信念，將父母親觀點分為五種因素類型：第一型避免人際衝突型、第二型隨遇而安無謂型、第三型加強環境覺察型、第四型避免菸害保護型、第五型隱忍家人吸菸型。此研究有助於探索分析嬰幼兒之父母親對保護子女免於二手菸暴露之看法、態度、與內涵，期望透過父母親的觀點依據研究結果使健康從業人員更能有效防制孩童暴露於二手菸環境中，也為未來菸害介入提供了策略規劃之意見。
以Q方法探討學校營養師對國小過重或肥胖學生之減重信念
(2016) 賴毓伶; Lai, Yu-Ling
學校營養師是推動學校健康促進健康體位議題的重要成員之一，協助學生做好體重與飲食管理，培養正確營養知能，改善學生不良體位，以維持健康體位之目標。本研究旨在探討學校營養師對過重或肥胖學生減重的相關重要信念及可執行的有效策略與方法。研究採用Q方法，以48位桃竹苗地區國民中小學(教育局處)營養師為對象，將38句Q-敘述句進行Q排列，並以PQ Method 2.35進行分析。本研究結果依學校營養師對國小過重或肥胖學生之減重信念將營養師歸類為四種類型，第一型家人支持學生型，第二型學生缺乏自信型，第三型促進體型意識型，第四型家人影響學生型。根據學校營養師4個類型，顯示學生減重需要良好生活飲食習慣與規律運動習慣的建立、學生要有體型意識的自我覺察、培養自信心與正向態度及家人的支持配合與鼓勵等多元策略，期能有好的減重成效。
以Q方法探討獨居長者對於樂智課程之看法--以6C行銷架構為例
(2019) 吳書儀; Wu, Shu-I
現今醫療技術與公共衛生發展進步，人類的平均壽命延長，失智症盛行率也日益升高。因此預防罹患及延緩失智症也就相對重要。本研究運用Q方法，以探討獨居長者對於可以預防失智症的樂智課程之看法並比較其類型。引用以6C行銷架構發展出長者對於樂智課程看法之Q陳述句，研究對象為社區獨居長者，30位長者完成32句Q陳述句進行Q排列。應用PQ Method 2.35統計軟體，經因素分析得出四種類型；共24人可被歸類，解釋變異量54.7%。此四種類型命名及分析分別為：一、「健康需求型」長者，屬重視6C行銷架構中Consumer(消費者需要)。二、「成本考量型」長者，屬重視6C行銷架構中Cost(成本)。三、「考量家人型」長者，屬重視6C行銷架構中Community(社群影響)及Concerned(擔憂影響)。四、「重視醫療型」長者，屬重視6C行銷架構中Cost(成本)及Communication (雙向溝通)。相信本研究有助於規劃並推廣獨居長者願意參與預防失智症的「樂智課程」。
以RE-AIM模式評價大專校院健康促進計畫執行之情形
(2019) 李秀玲; Lee, Hsiu-Ling
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。
以內部行銷觀點探討職場員工壓力調適服務
(2019) 何淑華; HO, SHU-HUA
本研究為探索員工壓力調適之內部行銷各構面的重要性以確認員工需求，適時修正紓壓管理活動，以提升員工工作效率，增加職場的團隊士氣及向心力。本研究對象為曾參與職場壓力調適之健康促進相關活動員工為研究對象，共計140位，採問卷調查法，以描述性統計、重要性績效表現分析法（IPA）、影響範圍-績效分析（IRPA）及非對稱影響分析法（IAA）分析等統計方法進行分析。分析結果發現職場場員工壓力來源以工作壓力居多，建議職場可進行人力資源重新評估分配。構面「願景/期望」中「 V1 員工如因工作造成壓力時，公司能運用調查或評估等方式，適時了解與調整工作，以減少壓力。」及「V2公司能持續辦理多元壓力調適活動，確實提升員工壓力調適能力」在重要性績效表現分析法（IPA）、影響範圍-執行現況分析 (IRPA)及非對稱影響分析法 (IAA)分析皆落在優先改善區內，建議職場應優先改善。期望透過本研究了解職場內部壓力調適之健康促進相關活動是否符合員工需求並透過分析結果提升職場內部行銷之服務與管理品質。
以教與學觀點探討機構老人對3D VR虛實結合芳香療法學習評價
(2020) 李婉萍; Li, Wan-Pin
本研究旨在以教與學觀點探討老人與3D VR虛實結合芳香療法學習評價。本研究採多重個案研究設計，研究對象包含學習者（某一安養院、平均80歲以上、參加八堂3D VR芳療課程）24名、教學人員8人，文本資料是以半結構式訪談參與3D VR芳香療法課程之學習者與教學者，並從中找出主題（theme）與分類（category）。本次研究結果以「從教學觀點探討老人3D VR芳療虛實課程的學習評價」為主軸，整理出三大主題：「老人操作3D VR設備」、「芳療實作中教與學的特性」、「VR芳療虛實課程的教與學回饋」，課程總結評價可看出學習者的滿意度和參與度，虛實結合芳療課程能讓教學者藉由預習、複習、新穎、虛擬的環境的過程讓學習者能學習更快，而學習者學習也會因為有趣動腦而增加上課動力，學習者在學習VR新科技，需教學者提供多元的輔助策略，針對學習者特性調整教學策略，虛實結合課程不只能強化學習者上課動機，也對學習者身心健康產生正向影響。此研究以教學者和學習者的角度整理出關於未來設計3D VR虛實結合芳療課程的教學建議1.重視VR環境教學設計幫助學習者更順利，減輕教學者的負擔2.VR設備教學需要耐心教學，反覆操作。3.教學策略以(1).指導教學，明確給予學習方向與指令(2).需要友善耐心反覆教導，熟能生巧。(3.)誇獎教學適合學習者學習課程。相信對於未來以機構老人為對象之3D VR來輔助健康促進的研究會有所助益。
以桌遊結合AR擴增實境為基礎之創新教學在藥物濫用防制教學的成效探討-以高中職進修部學生為例
(2020) 宋慶禾; Sung, Ching-Ho
本研究以計畫行為理論為基礎，運用AR擴增實境桌遊為特色之教育介入，探討在藥物濫用防制創新教學的成效。招募108學年度桃園市某兩所高中職校進修部400位學生為研究對象，有效樣本362位學生，實驗組接受AR擴增實境桌遊課程，對照組接受傳統講述教學課程。在教學介入後，以結構式問卷進行調查，描述性統計基本資料分布情形，成對樣本t檢定介入前後的差異性；廣義估計方程式（GEE）檢定分析，比較兩組前後測之組間差異，及實驗組AR桌遊科技易用性評價。研究結果顯示，實驗組學生基本識能、生活技能、主觀規範、知覺行為控制及行為意圖顯著相關並優於對照組，態度較不顯著，科技易用性評價滿意度佳，認為AR桌遊具有教育功能且簡單容易操作。此教育介入在藥物濫用防制教學有相當的成效，能有效影響學生拒絕藥物濫用之行為。
以混合研究法探討樂智AI桌遊對輕度認知障礙長者之成效
(2023) 林利珍; Lin, Li-Chen
背景：具有交互功能的技術輔助培訓工具可以改善患有輕度認知障礙(MCI)長者的健康結果。本研究探討基於人工智慧的桌遊針對患有MCI的長者，以改善他們的認知功能、憂鬱程度、一般自我效能和對生活的滿意度的有效性；及這套桌遊的易用性與未來MCI長者的使用意圖。方法/設計：採取準實驗設計。台灣北部八家日照中心或長照據點輕度認知障礙長者的109位參與者，分為實驗組(n=52)與對照組(n=57)，實驗組接受樂智AI桌遊，對照組則為維持一般常規活動。將兩組參與者分別完成前後測之問卷調查，包括認知功能(MMSE、ADAS-Cog)、憂鬱程度、一般自我效能與生活滿意度的影響，使用廣義估計方程式(GEE)分析資料。樂智AI桌遊的可用性通過系統易用性量表(SUS)進行評估與分析未來使用意圖。結果：GEE分析顯示，實驗組在 MMSE（P<0.001）、ADAS-Cog（P<0.001）、憂鬱程度（P=0.018）、一般自我效能（P<0.001）與生活滿意度方面(P=0.001)均有顯著改善，這些影響持續了三個月。另外，SUS的平均分數為87.50，表明參與者的評價非常好，且未來使用意圖高。結論：這項研究的結果支持基於交互式人工智慧的桌遊在改善機構化長者的認知功能、憂鬱、一般自我效能與生活滿意度方面的有效性。參加者對課程的評價非常好。建議長期護理機構的管理人員可以採用基於人工智慧的桌遊作為培訓工具，以協助健康促進計劃，以減少機構老年人認知和心理健康惡化的可能性。
健康促進學校國際認證金、銀、銅質獎學校推動歷程之研究
(2019) 郭家娟; Kuo, Chia-Chuan
本論文研究目的旨在了解「健康促進學校國際認證金、銀、銅質獎」學校推動健康促進學校計畫之情形。本研究採質性研究，針對105年度辦理健康促進學校國際認證獲得金質獎、銀質獎、銅質獎之績優學校作為研究對象，以立意取樣的方式訪談了八所國小，其中有四所金質獎，二所銀質獎及二所銅質獎學校，本研究探討得獎學校參與「健康促進學校國際認證」的推動過程，以及其推展歷程的相同處與差異處。本研究採內容分析法，經歸納與整理後，研究結果發現八所獲獎學校在推展健康促進學校計畫上，均依據WHO健康促進學校的六大範疇，將「健康」列為學校願景，並由校長、處室主任、教師、學生、家長等各單位代表組成推動小組，致力推展。各校根據需求評估選擇健康議題，研擬健康促進學校計畫，實施健康促進學校成效自主管理，以多元化策略推展健促學校計畫，針對遭遇問題提出解決方案，並按照實證導向的精神推動及落實。此外，學校均整合社區資源，強化學校行政及教師團隊之運作，將健康議題推動融入課程教學，發展生活技能取向的教學模組，增強教師健康專業知能，有效輔導學生健康自主行為習慣養成。最後，依據本研究結果提供建議，以作為未來推動健康促進學校計畫之參考依據。關鍵字: 健康促進學校、健康促進學校國際認證
北部某校大學生對於反毒機器人教材之使用及衝擊成效評價
(2023) 姚正容; Yao, Cheng-Jung
本研究的目的是以無藥物濫用經驗之大學生為對象，以計畫行為理論為基礎，運用反毒機器人教材探討大學生在藥物濫用的介入提升學生對於藥物濫用基本識能及拒絕技能成效與大學生對科技產品反毒機器人的使用評價。本研究共招募大學一至四年級140位學生為研究對象，有效樣本114位學生，實驗組學生接受反毒機器人教材介入，介入時間為5節課，共計250分鐘，對照組學生接受傳統講座式的教學課程，介入時間為1節課，共計50分鐘，二組學生在介入課程前進行前測問卷，於課程教材介入後給予後測問卷。統計方法使用SPSS for Windows version 23.0 進行分析，採用描述性統計、配對 t 檢定、廣義估計方程式及一般多元迴歸分析檢定介入前後之變化成效。研究顯示以反毒機器人教材介入藥物濫用教學之學生在基本識能有顯著進步，並且大學生對於使用反毒機器人之態度、主觀規範、知覺行為控制及行為意圖使用評價皆顯著。大學生對於反毒機器人的使用經驗及涉入程度均獲得較高的回饋，尤其是對於已曾經使用過教育機器人的大學生來說，反毒機器人的使用評價前後測也有顯著。結果顯示本研究工具反毒機器人教材可應用於實際情形，未來可將此工具擴及不僅是大學生的使用，建議可融入校園藥物濫用教學提升學生相關知識與技能。
台灣與中國大陸大學生性健康素養之比較研究
(2020) 徐倩; Xu, Qian
本研究的目的主要是對台灣與大陸大學生性健康素養的現況進行調查與比較，了解兩岸大學生的性健康素養之現況，分析台灣與大陸大學生個人背景變項、性知識、性態度、健康素養與性健康素養之關係，總結對未來在培育大學生性健康素養上的啟示和建議。本研究採用自填式調查問卷為工具，大陸地區收取232份有效問卷，台灣地區收取210份有效問卷。結果顯示，從性知識層面來說，兩岸大學生的性知識水平都屬於中等偏低。性態度方面，兩岸大學生對婚前性行為的接受度均是高的,大陸大學生略高於台灣大學生。健康素養方面，大陸大學生整體健康素養水平為中等偏上。而在性健康素養方面，兩岸大學生的性健康素養都處於中等水平。愛滋病預防方面，兩岸大學生對於跟專業人員討論愛滋病的相關話題都比較困難。總體上，性健康素養與愛滋病預防，台灣大學生都略優於大陸大學生「性別」、「年級」、「過去一年內是否有性行為經驗」會影響大陸大學生的性知識水平；大陸大學生之「性態度」沒有因個人背景變項的不同而產生差異；「年級」會影響大陸大學生的健康素養；「性別」、「年級」、「父親教育程度」、「過去一年內從事性行為時是否有使用相關防護措施」的不同會對大陸大學生的性健康素養產生影響，台灣大學生的性健康素養則會因為「性別」、「現階段發生性行為是否恰當」以及「過去一年內是否有性行為經驗」的不同而有顯著差異。大陸大學生愛滋病預防會因「性別」、「父親教育程度」、「母親的教育程度」的不同而有顯著差異，台灣大學生的愛滋病預防會因「性別」、「現階段發生性行為是否恰當」以及「過去一年內是否有性行為經驗」的不同而有顯著差異。 Pearson積差相關分析結果顯示了五個量表間的相關系數都達到了顯著，結構方程模型顯示，健康素養與愛滋病預防對性健康素養有顯著的直接影響。