吸菸預防教育介入研究

Evaluation of the Outcome in the Smoking Prevention Program

高雅珠(Ya-Chu Kao) ； 晏涵文(Han-Wen Yen)

《中華公共衛生雜誌》 16卷2期 (1997/04) Pp. 160-169

https://doi.org/10.6288/CJPH1997-16-02-06

摘要

本研究探討「預防吸菸教育計畫」是否能促使國二學生有正確的菸害知識、不吸菸的－態度、減低吸菸意向及增強拒絕同儕邀約吸菸的自我效能。本研究採「不相等實驗組控制組設計」，以華江中學國二自顯就學班學生為對象，並以大理國中自願就學班為校外對照組以處理校內實驗污染的情形。
實驗組接受五小時的預防吸菸教學活動，在教學介入前，所有學生接受前測以作為評量實驗結果的比較基礎，教學結束復一星期內進行後測以了解教學徒的立即效果；間隔十二週再實施後後到以追蹤教學介入的延方效果。資料以單因子共變數分析進行考驗，所得結果在菸害認知、不吸菸意向及拒絕同儕壓力的自我效能方面均有持續而正向的影響。由學生的回饋得知，學生較喜歡以學生為中心的教學方法，學生較喜歡且認為最有幫助的課程內容是「拒絕技術的演練」、「建立積極的自我對話」及「擁有各種不同調適心情的方法」。

關鍵字

預防吸菸教育 ； 教學介入 ； 拒絕技術

並列摘要

The main purpose of this study was to explore the effect of a smoking prevention program for the second grade junior high school students. The topic of the research was focused on increasing smoking knowledge, promoting no-smoking attitude, reducing smoking intention and enhancing self-efficacy for refusing smoking pressure from peers.
A non-equivalent control group design was employed in this study. Two classes of students in Hua-Chiang Junior High School were given with five sessions of smoking prevention curricula as the treatment group. Students of the four classes in Hua-Chiang and Ta-Li Junior High School were served as the control conditions.
The effect of intervention was assessed by questionnaires immediately after five sessions of curricula and in the next three months. The data were analyzed by one-way analysis of covariance.
Some interesting results are shown as the following:
1. The program can increase students' smoking knowledge and the intervention effect still retains through the next three months.
2. The program has no significant effect in changing students’ no-smoking attitude.
3. The intervention doesn't affect the no-smoking intention of the treatment group immediately. However, its effectiveness gets higher significance than the control groups in the follow-up period.
4. There is significant effect in improving the self-efficacy of treatment group in refusing peer's pressure.
5. Students participating in the instructional activities of smoking prevention appreciated the student-centered instruction.

並列關鍵字

smoking prevention education ； intervention ； refusing skill