比較問題與主題導向學習在中年婦女體重自我控制之成效
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Date
2010-12-??
Authors
王葦寧
曹麗英
高毓秀
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Journal ISSN
Volume Title
Publisher
國立台灣師範大學健康促進與衛生教育學系
Department of Health Promotion and Health Education National Taiwan Normal University
Department of Health Promotion and Health Education National Taiwan Normal University
Abstract
台灣45~64歲婦女肥胖盛行率高達42%，本研究目的為比較問題導向學習(Problem-based learning, PBL)與主題導向學習(Subject-based learning, SBL)兩種不同教育介入方式，在社區中年婦女體重控制班之成效。以類實驗設計、方便取樣，於台北縣招收40~64歲、體重過重之婦女，兩組皆進行八週、每週一小時的教育課程；實驗組有效樣本30人，以PBL教育介入；比較組30人，以SBL教育介入，成效評估工具為體位測量及體重自我控制能力問卷。資料以SPSS Window 13.0版套裝統計軟體建檔，並以卡方檢定及共變數分析進行比較。結果顯示：實驗組的腰圍(F = 6.88, p = .011)及問題解決能力顯著優於比較組(F = 10.01, p = .003)，且實驗組界定問題原因(F = 10.59, p = .02)及預防問題發生(F = 8.32, p = .006)顯著優於比較組。因此，建議未來體重控制班可善用PBL的教學策略，指引學員去發覺問題、界定問題原因與提出解決對策，並且多元化結合機構或網路，讓更多民眾參與，以及增加追蹤時間，了解教育介入之延宕成效。
Title：Comparison of effects of self weight-control in mid-aged women with Problem-based learning and Subject-based learning. In Taiwan, the obesity prevalence in 45~64 years old women is 41.6 %, the purpose of this study was to compare the effects of problem-based learning (PBL) and subjectbased learning (SBL) in community weight control programs. This study used quasi-experimental design and convenient sampling. The subjects were overweight women ranging from 40~64 years old. Education intervention was 1 hour per week for 8 weeks in Taipei County. Thirty women in the experimental group used PBL and thirty women in the comparison group used SBL. The instruments used in this study were body measurements and a self weight control questionnaire. Data analysis by SPSS Window 13.0 included chi-square and ANCOVA. The results showed that women in PBL groups decrease more waist width (F = 6.88, p = 0.011) and obtained significantly better problem solving ability (F = 10.01, p = 0.003) than SBL groups, especially in cause identification (F = 10.59, p = 0.02) and prevention (F = 8.32, p = 0.006). Therefore, apart from the traditional SBL method, we suggest utilizing PBL in weight control programs, and institution-based or multimedia-based methods could be used in the future. Furthermore, we suggest that longitudinal studies should be conducted to evaluate long-term effects.
Title：Comparison of effects of self weight-control in mid-aged women with Problem-based learning and Subject-based learning. In Taiwan, the obesity prevalence in 45~64 years old women is 41.6 %, the purpose of this study was to compare the effects of problem-based learning (PBL) and subjectbased learning (SBL) in community weight control programs. This study used quasi-experimental design and convenient sampling. The subjects were overweight women ranging from 40~64 years old. Education intervention was 1 hour per week for 8 weeks in Taipei County. Thirty women in the experimental group used PBL and thirty women in the comparison group used SBL. The instruments used in this study were body measurements and a self weight control questionnaire. Data analysis by SPSS Window 13.0 included chi-square and ANCOVA. The results showed that women in PBL groups decrease more waist width (F = 6.88, p = 0.011) and obtained significantly better problem solving ability (F = 10.01, p = 0.003) than SBL groups, especially in cause identification (F = 10.59, p = 0.02) and prevention (F = 8.32, p = 0.006). Therefore, apart from the traditional SBL method, we suggest utilizing PBL in weight control programs, and institution-based or multimedia-based methods could be used in the future. Furthermore, we suggest that longitudinal studies should be conducted to evaluate long-term effects.