Title

多層面促進幼兒健康之行為量表建構研究

Translated Titles

Multidimensional Construction and Validation Study of the Toddler Health Promoting Inventory(THPI)

Authors

徐美玲

Key Words

促進幼兒健康 ; 行為量表 ; 常模 ; toddler health promotion ; behavior scale ; norm

PublicationName

臺灣師範大學衛生教育學系學位論文

Volume or Term/Year and Month of Publication

2007年

Academic Degree Category

博士

Advisor

黃淑貞

Content Language

繁體中文

Chinese Abstract

本論文旨在建構一個具信效度及常模的「多層面促進幼兒健康之行為量表」。以台北市南區某醫學中心健兒門診1~3歲幼兒的主要照顧者為研究對象,預試樣本80人,正式施測樣本410人。研究工具由研究生所編製的一個 多層面「促進幼兒健康之行為量表」,包括「飲食習慣」、「衛生習慣」、「生活作息」、「安全保護」、「體適能」、「促進發展」、「心理健康」 、「維護健康」等八個層面。本研究資料分別以項目分析、內在一致性及重 測信度、內容效度、建構效度、K平均集群法、效標關聯效度等統計方法進 行分析。 本研究結果如下: 1.完成「促進幼兒健康之行為量表」編製:共計56題,八個層面題數分別為 「飲食習慣」10題、「衛生習慣」10題、「生活作息」4題、「安全保護」 5題、「體適能」7題、「促進發展」6題、「心理健康」7題、「維護健 康」7題。 2.本量表內在一致性α係數的分析,總量表α值為.93,八個層面分量表的α值 介於.70~.81,顯示本量表具有良好的內在一致性信度。本量表重測信度r 值介於.57~.84,顯示本量表穩定性尚好。 3.量表效度考驗:(1)與內容有關的效度證據,本研究採專家學者檢定,所 有題目內容效度指數均達.80以上。(2)與建構有關的效度證據,以探索性 因素分析來考驗促進幼兒健康之行為量表的因素結構,結果支持原研究構 念。(3)與效標有關的效度證據,本研究量表與效標,即「過去一年內幼兒 生病或受傷就醫的頻率」之相關係數r值為.54,顯示中度相關。 4.建立量表常模:本量表建立原始分數的百分等級常模,以及「飲食習慣」、 「衛生習慣」、「生活作息」、「安全保護」、「體適能」、「促進發 展」、「心理健康」、「維護健康」等八個層面分量表的百分等級常模。 本研究根據研究結果提出多項具體的建議,以供醫療機構、衛生機關或教育團體的參考。

English Abstract

This research aims to develop a multidimensional construction and validation study of the Toddler Health Promoting Inventory(THPI). Subjects were recruited from the primary caregivers who visited OPD with toddler in a medical center and regional hospital in Taipei. Data collected were analyzed with SPSS statistical package. Descriptive statistics, item analysis, Cronbach's Alpha, test-retest, correlation, factor analysis, and K-means cluster method were conducted. The results are as follows: 1.The final version of the THPI consists of 56 items, which is divided into eight subscales, with 10, 10, 4, 5, 7, 6, 7, and 7 items in eating habits, hygienic habits, routine of life, safety life, physical fitnss, deveoplment promotion, mental health, and maintain health. 2.The reliability coefficients of the eight subscales have yielded Cronbach's α coefficients ranging from .70 to .81, with that of total THPI being .93. The test- retest reliability coefficients range from .57 to .84, indicating substantial stability. 3.Test of validity:(1) Content validity-all the items have been developed out of related literature and reviewed by scholars and experts in the field of toddler health promotion. (2) Construct validity:Factor analysis has been used in the study to test the factor structure of THPI. The result supports the original research construct. (3)Criterion validity:The coefficients of the THPI were .54. 4. The norm of the percentile rank for the THPI as well as the eight subscales have been constructed. Based on the findings, suggestions are offered for reference for educational agencies, medical development and people working in related fields.

Topic Category 教育學院 > 衛生教育學系
社會科學 > 教育學
Reference
  1. 王瑞壎(2004):大陸和外籍新娘婚生子女適應與學習能力之探討。台灣教
    連結:
  2. 史良銘(2004):小兒肥胖。中醫兒科醫學雜誌,6(1),44-46。
    連結:
  3. 李小龍、周榮輝(2004):幼兒體能訓練之探討。文化體育學刊,2,161-
    連結:
  4. 齡前兒童頭部外傷之探討。中華民國急救加護醫學會雜誌,14(1),
    連結:
  5. 周弘傑(2005):危機四伏-談嬰幼兒的傷害預防。健康世界,329,7-11。
    連結:
  6. 黃松元(2000):健康促進與衛生教育。台北:師大書苑。
    連結:
  7. 黃森泉、張雯雁(2003):外籍新娘婚姻適應與子女教養問題之探討。社會科
    連結:
  8. 陳怡如、李麗君、于漱、黃璉華(2005):校園關懷:外籍配偶子女的健康照
    連結:
  9. 徐庭蘭(2004):親子共讀對語言發展遲緩幼兒語言理解與口語表達之學習成
    連結:
  10. meaning. Tropical Medicine & Iinternational health, 1
    連結:
  11. Parent, 21(10), 204.
    連結:
  12. children predict injuries of school-aged children?
    連結:
  13. Pediatrics, 82(5), 707-712.
    連結:
  14. on the development of children’s eating behaviors:
    連結:
  15. From infancy to adolescence. Canadian Journal of
    連結:
  16. Dietetic Practice and Reasearch, 68(1), S1-5.
    連結:
  17. Guides. Ohio: Ohio.
    連結:
  18. lifestyles in young children from low income families.
    連結:
  19. The Catholic University of America, 117, 15-26.
    連結:
  20. Cottingham, A. (2004). Now wash your hands please: Teaching
    連結:
  21. (1996). Reactivity and repeatability of hygiene
    連結:
  22. Cross, T. L. (2001). Social / Emotional needs. Winter, 24
    連結:
  23. association. Journal of The National Medical
    連結:
  24. Early parent-child interaction and early literacy
    連結:
  25. development. Topics Early Childhood Special. Education,
    連結:
  26. between healthful eating practices and dental caries in
    連結:
  27. children aged 2-5 years in the United States, 1988-
    連結:
  28. 1994. Journal of the American Dental Association, 15
    連結:
  29. Edelman, C. L. & Mandle, C. L. (2002). Health promotion:
    連結:
  30. Williamson, A., Paton, J. Y. & Grant, S. (2005).
    連結:
  31. Fundamental movement skills and habitual physical
    連結:
  32. activity in young children. Medician & Science in
    連結:
  33. Garner, P. W. (1995). Toddler’s emotion regulation
    連結:
  34. behaviors: the roles of social context and family
    連結:
  35. expressiveness. The Journal of Genetic Psychology, 156,
    連結:
  36. attention- directing strategies on preterm infants’
    連結:
  37. Genovesi, N. (2000). The nutrition priority. Montessori
    連結:
  38. J. (1991). Childrn's reprsentations of everyday aspects
    連結:
  39. Trenton: Wadsworth, Inc.
    連結:
  40. and association with behabioral problems. Journal of
    連結:
  41. Psychiatry, 41(8), 964-971.
    連結:
  42. washes hand after using the ballroom? American Journal
    連結:
  43. of Infection Control, 25(5), 424-425.
    連結:
  44. College of Dental Surgeons, 15, 268-275.
    連結:
  45. Natural History, 106, 45-46.
    連結:
  46. Harrison, R. L. & Wong, T. (2003). An oral health promotion
    連結:
  47. program for an urban minority population of preschool
    連結:
  48. children. Community Dentistry and Oral Epidemiology, 31
    連結:
  49. risk awareness in the Nordic countries. Nicotin and
    連結:
  50. Hendricks, C. M. & Reichert, A. (1996). Parents’ self-
    連結:
  51. Herrman, J.W. (2001). Pediatric nursing and healthy people
    連結:
  52. 2010: A call to action. Pediatric Nursing, 27(1), 82-86.
    連結:
  53. empowering 20 ways parents and teacher can assist young
    連結:
  54. children. Montessori Life, 13(4), 31-35.
    連結:
  55. Honig, A. S. (2004). Building baby’s motor skills. School
    連結:
  56. of diarrhoea in young children in developing countries.
    連結:
  57. WHO. Bulletin of the World Health Organization, 75(2),
    連結:
  58. social- emotional development of late-talking toddlers.
    連結:
  59. Adolescence Psychiatry, 41(11), 1324-1332.
    連結:
  60. children’s exposure to environmetal tobacco smoke
    連結:
  61. Sydney, Australia. Ethnicity & Health, 8(4), 339-351.
    連結:
  62. Klassen,A.F., Lee,S.K., Raina,P., Chan, Herbert W.P.,
    連結:
  63. Matthew,D.& Brabyn,D. (2004). Health status and health-
    連結:
  64. neonatal intensive care unit graduates. Pediatrics, 113
    連結:
  65. (1993). Child day care and home injuries involving
    連結:
  66. playground equipment. Journal of Paediatric and Child
    連結:
  67. school children in a home setting: patterns and related
    連結:
  68. products. Acta Pediatrics, 87, 206- 211.
    連結:
  69. importance for children’s development or is
    連結:
  70. consistency across early childhood necessary?
    連結:
  71. Development Psychology, 37, 387-403.
    連結:
  72. children. American Prospect, 15(1), A14-A15.
    連結:
  73. prevention of scald and burn injuries in young
    連結:
  74. children.injury prevention. Injury Prevention, 9(2),112-
    連結:
  75. health Care, 14(4), 160-165.
    連結:
  76. Morgenthaler, S. K. (2002). Wellness, fitness, and young
    連結:
  77. children. Lutheran Education, 137(4), 313-314.
    連結:
  78. Murphy, D. (2000). Killer bacteria: What you need to know
    連結:
  79. about food safety. Current Health, 26(7), 6-12.
    連結:
  80. Nanney, H. J. (2002). Prevention of overweight and obesity
    連結:
  81. Diabetes Education, 28(3), 415-423.
    連結:
  82. National Association for Sport and Physical Education
    連結:
  83. activity guidelines for children birth to five years.
    連結:
  84. Oxon Hill, DM: Author.
    連結:
  85. National Institute of Child Health and Human Development
    連結:
  86. Child-care and mother- child interaction in the first 3
    連結:
  87. lifetime. Childhood Education, 73, 234-235.
    連結:
  88. promotions.WHO Regional Office for Europe.
    連結:
  89. influence on children interest in shared picture books
    連結:
  90. reading. Early Childhood Research Quarterly, 16, 263-
    連結:
  91. Toward a focus on physical activity promotion. Physical
    連結:
  92. global burden of diarrhoeal disease in children. Bull
    連結:
  93. World Health Organ, 81, 236.
    連結:
  94. Infection Diseases, 9, 565-572.
    連結:
  95. Pender, N. J. (1996). Health promotion in nursing practice.
    連結:
  96. Randolph, L. (1994). Our children’s health. Social Policy,
    連結:
  97. Community Practitioner, 80(3), 28-32.
    連結:
  98. family and group day care homes. Public Health Reports,
    連結:
  99. childhood injuries. American Family Physician, 74(11),
    連結:
  100. obesity in young children: a critical challenge for
    連結:
  101. Storytelling: Enhancing language acquisition in young
    連結:
  102. children. Education, 125(1), 3-14.
    連結:
  103. symptoms, spirometry and exercise- Induced bronchospasm
    連結:
  104. Timm, N. H. (2002). Applied multivariate analysis. New
    連結:
  105. Ulione, M. S. (1997). Health promotion and injury
    連結:
  106. pediatric nursing, 12(3), 148-154.
    連結:
  107. (USDHHS). (2000). Healthy people 2010: Understanding
    連結:
  108. and improving health, objectives for improving health,
    連結:
  109. Vermandel,A., Kampen, M., Gorp, C. & Wyndaele, J.J. (2008).
    連結:
  110. How to toilet train healthy children? Neurourology &
    連結:
  111. Urodynamics. 27(3),162 -166.
    連結:
  112. pediatric nursing. London, Missouri: Mosby Inc.
    連結:
  113. 一、中文部分
  114. 內政部(2007):台閩地區人口統計。內政部編印。
  115. 育,626,25-31。
  116. 王宗平、許明珠、陳秋鳳、柯慧貞、陳惠玲、蕭迺新、潘韻君、劉文姬
  117. (2005):幼稚園體適能教學活動設計。台北市:教育局。
  118. 王保進(2006):視窗版SPSS與行為科學研究。台北市:心理。
  119. 行政院衛生署(2005):健康白皮書。2005年6月20日取自
  120. http://www.cichb.gov.tw/white_new/ m-o8htm.
  121. 行政院衛生署(2007):事故傷害統計。2007年11月20日取自
  122. http://www.doh.gov.tw.
  123. 交通部(2007):道路交通安全規則。2007年8月14日,取自
  124. http://law.moj.gov.tw/Scripts/Query4A.asp
  125. 呂鴻基(2001):小兒科與兒童保健的回顧與展望。兒童保健,7(3),7-12。
  126. 169。
  127. 邱文達、蔡宛真、蔡卓城、邱弘毅、謝屈平、蔡維謀等(2003):台灣地區學
  128. 7=12。
  129. 邱皓政(2007):量化研究與統計分析。台北:五南。
  130. 許添盛(2004):身心靈健康的10堂必修課。台北:遠流。
  131. 教研究,8,135-168。
  132. 黃迺毓(2004):親密的危機。商業周刊,863。
  133. 護需求與因應。護理雜誌,52(2),10-13。
  134. 陳雯琪(2004):維持口腔衛生照顧寶寶的小牙。育兒生活,164,157-
  135. 161。
  136. 陳正昌、程炳林、陳新豐、劉子鍵(2003):多變量分析方法-統計軟體應用。
  137. 台北:五南。
  138. 效。醫護科技學刊,6(4),349~370。
  139. 葉重新(2004):教育研究法。台北:心理。
  140. 董氏基金會(2003):菸害研究調查。2006年12月24日取自
  141. http://www.jtf.org.tw.
  142. 楊麗燕(2003):當代人類發展學-幼兒期。台北:偉華。
  143. 盧敏惠(2005):幼兒常見的飲食問題—偏食、食少、食多。2005年6月3日取
  144. 自http://www.doctors.com.tw.
  145. 二、英文部分
  146. Almedom, A. M. (1996). Recent development in hygiene
  147. behaviour research : an emphasis on methods and
  148. (2), 171-182.
  149. Bennett, H. (2004). Early toilt-training glitches. Today’s
  150. Bijur, P.E., Golding, J. & Haslum, M.(1988). Persistence of
  151. occurrence of injury: Can injuries of preschool
  152. Birch, L., Savage, J. S. & Ventura, A. (2007). Influences
  153. Boehnlein, M. M. ( 1984). Parents and Nutrition: Teaching
  154. Bonanno, B. (2004). Have fun this summer, safely! FDA
  155. Consum, 38(3), 40.
  156. Cluskey, M. D. (1999). Maternal self-efficacy and maternal
  157. perception of health as predictors of healthy
  158. health concepts to very young children. Pediatric
  159. Nursing, 16(8), 33-35.
  160. Cousens, S., Kanki, B., Toure, S., Diallo, I. & Curtis, V.
  161. behaviour: structured observations from Burkina. Social
  162. Science & Medicine, 43(9), 1299-1308.
  163. (1), 54-61.
  164. Daniels, F., Moore, W., Conti, C., Norville-Perez, L. C.,
  165. Gaines, B. M., Hood, R. G. & Swain, J.J. (2002). The
  166. role of the African-American physician in reducing
  167. traffic-related injury and death among African-
  168. Americans: Consensus report of the national medical
  169. Association, 94(2), 108~118.
  170. Dodici, B. J., Draper, D. C. & Peterson, C. A. (2003).
  171. 23(3), 124-136.
  172. Dye, B. A., Shenkin, J. D., Ogden, C. L., Marshall, T. A.,
  173. Levy, S. M. & Kanellis, M. J. (2004). The relationship
  174. (1), 55-66.
  175. throughout the lifespan(5th ed). Missouri: Mosby, Inc.
  176. Fisher, A., Reilly, J. J., Kelly, A., Montgomery, C ,
  177. Sports Exercise, 37(4), 684-668.
  178. Flaherty, M. (1986). Preschool children’s conceptions of
  179. health and health behaviors. Maternal- Child Nursing
  180. Journal, 15(4), 205-265.
  181. Frye, C. (1993). Handwashing. Mayo Clinic Health Letter.
  182. Rochester, MN: The Mayo Clinic.
  183. 417-430.
  184. Garner, P. W. & Landry, S. H. (1994). Effects of maternal
  185. affective expressions during joint toy play. Infant
  186. Behavior and Deveiopment, 17, 15-22.
  187. Life, 12(4), 9-10.
  188. Gill, D. (2005). Be health, Be happy. Parenting, 19(3), 142-
  189. 145.
  190. Goldman, S. L., Whitney-Saltiel, D., Granger, J., & Rodin,
  191. of health and illness. Journal of Pediatric Psychology,
  192. 16(6), 747-766.
  193. Gormly, A. V. (2003). Lifespan Human Development(6th ed).
  194. Gregory, A. M, & O’Connor, T. G. (2002). Sleep problem in
  195. childhood : A longitudinal study of development change
  196. the Amerian Academy of Children and Adolescence
  197. Groot-Nievaart, M. A. & 及Veerkamp, J. S. (2002). Tooth
  198. brushing in babies and toddlers. Ned Tijdschr
  199. Tandheelkd, 109(4), 138-141.
  200. Guinan,M. McGuckin-Guinan, M. & Sevareid, A. (1997). Who
  201. Hallett,K.B. (2000). Early childhood cares-A new name for
  202. an old problem. Annals of the Royal Australasian
  203. Harkness, S. & Super, C.M. (1997). An Infant’s three Rs.
  204. (5),392-399.
  205. Helgason, A. R & Lund, K. E. (2001). Enviromental tobacco
  206. smoke exposure of young children—attitudes and health-
  207. Tobacco, 3(4), 341-345.
  208. reported behaviors related to health and safety of
  209. very young children. The Journal of School Health, 66,
  210. 247-251.
  211. Honig, A. S. (2001). Language flowering, Language
  212. Early Child Today, 18(7), 22-24.
  213. Horsch, K. (2004). Good night, bady! Baby Talk, 69(6), 14.
  214. Huttly, S. R., Morris,S.S. & Pisani,V. (1997). Preventing
  215. 163-174.
  216. Irwin,J.R., Carter,A.S., & Briggs-Gowan, M.J. (2002). The
  217. Journal of the Amerian Academy of Children and
  218. Jochelson,T., Hua,M., & Rissel,R. (2003). Knowledage
  219. attitudes and behaviours of caregivers regarding
  220. among Arabic and Vietnamese-speaking communities in
  221. related quality of life in population-based sample of
  222. (3), 594-600.
  223. Kotch,J.B., Chalmers,D.J. Langley,J.D. & Marshall,S.W.
  224. Health, 29, 222-227.
  225. Laflamme,L. & Eilert-Petersson,E. (1998). Injuries to pre-
  226. Landry,S.H., Smith,K.E., Swank,P.R., Assel,M.A. & Vellet,S.
  227. (2001). Doseearly responsive parenting have a special
  228. Lombardi, J. (2004). Starting right: Building on proven
  229. strategies to promote development in very young
  230. MacArthur,C. (2003). Evaluation of safe kids week 2001:
  231. 116.
  232. Mobley, C. E. & Evashevski, J. (2000). Evaluating health
  233. and safety knowledge of preschoolers: Assessing their
  234. early start to being healt smart. Journal of Pediatric
  235. Moore, L. L., Lombardi, D. A., While, M. J., Campbell, J.
  236. L, Oliveria, S A. & Ellison, R. C. (1991). Journal of
  237. Pediatrice, 118(2), 215-219.
  238. in children influences on the food environment.
  239. (NASPE). (2002). Active Start: A statement of physical
  240. (NICHD). (1999). Early child care research network:
  241. years of life. Development Psychology, 35, 1399-1413.
  242. Newman, R. (1997). Learning healthful habits for a
  243. Noack, H. (1987). Concepts of health and health
  244. Ortiz, C., Stowe, R. M. & Arnold, D. H. (2001). Parental
  245. 281.
  246. Pangrazi, R. P. & Corbin, Ch. B. (2000). Health foundation:
  247. Education, 37(2), 40-49.
  248. Parashar, U. D., Bresee, J. S. & Glass, R. I. (2003). The
  249. Parashar, U. D., Hummelman, E. G., Bresee, J. S., Miller,
  250. M. A. & Glass, R. I. (2003). Global illness and deaths
  251. caused by rotavirus disease in children. Emergency
  252. Parish, L.E. & Rudisill. M. E. (2006). Healthy today and
  253. tomorrow. Young Children, 61(3), 32-34.
  254. East Norwalk: Appleton & Lange.
  255. Preboth, M. (2002). Physical activity in infants, toddlers,
  256. and preschoolers. American Family Physician, 65(8),
  257. 1694-1696.
  258. 24(4), 25-30.
  259. Rowley, C., Dixon, L. & Palk, R. (2007). Promoting physical
  260. activity: Walking programmes for mothers and children.
  261. Sauver, J. ST., Khurana, M., Kao, A., & Foxman, B. (1998).
  262. Hygienic practices and acute reapiratopry illnessin
  263. 113(6), 544-551.
  264. Schnitzer, P. G. (2006). Prevention of unintentional
  265. 1864-1869.
  266. Sherriff, A & Golding, J. (2002). Factors associated with
  267. different hygiene practices in the homes of 15 month
  268. old infants. Archives of Disease in Childhood, 87(1),
  269. 30-35.
  270. Sothern, M. S. & Gordon, S. T. (2003). Prevention of
  271. medical professionals. Clinical Pediatrics, 42, 101-111.
  272. Speaker, K. M., Taylor, D. & Kamen, R. (2004).
  273. Staton, D. M. & Harding, M. H. (2004). Protecting child
  274. health worldwide. Pediatric Annals, 33(10), 647-655.
  275. Strachan, D. P., Jarvis, M. J. & Feyerabend, C. (1990). The
  276. relationship of salivary cotinine to respiratory
  277. in seven-year-old children. American Review Respiratory
  278. Disease, 142, 147-151.
  279. Strina, A., Cairncross, S., Barreto, M. L., Larrea, C. &
  280. Prado, M. S. (2003). Childhood diarrhea and observed
  281. hygiene behavior in Salvador, Brazil. American Journal
  282. of Epidemiology, 157(11), 1032-1038.
  283. Tabachnick, B. G. & Fidell, L. S. (2001). Using
  284. multivariate statistics(4th ed). MA: Allyn & Bacon.
  285. York: Springer- Verlag.
  286. Tomasello, M. & Farrar, M. J. (1986). Joint attention and
  287. early language. Child Development, 57, 1454-1463.
  288. prevention in a child development centr. Journal of
  289. United States Departmnt of Health and Human Services
  290. tracking healthy pople 2010. Washington, DC: Author.
  291. Wong, D. L. (2004). Whaley and Wong’s essentials of
Times Cited
  1. 羅惠智(2013)。臺中市某地區學齡前兒童預防傳染病衛生習慣與主要照顧者之相關因素研究。臺灣師範大學健康促進與衛生教育學系在職進修碩士班學位論文。2013。1-78。