- 期刊
以RE-AIM模式評價健康促進學校計畫之執行情形
Evaluating the Implementation of Health Promoting School Program by RE-AIM Model Based
摘要
目的：本研究目的是運用RE-AIM模式瞭解健康促進學校（health promoting school，HPS）之執行情形現況，並探討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。方法：量性研究為主，輔以質性訪談。量性研究以2008年參與HPS教育訓練研習之HPS主要推動人員為研究對象，共回收有效問卷848份。以立意取樣選取4所HPS「績優學校」和「一般學校」，共計16位HPS主要推動人員為訪談對象。結果：「接觸面」以男性、任教（職）年資越高、在校職務越高和在國民小學服務者，個案覺得HPS推動較佳；「有效面」以在校職務越高者，個案覺得HPS推動較佳；「採納面」以男性、任教（職）年資越高、在校職務越高者，個案覺得HPS推動較佳；「實施面」以校職務越高者，個案覺得HPS推動較佳；「維持面」以任教（職）年資越高、在校職務越高、或任職於國小之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之執行情形有顯著預測力。結論：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。
並列摘要
Objective: The objective of this research is to explore the implementation of the program HPS 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. Method: 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. Conclusion: The result indicated that, in the aspect of Reach, Adoption and HPS overall promoting effectiveness, 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 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. 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. Finally, the results of this study, which provided suggestions and recommendations, will be a great value to HPS promotion and evaluation in the future.