Browsing by Author "Huang, Wei-Hsiang"

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    Pregnant women’s attitudes and decision-making regarding prenatal Down syndrome screening and diagnosis: scale development and validation
    (2020-07-14) Huang, Wei-Hsiang; Shih, Shu-Fang; Lin, Chen-Li; Liu, Chieh-Hsing
    Abstract Background Down syndrome is a common chromosomal abnormality and prenatal screening can inform parents of the risk of their baby having Down syndrome. Little research has examined how decisions regarding both Down syndrome screening as well as diagnosis are made among women who are currently pregnant and how their decisions are influenced by their social contexts, specifically family and social media, using mixed methods. The study was to test the validity and reliability of a scale that measures pregnant women’s attitudes and decision-making concerning prenatal Down syndrome screening and diagnosis in urban areas of Taiwan. Methods We developed an item pool based on a literature review and in-depth interviews with 30 pregnant women recruited at two district hospitals in urban areas. The item pool was reviewed by a panel of experts and then administered to 300 women who had been pregnant for less than 24 weeks and had not received the Down syndrome screening tests. We used item analysis and exploratory factor analysis to validate the scale and test its reliability. Results The initial item pool had 54 items. After the expert review, three items were deleted. After the item analysis, 16 additional items were deleted. Exploratory factor analysis of the remaining items revealed four factors labeled – “Attitudes towards Down syndrome and Screening Tests,” “Important others’ Attitudes towards Down Syndrome,” “Influence of Important Others on Decision-Making,” and “Influence of Social Media on Decision-Making” – and 16 of the remaining items had satisfactory loadings on those factors, explaining 72.0% of the total variance. The Cronbach’s α values of the dimensions ranged between 0.75 and 0.90, demonstrating satisfactory internal reliability. Conclusions The scale has satisfactory validity and reliability, and can be used to understand pregnant women’s attitudes and decision-making regarding Down syndrome screening and diagnosis, and to help design tailored consultations for pregnant women in clinical settings.
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    運用健康行動模式融入防災素養導向課程之介入研究-以新北市某幼兒園大班幼兒為例
    (2021) 黃煒翔; Huang, Wei-Hsiang
    本研究旨在探討運用健康行動模式融入防災素養導向課程，對於新北市幼兒園大班幼兒之介入成效。本研究介入課程以健康行動模式為理論，結合幼兒園教保服務大綱核心素養、教育部防災白皮書防災素養，以及災害防救策略所設計而成，並以研究者自編的6種檢核表做為評量工具，經過30人的預試，以專家內容效度審查、項目分析，以及內部一致性分析，建立態度、技能、意圖，以及行為題項的效度與信度；以難度與鑑別度分析，檢視知識題項的適合度；以肯德爾和諧係數，確認4位評分者之間的一致性。本研究採便利取樣選取新北市某私立幼兒園60名大班幼兒為正式研究對象，採對照組等待名單研究設計的方式進行。研究假說為經過150分鐘的防災素養導向課程介入後，能提升大班幼兒防災知識、防災態度、防災技能、防災意圖，以及防災行為。本研究所得結果以廣義估計方程式進行分析，統計軟體為 IBM SPSS for Windows 23.0版。研究結果顯示，在控制「組別」與「前測、後測」之後，防災素養導向課程對於受試者的「防災知識」、「防災態度」、「防災技能」、「防災意圖」，以及「防災行為」皆有正向成效；此外，「防災態度」、「防災技能」、「防災意圖」，以及「防災行為」更具有延宕效果。本研究結果可供幼兒園進行防災教育課程之參考。