本研究針對南投縣內13個鄉鎮市國中一年級學生進行菸害預防衛生教育之介入,分三組實驗組進行不同菸害預防教學方案介入,實驗組一進行「增強自我效能與拒絕技巧訓練」教學方案;實驗組二進行「菸害資訊」教學方案;實驗組三進行「菸害電影媒體」教學方案。並評估三種不同之介入模式對於提升國中學生菸害知識、拒菸態度、提升自我效能及拒絕技巧訓練之成效,總共完成十三所學校38個班級,有1149位學生接受教育介入及問卷前後測調查,統計分析以魏可遜符號-等級檢定探討各實驗組教學介入後之影響成效。 研究結果顯示教學方案一(增強自我效能與拒絕技巧訓練)能加強國中生「自我決定能力」及「拒絕技巧能力」,但前後測統計結果無法達到統計上顯著差異;教學方案二(菸害資訊教學)對促進國中生的「菸害知識」及「拒菸態度」有正面的提升,且都達到統計上顯著差異;教學方案三(菸害電影媒體教學)對促進國中生的「菸害知識」及「拒菸態度」無法有提升效果,且都未達統計上顯著差異,而三種教學方案以教學方案二(菸害資訊教學)對於學生拒菸意向有較顯著之成效。 研究發現『菸害資訊教學』教案介入效果最為顯著,顯示衛生及教育單位應積極加強針對國中,甚至國小學童進行菸品之健康危害及菸品相關法規之宣導。建議各級學校應針對學生積極進行菸害防治相關教育,並選擇學生容易接受的預防衛生教育模式,以加強學生拒菸意識,減少吸菸人口的增加。
The purpose of this study was to evaluate the effectiveness of three smoking prevention programs for 7th grade students in junior high school in Nantou. The study use three kinds of intervetive approach at different groups. Group A received preventive program A (Social influences resistance approach), Group B received preventive program B (Information-Deficit approach), Group C received preventive program C (Movie media approach). 13 junior high schools, including 1149 students received preventive education and examination of pre-test and post-test. Wilcoxon signed ranks test were use to analyze the intervention effect. The results indicated program A could promote scores of self-decision and refusal skill, but didn’t reach the significat difference. Program B not only could promote scores of Tobacco hazard knowledge and anti-smoking attitude but also reach the significant difference. Program C couldn’t promote scores of Tobacco hazard knowledge and anti-smoking attitude . This study found the interventve effect of information-deficit approach is significantly better than the others. The health and education authorities should provide intensive propagation about smoking damage knowledge and anti-smoking law for the young students, including the jouior high schools and elementary schools. The schools select effectively educational strategy to promote the anti-smoking attitude of the students and decrease the smoking population.