接受政府培訓之運動保健指導員會到社區推廣身體活動嗎？2017年運動保健種子培訓課程之一年追蹤結果

Physical activity promotion in communities by exercise health instructors after an official training course: a 1-year follow-up study on the ''2017 Sports Health Teacher Training Program'' in Taiwan

"目標：探討運動保健種子師資培訓課程計畫之學員於培訓後至社區推動身體活動之經驗與其自我效能、教學工具使用經驗和推動態度之關聯性。 方法：針對國健署「2017年運動保健種子師資培訓課程計畫」培訓完成之1,598位運動保健指導員，於2018年10月透過電子郵件邀請學員進行線上問卷調查，回應之有效樣本865份（回應率=54.13%）。依變項為受訪者自述2017年受訓後至社區推動身體活動之經驗，自變項包括：個人基本資料、工具使用數、推動態度、推動之自我效能等。透過SAS 9.4版以羅吉斯迴歸進行多變項分析。 結果：(一) 66.36%的受訪者自述於培訓後一年內至社區推動身體活動。(二)經多變項分析發現與相關變項工作年資超過104個月、社區工作、身體活動推動工具之使用種類數越多者及應用工具推動身體活動之自我效能越高者與「身體活動社區推廣經驗」有正向關聯性。 結論：2017年運動保健種子培訓課程之一年追蹤調查發現有超過六成之結訓學員會到社區推廣身體活動，建議未來對此類培訓計畫應於事前規劃更嚴謹之評價研究設計或成本效益分析。（台灣衛誌2021；40(2)：199-212）"

Objectives: To identify the relationships among physical activity promotion experience in communities (PAPEiC), self-efficacy, tool use experience, and promotion attitude of exercise advocates after official training. Methods: The 1,598 sports health instructors who had completed the National Health Administration's ''2017 Sports Health Teacher Training Program'' were invited through email to take an online survey in October 2018 as follow-up. The respondent rate was 54.13% (n=865). The outcome variable was self-reported PAPEiC after participation in the course. The independent variables were general demographic variables, tool use experience, promotion attitude, and self-efficacy. Multivariate logistic regression was performed using SAS version 9.4. Results: (1) Overall, 66.36% of the respondents reported that they had promoted physical activity in the community within the 1 year of program completion. (2) Multivariate analysis revealed that PAPEiC was significant correlated with (i) work experience of more than 104 months, (ii) the respondent being a community worker, (iii) use of more types of physical activity promotion tools, and (iv) higher self-efficacy with regard to tool use for physical activity promotion. Conclusions: More than 60% of the trainees promoted physical activity in their communities within 1 year of program completion. Our results suggest that future training programs should involve a more rigorous research design or cost-benefit analysis. (Taiwan J Public Health. 2021; 40(2): 199-212)