菸害防制課程融入美術教學之行動研究

The Action Research of A Smoking Prohibition Course Integrated with Art Teaching

本研究目的為協助新竹市某國中發展菸害教育課程，藉情境分析及協同教師合作，規劃菸害藝文課程，探討方案實施歷程，並評鑑實施結果。本研究採行動研究法探討國中生菸害課程介入的歷程並對其成效，包括菸害認知、拒菸自我效能、吸菸行為、未來吸菸意向、勸不吸菸行為等進行評估。採用準實驗設計，立意取樣一年級兩個班為研究對象，並隨機分配實驗組及控制組班級；實驗組接受六堂菸害防制課程，對照組不介入菸害防制課程；將收集之資料，依研究目的及變項特性進行統計分析。研究顯示：(1)實驗組在菸害知識、拒菸效能都進步較多且達統計上顯著差異；(2)實驗組最近30天吸菸人數增加比率較少；(3)實驗組未來具有吸菸意圖的學生人數有明顯下降；(4)實驗組前測有2人表示，不會勸家人不吸菸，後測則全數表示會勸家人不吸菸；控制組前測及後測不會勸家人不吸菸人數皆維持不變。歸納本研究結果，菸害課程融入藝文領域能顯著提升菸害知識與自我拒菸效能、降低吸菸人數增加率及未來吸菸意圖、並增加勸家人不吸菸行為；本結果可供教育單位推動國中健康促進計畫菸害課程介入模式的實證參考。

The study aimed to help one junior high school in Hsinchu City to develop an anti-smoking course. After scenario analysis, the researcher worked with the collaborative teacher, an art teacher, to develop an anti-smoking art course, to supervise the implementation of the course, and to evaluate the results via the action research method. This study explored the process and effectiveness of this anti-smoking course. The evaluation indicatorsinclude knowledge of smoking, self-efficacy to refuse smoking, smoking behavior, future smoking intention, and advising not to smoke. We adopted quasi-experimental design. There were two classes participating in this study. One served as the experimental group, and the other served as the control group. The former received a six-week intervention course of smoking prohibition, and the latter received no special courses about smoking prohibition. The study results show: (1) Students in the experimental group significantly have better knowledge of smoking and self-efficacy to refuse smoking. (2) The number of smokers decreased in the experimental group in past 30 days. (3) The future smoking intention of students in the experimental group decreased significantly. (4) Only two students from the experimental group said they would not advise their family not to smoke in pretest; however, they changed their mind after post-test. Nevertheless, in the control group, the number of students who would like to advise thir family not to smoke did not change between pretest and post-test. To sum up the results of this study, the smoking prohibition course integrated with art teaching could significantly enhance the students’ knowledge about anti-smoking and self-efficacy to refuse smoking, reduce their future smoking intention and the number of smokers. The students are more willing to advise their family not to smoke. The research results could be helpful for any schools or educational institutions that need to develop smoking prohibition courses or health promotion plans.