以RE-AIM模式評價健康促進學校計畫之執行情形
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2010
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本論文的研究目的是要瞭解健康促進學校之執行情形現況，運用RE-AIM模式為研究架構，探討HPS主要推動人員個人和學校背景因素與HPS執行情形的關係及解釋力。本研究採量性研究為主，質性研究為輔。量性研究部分以2008年參與健康促進學校教育訓練研習之HPS主要推動人員為研究對象，於研習會後發放自填式結構問卷進行現場調查，共回收有效問卷848份。質性訪談以4所HPS「績優學校」和4所HPS「一般學校」，共計16位HPS主要推動人員為訪談對象。
研究結果顯示，在「接觸面」面向，HPS主要推動人員為男性、任教(職)年資越高、在校職務越高和非健康與體育領域者，HPS推動成效較佳；在「有效面」面向，HPS主要推動人員在校職務越高者，HPS推動成效較佳；在「採納面」面向，HPS主要推動人員為男性、任教(職)年資越高、在校職務越高者，HPS推動成效較佳；在「實施面」面向，HPS主要推動人員在校職務越高者，HPS推動成效較佳；在「維持面」面向，HPS主要推動人員的任教(職)年資越高、在校職務越高、且為非健康與體育領域之HPS主要推動人員推動成效較佳；在HPS整體推動成效而言，HPS主要推動人員為男性、任教(職)年資越高、在校職務越高，且為非健康與體育領域之HPS主要推動人員推動成效較佳。HPS主要推動人員之學校背景因素對於HPS之執行情形影響力較大；HPS主要推動人員之個人背景因素對於HPS之執行情形的總解釋量為5.1%，其中僅有在校職務有顯著預測力；加入HPS主要推動人員之學校背景因素可增加的解釋量為6.5%。在HPS主要推動人員之學校背景因素中的國民所得、教育水準、縣市城鄉分類和外籍配偶子女就讀國中小比率對於HPS之執行情形(REAIM總得分) 有顯著預測力。
最後，依據本研究之結果提供建議，以做為未來推動HPS計畫推動過程及評估之參考依據。
The objective of this research is to explore the implementation of the program HPS (health promoting school) and to study the relationship between the background of the staff and the school. The research framework was on the basis of the RE-AIM model. This research adopted mainly quantitative research, and supplemented by qualitative research. From the quantitative research, the HPS promoting staff who attended the seminar of HPS training in 2008 served as the subjects of this study. Self-administered questionnaires were provided after the seminar. A total of 848 valid questionnaires were collected. From the qualitative research, 16 HPS promoting staffs from four HPS excellent schools and four HPS moderate schools served as the interviewees. The result indicated that, in the aspect of Reach, HPS promoting staffs who are male, with higher seniority, with higher position at school or non-health-and-physical-education specialists tend to have more effective promotion. In the aspect of Efficacy, those who have higher position at school have more effective promotion. In the aspect of Adoption, HPS promoting staffs who are male, with higher seniority, or with higher position at school have more effective promotion. In the aspect of Implementation, HPS promoting staffs who have higher position at school have a tendency to have more effective promotion. In the aspect of Maintenance, HPS promoting staffs having higher seniority, higher position at school and non-health-and-physical-education specialists tend to have more effective promotion. In the aspect of HPS overall promoting effectiveness, HPS promoting staffs who are male, with higher seniority, with higher position at school and as non-health-and-physical-education specialists have more effective promotion. Thus, from the study we found that, the school background of the promoting staff is more influential in implementation. The gross amount of explanation of HPS promoting staffs’ personal background is 5.1%, and only the position at school is relatively predictable. By adding the factor of the staff’s school background, the gross amount of explanation reached up to 6.5%. Factors of school background, GNP, educational background, location of the school and the ratio of children of immigrant mothers attending elementary and junior high also have significant predictions to HPS implementation (total score of RE-AIM). Finally, the results of this study, which provided suggestions and recommendations, will be a great value to HPS promotion and evaluation in the future.
The objective of this research is to explore the implementation of the program HPS (health promoting school) and to study the relationship between the background of the staff and the school. The research framework was on the basis of the RE-AIM model. This research adopted mainly quantitative research, and supplemented by qualitative research. From the quantitative research, the HPS promoting staff who attended the seminar of HPS training in 2008 served as the subjects of this study. Self-administered questionnaires were provided after the seminar. A total of 848 valid questionnaires were collected. From the qualitative research, 16 HPS promoting staffs from four HPS excellent schools and four HPS moderate schools served as the interviewees. The result indicated that, in the aspect of Reach, HPS promoting staffs who are male, with higher seniority, with higher position at school or non-health-and-physical-education specialists tend to have more effective promotion. In the aspect of Efficacy, those who have higher position at school have more effective promotion. In the aspect of Adoption, HPS promoting staffs who are male, with higher seniority, or with higher position at school have more effective promotion. In the aspect of Implementation, HPS promoting staffs who have higher position at school have a tendency to have more effective promotion. In the aspect of Maintenance, HPS promoting staffs having higher seniority, higher position at school and non-health-and-physical-education specialists tend to have more effective promotion. In the aspect of HPS overall promoting effectiveness, HPS promoting staffs who are male, with higher seniority, with higher position at school and as non-health-and-physical-education specialists have more effective promotion. Thus, from the study we found that, the school background of the promoting staff is more influential in implementation. The gross amount of explanation of HPS promoting staffs’ personal background is 5.1%, and only the position at school is relatively predictable. By adding the factor of the staff’s school background, the gross amount of explanation reached up to 6.5%. Factors of school background, GNP, educational background, location of the school and the ratio of children of immigrant mothers attending elementary and junior high also have significant predictions to HPS implementation (total score of RE-AIM). Finally, the results of this study, which provided suggestions and recommendations, will be a great value to HPS promotion and evaluation in the future.
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Keywords
健康促進學校, RE-AIM模式, 階層迴歸分析, Health Promoting School (HPS), RE-AIM model, hierarchical regression analysis