臺灣博碩士論文加值系統

本論文旨在建構一個具信效度及常模的「多層面促進幼兒健康之行為量表」。以台北市南區某醫學中心健兒門診1~3歲幼兒的主要照顧者為研究對象，預試樣本80人，正式施測樣本410人。研究工具由研究生所編製的一個
多層面「促進幼兒健康之行為量表」，包括「飲食習慣」、「衛生習慣」、「生活作息」、「安全保護」、「體適能」、「促進發展」、「心理健康」
、「維護健康」等八個層面。本研究資料分別以項目分析、內在一致性及重
測信度、內容效度、建構效度、K平均集群法、效標關聯效度等統計方法進
行分析。
本研究結果如下：
1.完成「促進幼兒健康之行為量表」編製：共計56題，八個層面題數分別為
「飲食習慣」10題、「衛生習慣」10題、「生活作息」4題、「安全保護」
5題、「體適能」7題、「促進發展」6題、「心理健康」7題、「維護健
康」7題。
2.本量表內在一致性α係數的分析，總量表α值為.93，八個層面分量表的α值
介於.70~.81，顯示本量表具有良好的內在一致性信度。本量表重測信度r
值介於.57~.84，顯示本量表穩定性尚好。
3.量表效度考驗：(1)與內容有關的效度證據，本研究採專家學者檢定，所
有題目內容效度指數均達.80以上。(2)與建構有關的效度證據，以探索性
因素分析來考驗促進幼兒健康之行為量表的因素結構，結果支持原研究構
念。(3)與效標有關的效度證據，本研究量表與效標，即「過去一年內幼兒
生病或受傷就醫的頻率」之相關係數r值為.54，顯示中度相關。
4.建立量表常模：本量表建立原始分數的百分等級常模，以及「飲食習慣」、
「衛生習慣」、「生活作息」、「安全保護」、「體適能」、「促進發
展」、「心理健康」、「維護健康」等八個層面分量表的百分等級常模。
本研究根據研究結果提出多項具體的建議，以供醫療機構、衛生機關或教育團體的參考。

This research aims to develop a multidimensional construction and validation study of the Toddler Health Promoting Inventory(THPI). Subjects were recruited from
the primary caregivers who visited OPD with toddler in a medical center and regional hospital in Taipei. Data collected were analyzed with SPSS statistical package. Descriptive statistics, item analysis, Cronbach's Alpha, test-retest, correlation, factor analysis, and K-means cluster method were conducted.
The results are as follows:
1.The final version of the THPI consists of 56 items, which
is divided into eight subscales, with 10, 10, 4, 5, 7, 6,
7, and 7 items in eating habits, hygienic habits, routine
of life, safety life, physical fitnss, deveoplment
promotion, mental health, and maintain health.
2.The reliability coefficients of the eight subscales have
yielded Cronbach's α coefficients ranging from .70
to .81, with that of total THPI being .93. The test-
retest reliability coefficients range from .57 to .84,
indicating substantial stability.
3.Test of validity：(1) Content validity-all the items have
been developed out of related literature and reviewed by
scholars and experts in the field of toddler health
promotion. (2) Construct validity：Factor analysis has
been used in the study to test the factor structure of
THPI. The result supports the original research
construct. (3)Criterion validity：The coefficients of the
THPI were .54.
4. The norm of the percentile rank for the THPI as well as
the eight subscales have been constructed.
Based on the findings, suggestions are offered for reference for educational agencies, medical development and people working in related fields.

第一章 緒論……………………………………………………… 1
第一節 研究背景與動機 ………………………………………… 1
第二節 研究重要性……………………………………………… 3
第三節 研究目的………………………………………………… 4
第四節 研究問題………………………………………………… 5
第五節 研究假設………………………………………………… 6
第六節 名詞界定………………………………………………… 6

第二章 文獻探討………………………………………………… 7
第一節 促進幼兒健康的概念…………………………………… 7
第二節 促進幼兒健康的行為及相關研究……………………… 10

第三章 研究方法………………………………………………… 31
第一節 研究設計………………………………………………… 31
第二節 研究架構………………………………………………… 32
第三節 研究對象………………………………………………… 34
第四節 研究工具………………………………………………… 37
第五節 資料收集的過程………………………………………… 40
第六節 資料處理與分析………………………………………… 42

第四章 研究結果………………………………………………… 47
第一節 項目分析………………………………………………… 47
第二節 信度檢定………………………………………………… 53
第三節 效度檢定………………………………………………… 58
第四節 建立量表常模…………………………………………… 86

第五章 重要發現與討論………………………………………… 92
第一節 項目分析………………………………………………… 92
第二節 內在一致性信度………………………………………… 95
第三節 重測信度………………………………………………… 96
第四節 內容效度………………………………………………… 97
第五節 建構效度………………………………………………… 99
第六節 效標關聯效度……………………………………………101
第七節 建立量表常模……………………………………………103

第六章 結論與建議………………………………………………105
第一節 結論 …………………………………………………… 105
第二節 建議 …………………………………………………… 107
第三節 研究限制 ……………………………………………… 110
參考文獻…………………………………………………………… 111
附錄一 研究同意書…………………………………………… 121
附錄二 問卷………………………………………………………122
附錄三 促進幼兒健康的行為量表………………………… 127

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