大學生健康老化多元創意教學課程之成效研究:從健康覺察到行動
作者:國立中正大學成人及繼續教育學系暨高齡者教育碩士班陳毓璟
卷期:64卷第2期
日期:2019年6月
頁碼:161-190
DOI:10.6209/JORIES.201906_64(2).0006
摘要:
本研究運用行為改變的跨理論模式和健康自我管理計畫方法,再融入代間學習的策略發展成健康老化多元創意課程,並評量此課程的立即學習成效和延宕效果。研究對象為選修老化相關課程之大學生35人。本研究採質量並重的混合研究方法,運用單組前測、後測及後後測的研究設計之量化分析,以及透過課程觀察紀錄和學生反思報告之質性資料分析來記錄學習歷程與成效。研究結果發現,健康老化多元創意教學對學生健康老化知識、態度和健康行為的學習影響皆具有正面顯著的影響,且經過1年後,不論知識、態度或行為,其正面成效不僅持續,且部分指標有愈來愈佳之趨勢。除學生提出多增加代間互動之課程建議外,本研究針對未來課程設計與研究亦提出建議。
關鍵詞:生命歷程、代間學習、高齡導師、健康自我管理
《詳全文》
參考文獻:
- 王素真、洪耀釧、葉一晃(2014)。影響大學生睡眠品質與身心健康因素之研究。工程科技與教育學刊,11(3),348-361。 【Wang, S.-C., Hung, Y.-C., & Yeh, Y.-H. (2014). The study on the factors of influencing college students’ sleep quality and physical and psychological health. Journal of Engineering Technology and Education, 11(3), 348-361.】
- 李宜致、吳偉立、李佳珂、林陽助(2012)。大學生健康知能與健康行為之研究。清雲學報,32(3),51-63。doi:10.7049/JCYU.201207.0051 【Lee, Y.-C., Wu, W.-L., Lee, C.-K., & Lin, Y.-C. (2012). An investigation of the college students’ health literacy and health behavior. Journal of Ching-Yun University, 32(3), 51-63. doi:10.7049/JCYU.201207.0051】
- 李淑卿、郭鐘隆(2005)。跨理論模式戒菸教育計畫介入應用於大專生之成效評價研究。衛生教育學報,23,145-159。doi:10.7022/JHE.200506.0145 【Lee, S.-C., & Guo, J.-L. (2005). The effect and evaluation of smoking cessation program based on trantheoretical model in college students. Journal of Health Promotion and Health Education, 23, 145-159. doi:10.7022/JHE. 200506.0145】
- 沈姍姍、林雅萍、翁梓珮、呂佳芳(2012)。大學生的健康促進生活型態與健康自覺、休閒需求之研究。嘉南學報,38,659-670。 【Shen, S.-S., Lin, Y.-P., Weng, Z.-P., & Lu, J.-F. (2012). The study of health promoting lifestyles, perceived health and leisure needs of the university students. Chia-Nan Annual Bulletin, 38, 659-670.】
- 杭極敏、楊小淇、洪華君、陳立梅、徐彩莉、林薇(2009)。我國各級學校營養教育及飲食環境探討及建議(四):大專院校。臺灣營養學會雜誌,34(3),76-84。 【Hang, C.-M., Yang, H.-C., Hung, H.-C., Chen, L.-M., Hsu, T.-L., & Lin, W. (2009). The nutrition education and dietary environment in schools of Taiwan (IV): The College. Nutritional Sciences Journal, 34(3), 76-84.】
» 展開更多
- 王素真、洪耀釧、葉一晃(2014)。影響大學生睡眠品質與身心健康因素之研究。工程科技與教育學刊,11(3),348-361。 【Wang, S.-C., Hung, Y.-C., & Yeh, Y.-H. (2014). The study on the factors of influencing college students’ sleep quality and physical and psychological health. Journal of Engineering Technology and Education, 11(3), 348-361.】
- 李宜致、吳偉立、李佳珂、林陽助(2012)。大學生健康知能與健康行為之研究。清雲學報,32(3),51-63。doi:10.7049/JCYU.201207.0051 【Lee, Y.-C., Wu, W.-L., Lee, C.-K., & Lin, Y.-C. (2012). An investigation of the college students’ health literacy and health behavior. Journal of Ching-Yun University, 32(3), 51-63. doi:10.7049/JCYU.201207.0051】
- 李淑卿、郭鐘隆(2005)。跨理論模式戒菸教育計畫介入應用於大專生之成效評價研究。衛生教育學報,23,145-159。doi:10.7022/JHE.200506.0145 【Lee, S.-C., & Guo, J.-L. (2005). The effect and evaluation of smoking cessation program based on trantheoretical model in college students. Journal of Health Promotion and Health Education, 23, 145-159. doi:10.7022/JHE. 200506.0145】
- 沈姍姍、林雅萍、翁梓珮、呂佳芳(2012)。大學生的健康促進生活型態與健康自覺、休閒需求之研究。嘉南學報,38,659-670。 【Shen, S.-S., Lin, Y.-P., Weng, Z.-P., & Lu, J.-F. (2012). The study of health promoting lifestyles, perceived health and leisure needs of the university students. Chia-Nan Annual Bulletin, 38, 659-670.】
- 杭極敏、楊小淇、洪華君、陳立梅、徐彩莉、林薇(2009)。我國各級學校營養教育及飲食環境探討及建議(四):大專院校。臺灣營養學會雜誌,34(3),76-84。 【Hang, C.-M., Yang, H.-C., Hung, H.-C., Chen, L.-M., Hsu, T.-L., & Lin, W. (2009). The nutrition education and dietary environment in schools of Taiwan (IV): The College. Nutritional Sciences Journal, 34(3), 76-84.】
- 林衢良、林淑芬(2005)。大學生運動習慣、自覺健康狀況與幸福感之調查研究:以聯合大學學生為例。大專體育學術專刊,94,406-415。doi:10.6695/AUES.200505_94.0039 【Lin, C.-L., & Lin, S.-F. (2005). A study of the relationship of exercise habits, perceived health status, and the sense of well-being: A case of National United University students. Archives of University Education and Sports, 94, 406-415. doi:10.6695/AUES.200505_94.0039】
- 邱詩揚、陳富莉、劉潔心(2012)。促進小學生健康飲食行為之研究:整合跨理論模式及問題導向學習模式。台灣公共衛生雜誌,31(6),581-596。doi:10.6288/TJPH2012-31-06-09 【Chiou, S.-Y., Chen, F.-L., & Liu, C.-H. (2012). Integrating the transtheoretical model and problem-based learning strategies to improve students’ dietary behaviors. Taiwan Journal of Public Health, 31(6), 581-596. doi:10. 6288/TJPH2012-31-06-09】
- 陸洛、高旭繁(2009)。臺灣民眾對老人的態度:量表發展與信效度初探。教育與心理研究,32(1),147-171。 【Lu, L., & Kao, S.-F. (2009). Attitudes towards old people in Taiwan: Scale development and preliminary evidence of reliability and validity. Journal of Education & Psychology, 32(1), 147-171.】
- 陳政友(1998)。國立臺灣師範大學一年級學生健康生活狀況調查與健康危險評估實驗研究。學校衛生,32,47-76。doi:10.30026/CJSH.199806.0002 【Chen, C.-Y. (1998). The experimental research of investigation on the health status and health risks evaluation of freshman in National Taiwan Normal University. Chinese Journal of School Health, 32, 47-76. doi:10.30026/ CJSH.199806.0002】
- 陳敏郎、顏嘉盈(2015)。大學生自覺健康、健康認知及飲食行為相關因素之研究以中部四所大學為例。弘光學報,76,111-122。doi:10.6615/HAR.201509.76.08 【Chen, M.-L., & Yen, C.-Y. (2015). A study of students’ perceptions of health consciousness, health cognitions and diet behaviors in case of four universities in central Taiwan. Hungkuang Academic Review, 76, 111-122. doi:10.6615/HAR.201509.76.08】
- 陳毓璟(2014)。代間學習策略融入社會老年學之學習歷程與成效研究。教育科學研究期刊,59(3),1-28。doi:10.6209/JORIES.2014.59(3).01 【Chen, S.-Y. (2014). Learning process and effects of incorporating intergenerational learning in a social gerontology course. Journal of Research in Education Sciences, 59(3), 1-28. doi:10.6209/JORIES.2014. 59(3).01】
- 黃蕙欣、黃雅鳳(2014)。參與式的教學──談健康教育活化教學。師友月刊,559,49-52。【Huang, H.-H., & Huang, Y.-F. (2014). Participatory teaching − Talking about activating teaching of health education . The Educator Monthly, 559, 49-52.】
- 劉立凡(2003)。由文獻查証與實證的角度看一份短式老年知識問卷的應用。立德學報,1(1),112-129。 【Liu, L.-F. (2003). Introducing the application of a short quiz on aging facts: References review and an exploratory study. Journal of Leader University, 1(1), 112-129.】
- 賴基銘(2017)。2006大學生飲食習慣大調查。取自http://www.canceraway.org.tw/page.asp? IDno=471 【Lai, G.-M. (2017). The survey of college students’ eating habits in 2006. Retrieved from http://www.canceraway. org.tw/page.asp?IDno=471】
- Alonazi, W. B., Albaiz, A. S., Albejaidi, F. M., & Alenazi, F. Z. (2016). Health awareness among female undergraduate medical students in Saudi Arabia. Southeast Asian Journal Tropical Medicine Public Health, 47(1), 121-140.
- Ashraah, M. M., Mahasneh, A. M., Al-Sawalmeh, A. A., & Abusheikn, A. I. (2013). Health awareness among Buniversity students in Jordan. Review of European Studies, 5(5), 197-204. doi:10.5539/res.v5n5p197
- Cabanillas, C. (2011). Intergenerational learning as an opportunity to generate new educational models. Journal of Intergenerational Relationships, 9(2), 229-231. doi:10.1080/15350770.2011. 568347
- Cardinal, B., & Spaziani, M. (2007). Effects of classroom and virtual “lifetime fitness for health” instruction on college students’ exercise behavior. Physical Educator, 64(4), 205-213.
- Clough, B. S. (1992). Broadening perspectives on learning activities in later life. Educational Gerontology, 18(5), 447-459. doi:10.1080/0360127920180504
- Cormier, S. M., & Hagman, J. D. (1987). Transfer of learning: Contemporary research and applications. San Diego, CA: Academic.
- Dale, E. (1969). Audiovisual methods in teaching. New York, NY: Dryden Press.
- Kuehne, V. S. (1999). Intergenerational program: Understanding what we have created. Binghamton, NY: The Haworth Press.
- Meshel, D. S., & McGlynn, R. P. (2004). Intergenerational contact, attitudes, and stereotypes of adolescents and older people. Educational Gerontology, 30(6), 457-479. doi:10.1080/03601270 490445078
- National Council on Aging. (1981). The White House Conference on Aging, ‘Strategies for linking the generations’. Washington, DC: Author.
- Palmore, E. (1977). Facts on aging: A short quiz. The Gerontologist, 17(4), 315-320.
- Prochaska, J. O., & DiClemente, C. C. (1982). Trans-theoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 19(3), 276-288. doi:10.1037/ h0088437
- Prochaska, J. O., & Marcus, B. H. (1994). The transtheoretical model: Applications to exercise. In R. K. Dishman (Ed.), Advances in exercise adherence (pp. 161-180). Champaign, IL: Human Kinetics.
- Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12(1), 38-48. doi:10.4278/0890-1171-12.1.38
- Prochaska, J. O., DiClemente, C. C., & Norcross, C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114. doi:10.1037/ 0003-066X.47.9.1102
- Stein, C., & Moritz, I. (1999). Life course perspective of maintaining independence in older age. Geneva, Switzerland: World Health Organization.
- Sukys, S., Cesnaitiene, V. J., & Ossowsky, Z. M. (2017). Is health education at university associated with students’ health literacy? Evidence from cross-sectional study applying HLS-EU-Q. Biomedical Research International, 2017, 1-9. doi:10.1155/2017/8516843
- Taymoori, P., Niknami, S., Berry, T., Lubans, D., Ghofranipour, F., & Kazemnejad, A. (2008). A school-based randomized controlled trial to improve physical activity among Iranian high school girls. International Journal of Behavioral Nutrition & Physical Activity, 5(1), 1-13. doi:10.1186/1479-5868-5-18
- Yang, C.-M., Wu, C.-H., Hsieh, M.-H., Liu, M.-H., & Lu, F.-H. (2003). Coping with sleep disturbances among young adults: A survey of first-year college students in Taiwan. Behavior Medicine, 29(3), 133-138. doi:10.1080/08964280309596066
Journal directory listing - Volume 64 (2019) - Journal of Research in Education Sciences【64(2)】June
Effects of Multiple-Creative Teaching Strategies in a Healthy Aging Course for College Students: From Health Self-Awareness to Action
Author: Stephanie Yu-Ching Chen(Department of Adult and Continuing Education & Graduate Institute of Elder Education, National Chung Cheng University)
Vol.&No.:Vol. 64, No.2
Date:June 2019
Pages:161-190
DOI:10.6209/JORIES.201906_64(2).0006
Abstract:
This study used a trans-theoretical model of behavioral change and evaluated a health self-management program. The teaching strategy of intergenerational learning was integrated into a multicultural healthy aging curriculum, and immediate learning and delay effects were evaluated. In total, 35 college students studied an elective course on elder health care. The research design combined qualitative and quantitative methods, adopting a single group for pretest, posttest, and follow-up and performing co-inspection of qualitative data of observation records and students’ reflective reports to explore the learning process and effects. The results demonstrated that multiple-creative teaching strategies in a healthy aging course had a mostly positive and significant effect on students’ health knowledge, attitudes, and health behaviors. After a year, positive results for health knowledge, attitudes, and behaviors were not only sustained but increased. In addition to students’ suggestions on how to increase intergenerational interaction, this study provides suggestions for subsequent course and research design.
Keywords:health self-management, intergenerational learning, life course, older mentor