臺灣博碩士論文加值系統

本研究的主要目的在發展一套適用於青少年的「戒菸課程」，並進而探討實施「戒菸課程」對青少年在菸害認知、吸菸態度、吸菸行為及自我效能的影響成效。本研究採準實驗研究設計，以吸菸的高職學生共77人為對象，非隨機分配為實驗組與對照組，實驗組提供6週的戒菸課程並加入網際網路輔助教學，對照組不予以任何措施。在戒菸課程實施前後，二組皆接受前後測。測量工具採結構式問卷「吸菸綜合量表」及「教學活動過程評價表」評價戒菸成效，研究資料以SPSS 10.0視窗版套裝軟體進行資料之分析，描述性統計以次數分佈、百分率、平均值、標準差等分析，推論性統計以卡方檢定、T-test、單因子共變異數分析、皮爾遜積差相關考驗來進行。本研究的主要發現：
一、菸害認知與吸菸態度之間無相關性，也與吸菸行為及自我效能之間無相關；自我效能與吸菸態度達顯著相關，即自我效能愈高者，愈趨於反菸的態度；自我效能與吸菸行為呈顯著負相關，即自我效能得分愈高者，吸菸量愈低。
二、戒菸課程實施對增加實驗組吸菸學生的菸害認知有顯著性的成效。
三、戒菸課程實施對影響實驗組吸菸學生的吸菸態度有顯著性的成效。
四、戒菸課程實施對實驗組吸菸學生的吸菸行為有抑制的效果。
五、戒菸課程的實施能增強實驗組吸菸學生的自我效能。
六、實驗組吸菸學生對戒菸課程的實施大都認同，表示喜歡且有助益，故值得推廣到其他學校。
七、實驗組吸菸學生對「網際網路輔助教學」大都持肯定的態度，認為可加強學習的印象，且同學互相討論可凝聚對戒菸班的向心力，故值得推廣。
本研究結果的貢獻可提供吸菸青少年戒菸課程之參考，建議未來的研究者在本研究的基礎下，進一步以更嚴謹的設計進行實驗以探討其適用範圍與成效。
關鍵字：青少年、戒菸課程、菸害認知、吸菸態度、吸菸行為、自我效能、網際網路輔助教學

ABSTRACT
The main purpose of this study was to evaluate the effect of the smoking cessation program among adolescents. The research was focused on improving smoking knowledge, attitude, reducing smoking behavior and enhancing self-efficacy for refusing smoking pressure. A quasi-experimental design was used in the study. The subjects of this study were 77 smoking students from the vocational school. The experimental group was treated with 6 sessions of the smoking cessation program, while the control group was untreated. Two groups were assessed by the questionnaires before and after receiving instruction. The data was analyzed by SPSS 10.0 for Windows. Frequency, mean, standard deviation, percentage, paired t-test，one-way ANCOVA and Pearson product-moment correlation were used.
The main results found in this study were:
1. There is no relationship between smoking knowledge and any of the followings: smoking attitude, smoking behavior, or self-efficacy. However, self-efficacy has significant effect in smoking attitude, and in smoking behavior.
2. The smoking cessation program can significantly increase the experimental group students’ smoking knowledge.
3. The smoking cessation program has a significant effect in changing the experimental group students’ non-smoking attitude not to smoking.
4. The smoking cessation program has a significant effect in reducing the experimental group students’ smoking behavior.
5. The smoking cessation program has a positive effect in improving the self-efficacy of the experimental group’s students to refuse smoking pressure.
6. Most of the adolescents in the experimental group were interested in the intervention activities and thought these activities were useful and helpful.
7. Most of the adolescents in the experimental group were interested in the internet computer assisted instruction.
Based on the results, this study suggest that the program design of smoking cessation could be the basis of other smoking cessation educational programs, and extended to other vocational schools.
Key words: adolescent, smoking cessation program, smoking knowledge, smoking attitude, smoking behavior, and self-efficacy, internet computer assisted instruction.

目 錄 頁次
誌謝 I
中文摘要 III
英文摘要 V
目錄 VI
圖表目錄 VIII
第一章 緒論 1
第一節 研究動機及重要性 1
第二節 研究目的 5
第三節 研究問題 5
第四節 研究假設 6
第二章 文獻探討 7
第一節 吸菸者與戒菸者之定義 7
第二節 青少年菸害認知、吸菸態度與吸菸行為之相關研究 8
第三節 自我效能與戒菸之研究 12
第四節 影響戒菸行為之相關研究 14
第五節 戒菸課程之相關研究 16
第六節 青少年吸菸危險因素的實證研究 21
第七節 網際網路輔助教學之實證研究 25
第三章 概念架構 28
第一節 概念架構 28
第二節 名詞界定 29
第四章 研究方法 30
第一節 研究設計 30
第二節 研究對象 30
第三節 研究工具 31
第四節 資料收集過程 38
第五節 資料處理與分析 39
第五章 研究結果 40
第一節 研究對象基本資料分析 40
第二節 菸害認知、吸菸態度、吸菸行為與自我效能之相關性分析 50
第三節 戒菸課程實施對菸害認知之影響成效 51
第四節 戒菸課程實施對吸菸態度的影響 57
第五節 戒菸課程對吸菸行為的影響 60
第六節 戒菸課程對自我效能的影響 65
第七節 戒菸課程教學之評價與心得 68
第六章 討論 73
第一節 研究對象的基本資料特性 73
第二節 菸害認知、吸菸態度、吸菸行為與自我效能之相關性 75
第三節 戒菸課程實施對菸害認知的影響成效 77
第四節 戒菸課程實施對吸菸態度的影響成效 78
第五節 戒菸課程實施對吸菸行為的影響成效 79
第六節 戒菸課程實施對自我效能的影響成效 81
第七節 學生對戒菸課程之教學評價 82
第七章 結論與建議 87
第一節 結論 87
第二節 建議 88
參考資料 91
一 中文部分 91
二 英文部分 96
附錄 107
附錄一：「吸菸綜合量表」原作者允用同意書 107
附錄二：專家效度名單 108
附錄三：研究同意書 109
附錄四：前測用問卷 110
附錄五：後測用問卷封面 120
附錄六：Lovato與 Shoveller （1998）的課程比較表 121
附錄七：戒菸課程手冊 123
附錄七-1：課程進度表 124
附錄七-2：各單元教案 125
附錄七-3：網際網路輔助教學內容 138
附錄七-4：教學活動過程評價表 140
附錄七-5：實驗組學生教學評量意見表 142

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