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題名：電腦化適性測驗提升病人的健康識能
書刊名：醫療資訊雜誌
作者：錢才瑋／林為森 引用關係／賴豐傑
作者(外文)：Chien, Tsair-wei／Lin, Wei-seng／Lai, Feng-jie
出版日期：2015
卷期：24:3
頁次：頁51-60
主題關鍵詞：電腦化適性測驗；皮膚癌的風險評估；健康識能；羅序分析；部份計分模式；Computer adaptive testing；Skin cancer risk；Health literacy；Rasch analysis；Partial credit model
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:14
  • 點閱點閱:5
傳統上的衛生教育係以衛教單張做單向式的宣導，隨著病人手機的普及，有必要發展一具手機上網 互動式的衛生教育模式，以提升病人的健康識能。本研究以皮膚科門診前的病人等候情境，發展一具自 評皮膚癌風險的資訊模組，由病人於診間候診時，先行評估再行看診，以達到宣導及防範皮膚癌衛生教 育之目的。利用期刊發表的文獻資料，蒐集(1)澳洲國家衛生研究中心於2011 年在Queensland 調查研究 皮膚癌風險的31 題題庫，(2)題目的難度參數、及(3) 皮膚癌風險的決斷點為0.88logit，以Rasch 部份給 分模式設計一具網頁版本的電腦化適性測驗（CAT）。決斷點提供病人施測後的參考，當大於決斷點， 就需主動提示醫師做進一步的檢查與評估。研究發現在診間前貼示一個宣導防範皮膚癌的QR-code，提 供皮膚科病人自我評估皮膚癌風險衛教的可能。手機上網及掃描QR-code 即可進行CAT 皮膚癌的風險評 估，對於宣導防範皮膚癌的衛生教育，提供新型式的衛教模式，也對其它醫療科的衛生教育提供示範效果，以提升健康識能。
Hygiene education in tradition is a one-way distribution of brochure for patients. As with all forms of Web-based technology, advances in mobile health (mHealth) and health communication technology are rapidly increasing. It is required to develop an interactive mode in hygiene education to increase patients’ health literacy. With a scenario of outpatients waiting for a consultation of dermatology, we developed a mobile CAT survey procedure to practically demonstrate the application in action, rendered to patients increasing hygiene knowledge. Data from published journal papers in Australia’s The QSkin Sun and Health Study (2011) were used to gather (1) a 31-item pool, (2) item difficulties, and (3) a cutoff point of high skin cancer risk. at 0.88 logit. Rasch(1960) partial credit model was performed to design an online CAT module. When CAT score beyond the cut point was recommended to physicians for further follow-up examination and confirmation. We found that it is possible to scan a QR-Code to access the online CAT skin cancer risk assessment as a way of self-response to gain hygiene education. A mobile CAT with a way to educate patients can be generalized to other medical fields to increase health literacy.
期刊論文
1.錢才瑋、王文中、蘇世斌、陳俞成(20070900)。偵測問卷調查受試者亂答填卷之研究：以醫師滿意度調查為例。醫療資訊雜誌，16(3)，71-82。new window  延伸查詢new window
2.Cutilli, C. C.、Bennett, I. M.(2009)。Understanding the health literacy of America: Results of the national assessment of adult literacy。Orthopaedic Nursing，28(1)，27-34。  new window
3.黃美智、黃朝慶、張瑛玿、蔡景仁(19970600)。比較衛教單張與配合電話諮詢對改變熱痙攣患兒父母認知及態度的成效。慈濟醫學，9(2)，139-148。  延伸查詢new window
4.王曼溪(19930900)。如何製作病人之書面衛教資料。護理雜誌，40(3)，70-74。new window  延伸查詢new window
5.Siderits, R.、Yates, S.、Rodriguez, A.、Lee, T.、Rimmer, C.、Roche, M.(2011)。Embedding QR codes in tumor board presentations, enhancing educational content for oncology information management。J Registry Manag，38(4)，209-211。  new window
6.Lombardo, N. T.、Morrow, A.、Le Ber, J.(2012)。Rethinking mobile delivery: using Quick Response codes to access information at the point of need。Med Ref Serv Q.，31(1)，14-24。  new window
7.陳素鳳、許琬甄、何青蓉(20110300)。健康識能觀點分析臺灣優良健康資訊網站。臺灣健康照顧研究學刊，10，1-15。  延伸查詢new window
8.Barre, S. E.、Puryear, J. S.(2006)。Health literacy: Improving quality of care in primary care settings。J Health Care Poor Underserved，17，690-697。  new window
9.Williams, M. V.、Davis, T.、Parker, R. M.、Weiss, B. D.(2002)。The role of health literacy in patient-physician communication。Family Medicine，34(5)，383-389。  new window
10.Lee, H. Y.、Rhee, T. G.、Kim, N. K.(2015)。Cancer literacy as a mediator for cancer screening behaviour in Korean adults。Health Soc Care Community，24(5)，e34-e42。  new window
11.Kim, K.、Han, H. R.(2015)。Potential links between health literacy and cervical cancer screening behaviors: a systematic review。Psychooncology，25(2)，122-130。  new window
12.Olsen, C. M.、Green, A. C.、Neale, R. E.、Webb, P. M.、Cicero, R. A.、Jackman, L. M.(2012)。Cohort profile: The QSkin Sun and Health Study。International Journal of Epidemiology，41(4)，929-929。  new window
13.Djaja, N.、Youl, P.、Aitken, J.、Janda, M.(2014)。Evaluation of a skin self examination attitude scale using an item response theory model approach。Health and Quality of Life Outcomes，12，189。  new window
14.Chien, T. W.、Wang, W. C.、Huang, S. Y.、Lai, W. P.、Chow, J. C.(2011)。A web-based computerized adaptive testing (CAT) to assess patient perception in hospitalization。J Med Internet Res，13(3)，e61。  new window
15.Masters, G. N.(1982)。A Rasch model for partial credit scoring。Psychometrika，47(2)，149-174。  new window
16.Weiss, D. J.、Mcbride, J. R.(1984)。Bias and information of Bayesian adaptive testing。Applied Psychological Measurement，8(3)，273-285。  new window
學位論文
1.Johnson, Graham Brent(2013)。Student perception of flipped classroom(碩士論文)。University of British Columbia。  new window
圖書
1.Rasch, G.(1960)。Probabilistic models for some Intelligence and attainment tests。University of Chicago Press。  new window
2.葉丙成(2015)。為未來而教--葉丙成的BTS教育新思維。天下雜誌。  延伸查詢new window
3.Nielscn-Bohlman, L.、Panzer, A. M.、Kindig, D. A.(2004)。Health Literacy: A PrescriptÎon to end confusion。Washington, D.C.：Institute of Medicine of the Natio nal Acadcmies。  new window
4.Division of Health Promotion Education and Communications、Health Educalion and Health Promotion Unit(1998)。Health Promotion Glossary。Gencva：WHO。  new window
5.National Research Council(1999)。How People Learn: Brain, Mind, Experience and School。Washington, DC：National Academies Press。  new window
其他
1.(2000)。Standards Overview: Communication，http://www.nctm.org/standards/content.aspx?id=26854。  new window
2.錢才瑋，王文中，劉巡宇，謝清麟，周琪，周偉倪(20140211)。滿意度調查方法及系統(I426461)。  延伸查詢new window
圖書論文
1.Rudd, R. E.、Renzulli, D.、Pereira, A.(2005)。Literacy demands in health settings: the patient perspective。Understanding Health Literacy: Implications for Medicine and Public Health。Chicago：Amcrican Medical Association Press。  new window
2.Cooper, L. A.、Beach, M. C.、Clever, S. L.(2005)。Particlpatory decidion-makîng in the medical encounter and its relationship to patient literacy。Understanding Health Literacy: Implications for Medicine and Public Health。Chicago：Amcrican Medical Association Press。  new window
 
 
 
 
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