青少年互動式戒菸自助手冊教材發展及介入效果之初探性研究

Development and Evaluation of an Interactive Self-help Manual to Reduce Smoking Behavior among Adolescence-- A Pilot Study

本研究之主要目的在發展適合青少年使用之戒菸自助手冊，並進一步評價運用自助手冊的方式在青少年戒菸行為的介入效果。研究過程分兩階段，第一階段進行自助手冊的發展、設計及製作。此階段運用焦點團體訪談法及問卷調查法，收集阻礙學生戒菸的情境因素及學生對戒菸手冊的內容需求資料。手冊初稿完成，進行國中教師及學生預試並修改後，召開專家會議定稿。最後立意取樣143名國中學生進行手冊滿意度評價，並根據評價結果進行手冊最後修改工作。第二階段則採取「單組後測實驗」設計，立意取樣69名國中二年級學生，進行一小時運用此手冊轉換而成的戒菸教學活動，並閱讀完此自助手冊後，評估研究對象在戒菸的知識、戒菸態度、戒菸自我效能、戒菸行為意向的介入效果。研究結果發現：運用戒菸自助手冊在介入後確能增加研究對象的菸害認知及戒菸自我效能。

The purpose of this study was to develop an interactive self-help manual for adolescence to help them to quit smoking, and also to evaluate the educational effects of this manual. There were two stages of this study. The first stage of the study included developing, designing and conducting the self-help manual. The second stage was to design the intervention program and to evaluate the effects of this manual. The researchers designed the format of the manual according to in-depth interviews, focus group interviews, open-ended questionnaire with adolescence and experts' meetings. The designing of the manual's content and activities of the manual were according to literatures' review and structured questionnaire survey. In the end of the first stage, 143 junior high school students were selected to evaluate their satisfactions about this manual, and this manual modified under their suggestions. In the second stage, 69 junior high school students were select to evaluate the educational effects after me-hour teaching based on applying this manual. The pre-post test was conducted and used a structured questionnaire to collect students' knowledge about tobacco use, their perceived attitude, intention, and self-efficacy toward smoking behaviors.The main results of the study are: 1. The sample of the study are satisfactory about this interactive self-help manual, which can fit the audiences' interests and needs. 2. The self-help manual can increase students' knowledge about tobacco use, and their self-efficacy in high-risk smoking situations.