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題名:衛生教育與行為科學介入研究成效之統合分析
書刊名:衛生教育學報
作者:郭鐘隆 引用關係黃久美蘇鳳足邱靜如劉貴雲劉潔心 引用關係張婷婷
作者(外文):Guo, Jong-longHusng, Chiu-miehSu, Feng-chuChiu, Ching-juLiu, Guey-yunLiu, Chieh-hsingChang, Ting-ting
出版日期:2003
卷期:20
頁次:頁71-88
主題關鍵詞:介入研究健康相關行為綜合分析衛生教育Intervention studyMeta-AnalysisHealth related behaviorHealth education
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(17) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:17
  • 共同引用共同引用:3
  • 點閱點閱:180
本研究蒐集臺灣地區1971年至2001年間,衛生教育首行為科學的介入研究之中文文獻,運用統合分析的方法來評定其在健康相關行為上的介入成效。本研究所選取的介入研究應符合下列原則: 1.測量健康相關行為 2.研究中運用至少一種衛生教育或行為科學的介入方法,3.研究中提供控制組與對照組或前後測結果以供比較,4.研究中提供相關統計數字得以計算成效值,如頻率、百分比、圖表、t-test、F-test, Chi-Square、皮爾森積差相關、P值或平均值與標準差等。相同主題之介入文獻達三篇以上才納入本研究進行分析,研究樣本共計70萬論文。 本研究由二名研究人員及主持人進行文獻閱讀和譯碼工作,一致性高達0.83。衛生教育和行為科學介入對知識的改變成效最大(d=0.51),為中等的正向效果,此成效於後後測時仍存在。對目標行為、自我效能和態度有介於弱和中等的正向效果,對於行為意向則只有弱效果,測量行為意向的研究則大多未測量目標行為,後後測也大致符合此一趨勢。 研究結果發現對知識的介入成效最要佳,行為次之,介入地點為學校或工作場所對知識有較高的成效值,多年期介入、與多元介入策略對目標行為有較高的成效值,建議以後的研究可以延長介入期程、於有組織的場所如學校、職場進行、使用多種介入策略與教學方法,介入效果會較佳。
The purpose of this study was to examine the overall effectiveness of health education and behavioral modification interventions studies on health-related behaviors from 1971 to 2001 in Taiwan area. Criteria for selecting a study were :1). There was a dependent variable that measured health-related behaviors. 2). The methodology of study was appropriate and using education or behavioral modifications interventional designed to improve health-related behaviors. 3). Outcomes of the intervention were quantified and could be compared with a variance estimate of the outcome from a control group or pre-test condition. 4). An effect size could be calculated. Seventy retrieved research papers match by the criteria were included in this study Multiple reviewers screen abstracts and retrieved studies. The agreement rate between two coders was 0.83. According to Cohen’s criteria, there was a medium effect in knowledge intervention at post-test. Meanwhile, the intervention effects were between medium and small for targeted behaviors, self-efficacy and attitude. However, there was only a small intervention effect for behavioral intension. The results suggest that interventions produced desired effectiveness on knowledge and targeted behaviors. Intervention sites, longitudinal and multiple strategies of intervention were associated with better outcome. Future studies can employ longitudinal design, apply intervention programs to organized settings, and use multiple strategies and approaches in order to enhance the effectiveness of interventions.
期刊論文
1.陳政友(19971200)。健康危險評估在大專院校教職員健康促進之應用與其效果實驗研究--以國立臺灣師範大學教職員為例。學校衛生,31,1-29。  延伸查詢new window
2.王秀紅(19990400)。統合分析的概念及其在護理的應用。護理研究,7(2),183-192。new window  延伸查詢new window
3.Snell, J. L.、Buck, E. L.(1996)。Increasing cancer screening: A meta-analysis。Preventive Medicine,25(6),702-707。  new window
4.Mullen, P. D.、Laville, E. A.、Biddle, A. K.、Lorig, K.(1987)。Efficacy of psychoeducational interventions on pain, depression, and disability in people with arthritis: a meta-analysis。Journal of Rheumatology,14(Suppl 15),33-39。  new window
5.LeLorier, J.、Gregoire, G.、Benhaddad, A.、Lapierre, J.、Derderian, F.(1997)。Disrepancies between meta-analyses and subsequent large randomized, controlled trials。The New England Journal of Medicine,337(8),536-542。  new window
6.Devine, E. C.(1996)。Meta-analysis of the effects of psychoeducational care in adults with asthma。Research in Nursing and Health,19(5),367-376。  new window
7.Devine, E. C.、Reifschneider, E.(1995)。A meta-analysis of the effects of psychoeducational care in adults with hypertension。Nursing Research,44(4),237-245。  new window
8.Editorial(1977)。Meta-analysis under scrutiny。The Lancet,350(9079),675。  new window
9.Cohen, J.(1992)。The Power Primer。Psychological Bulletin,112(1),155-159。  new window
10.Mullen, P. D.、Simons-Morton, D. G.、Frankowski, R. F.、Ramirez, G.、Green, L, W.、Mains, D. A. C.(1997)。A meta-analysis of trials evaluating patient education and counseling for three groups of preventive health behaviors。Patient Education and Counseling,32(3),157-173。  new window
11.Devine, E. C.、Pearcy, J.(1996)。Meta-analysis of the effects of psychoeducational care in adults with chronic obstructive pulmonary disease。Patient Education and Counseling,29(2),167-178。  new window
12.Glass, G. V.(1976)。Primary, Secondary, and Meta-Analysis of Research。Educational Researcher,5(10),3-8。  new window
學位論文
1.陳麗珠(1999)。預防安非他命濫用教學計畫介入效果研究--以桃園縣某二所國中二年級學生為對象(碩士論文)。國立臺灣師範大學。  延伸查詢new window
2.何文雀(1993)。學生中心教學與教師中心教學對某國小五年級學生資源回收知識、態度及行為影響之實驗研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
3.周淑玲(1989)。國民中學垃圾分類教育之實驗研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
4.孟玲玲(1999)。衛生教育介入對彰化都市地區國小女教師參與子宮頸抹片檢查意願與行為的影響(碩士論文)。國立臺灣師範大學。  延伸查詢new window
5.胡益進(1999)。大學生交通安全教育介入效果實驗研究--以臺北地區師範院校學生為例(博士論文)。國立臺灣師範大學。  延伸查詢new window
6.陳正誠(1989)。台北市國小學童口腔衛生教育計畫介入效果之研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
7.林莉馨(1995)。國小體重控制介入計畫效果之實證研究(碩士論文)。國立臺灣師範大學,臺北市。  延伸查詢new window
8.陳政友(1998)。大專院校學生健康危險評估應用與效果實驗研究--以國立臺灣師範大學一年級學生為例(博士論文)。國立臺灣師範大學。  延伸查詢new window
9.陳麗淑(1998)。運用互動式平面媒體促進國小學童家長資源回收行為之介入研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
10.林燕卿(1998)。親職性教育介入效果之研究(博士論文)。國立師範大學。  延伸查詢new window
圖書
1.郭鐘隆(1994)。如何促進健康。台北市:師大書苑。  延伸查詢new window
2.Hunter, J. E.、Schmidt, F. L.、Jackson, G. B.(1982)。Meta-analysis: Cumulating findings across research。Beverly Hills, CA:Sage。  new window
3.Johnson, B. T.(1989)。DSTAT: Software for the meta-analystic review of research literature。Hilllsdale. NJ:Lawrence Erlbaum Associates。  new window
4.U.S. Preventive Services Task Force(1996)。Guide to Clinical Preventive Services。Baltimore:Williams and Wilkins。  new window
5.Rosenthal, Robert(1984)。Meta-analytic Procedures for Social Research。Sage Publications。  new window
6.行政院衛生署(1993)。衛生白皮書。臺北:行政院衛生署。  延伸查詢new window
7.Hedges, L. V.、Olkin, I.(1985)。Statistical methods for meta-analysis。Academic Press。  new window
 
 
 
 
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