高中職戒菸教育介入成效評估之研究──以新北市、臺北市八所高中職學生為例

The effects of the smoking cessation program among the students of the senior high schools in Taipei City and New Taipei City

本研究旨在發展高中職學生戒菸教育課程與模式，進而探討教育介入對高中職學生戒菸保護因子與戒菸行為指標的成效，並分析高中職吸菸學生對戒菸教育介入的評價。本研究採準實驗設計，實驗組與對照組進行前測、後測、後後測研究設計。研究對象為新北市、臺北市八所高中職吸菸學生共119位，實驗組為四所學校53位吸菸學生，教育介入內容包括六個模組戒菸團體活動與戒菸個別輔導；另外四所學校66位吸菸學生為對照組，期間不進行任何形式教育介入。教育介入後，實驗組學生的戒菸保護因子中，戒菸知識、戒菸行為意向顯著優於對照組；戒菸行為指標中，CO檢測值改變情形及減菸行為等，顯著優於對照組；實驗組學生一個月持續戒菸率為22.6%，三個月持續戒菸率為13.2%。戒菸教育模式方面，大部分學生認為戒菸團體活動課程和戒菸個別輔導搭配辦理比單獨一項好。本研究分別由戒菸教育設計、學校辦理戒菸教育、戒菸個別輔導與評價工具等提出建議，期能由各模組內容影片修訂、學校行政層面配合、戒菸個別輔導強化等，透過評價工具，以提升辦理學生戒菸教育之成效。

The main purpose of this study was to develop a smoking cessation program/model for the smoking students in senior high schools. Also, the research evaluated the effects of the program on the protective factors and smoking cessation indicators. In addition, the process evaluation of the intervention among the students was measured.
A quasi-experimental design was employed in the study. The subjects consisted of 119 smoking students from eight senior high schools in Taipei City and New Taipei City, with the experimental group being 53 students and the control group being 66 students. The experimental group attended six-module course of group activities and threepersonal counseling. The control group did not attend any intervention. Themain findings of the study were as follows:
1. Compared to the control group, the smoking cessation program could significantly enhance the protective factors of cessation among the experimental group, including the knowledge of cessation and the intention of quit.
2. Compared to the control group, the smoking cessation program had significantly positive effects on the indicators of smoking cessation among the experimental group, including the level of carbon monoxide and the reduction of smoking.
3. The continuous abstinence rates of one-month and three-month duration after the intervention among the experimental group were 22.6% and 13.2%,respectively. The smoking reduction rates of the post-test and post post-test among the experimental group were 37.7% and 32.1%, respectively.
4. Most students concluded that the combination of smoking cessation group and personal counseling would be better than the separate strategy.
Finally, the research provides the suggestions for the design of cessation curriculum, implementation of the curriculum, and personal counseling.