青少年戒菸教育種籽教室培訓計畫成效之研究

Effects of the training programs for adolescent smoking cessation education seed teachers

本研究旨在評估「校園戒菸教育種籽教師培訓計劃之成效，並依據Kirkpatrick「層級評估模式」四層次進行培訓成效之評估研究採前實驗設計，對象為參加衛生福利部國民健康署委託臺北醫學大學辦理「2011年校園戒菸教育種籽教師訓練計畫」之國高中教師共120名。培訓課程教材主要以衛生福利部發行之「青少年戒菸教材──元氣青春茧為主，計畫內容包括舉辦教師培訓課程，後續進行追蹤輔導，期末成胱摩會等，期能培訓辦理戒菸教育能力的種籽教師本研究以Kirkpatrick「層級評估模式」，分析青少年戒菸教育種籽師資培訓計畫的成效，說明如下：一、反應層次：種籽教師對培訓課程內容，講師，教學方式及教材等評價教師對培訓各方面的滿意度皆達到九成以上。二、學習層次：培訓皆能提升種籽教師菸害認知，戒菸教育專業知能學生戒菸教育態度辦理戒菸教育自我效能。三、行為層次：八成以上教師皆能返校辦理戒菸教育四，結果層次：種籽教師返校辦理戒菸教育後，學生戒菸成效指包括氣一氧化碳（CO）值，尼古丁依賴量表指數（FTQ），每日吸菸量菸改變階段等，皆能朝向戒菸方向改變，本研究顯示Kirkpatrick「層級評估模式」可做為評價學校戒菸教育種籽教師培訓之成效，建議未來可由多層次評價指標中，找出有效的核心指標，以提高師資培訓與學校戒菸教育之成效。

The main purpose of this study was the evaluation of the Kirkpatrick's four levels model on adolescent cessation education among seed teachers. A pre-experimental design was employed in the study. The subjects consisted of 120 junior and senior high school teachers attending the program for adolesent smoking cessation education held by Ministry of Health and Welfare commissioned Taipei Medical University in 2011. Contents of the program included training for teachers, following and assisting afterwards, and a final outcome demonstration. The teaching contents were mainly the handbook of Adolescent Smoking Cessation released by Ministry of Health and Welfare. The result of this study was illustrated by Kirkpatrick's four-level model respectively. 1. Reaction level: Teachers expressed high level of satisfaction for the program in each aspect(training lessons' contents, lecturers, ways of teaching and teaching materials), with 90 percent or more of the teachers. 2. Learning level: The training could elevate seed teachers' cognition, expertise in smoking cessation education, attitude toward smoking cessation education for students, and self-efficiency of promoting smoking cessation education. 3. Behavior level: More than 80 percent of the teachers could promote smoking cessation education in their schools. 4. Result level: After seed teachers promoting smoking cessation education, the evaluations were collected to measure the changes among the smoking students. The indicators included the data of CO, FTO, daily tobacco consumption, the stage of change for smoking cessation. These indicators have encountered positive changes towards quitting. The research proposes advice in all aspects after conducting training pograms for smoking cessation education seed teachers by Kirkpatrick's four-level model. In the future, we can figure out effective core indicator in multilevel judging indicator to elevate effects of teacher training and smoking cessation education at school.