| 摘要(英) | Abstract
A Study Using Transtheoretical Model Design Health related
Physical Fitness Education program Result
The purpose of this study was to investigate the effects of exercise intervention on improvement of stage of change, regular of exercise, perceived exercise benefit, perceived exercise barrier, exercise self-efficacy, social support, and health-related physical fitness. A Quasi-experimental design was utilized and purposive sampling was conducted at a girl’ senior high school in northern Taiwan . Three hundred and seventy subjects were assigned into the experimental and control group. The experimental group, which consisted of 200 subjects, participated in a program of exercise intervention within a period of five weeks . The intervention program applied the Transtheoretical Model to aid subjects in developing effective approaches within different stages of the exercise change. The intervention program includes teaching activities for the different stages of exercise. The control group, which consisted of 170 subjects, had no treatment during the same period. The collected data was composed of three questionnaires and the health-related physical fitness tests. The questionnaire included the following : stage of exercise, behavior of exercise, perceived exercise benefit, perceived exercise barrier, exercise self-efficacy, and social support. The health-related physical fitness includes sit-and-reach, sit-ups, standing long jump and 800m run. A closed-ended pretest-posttest questionnaire and another closed-ended follow-up test questionnaire were the instruments used to evaluate the outcome effects. The data were analyzed by using SPSS12.0/pc for Windows. Frequency, mean, standard deviation, percentage, paired t-test were used for statistical analyses.
The findings of this study were as follows:
(1) Significance was found with the experimental groups for stage of change, frequency, perceived exercise benefit, self-efficacy, standing long jump, sit-ups, and 800m run. There was also significance found on the control groups for stage of change, self-efficacy, sit-and-reach, and the 800m run.
(2) A significant difference was also found between the control and experimental groups for sit-ups and 800m run in the posttest. This study shows that there is an improvement in the experimental groups in their cardiovascular endurance and muscle endurance.
(3) Significance was found in the experimental groups for perceived exercise benefit, self-efficacy, standing long jump, sit-ups and 800m run in closed-ended test. A significance was found on the control groups for sit and reach, sit-ups and 800-m run. But there is a Significant that there were reduction in the standing long jump.
(4) In closed-ended we found that there were significant change between experimental groups and control group in their self-efficacy, and standing long jump. This study shows that was improvement in self-efficacy and strength in the experimental groups.
(5) The teaching evaluation in health related physical fitness study, shows that about 80% of students think these activities on them generally have positive effect.
This study uses transtheoretical model to design health related physical fitness to improve the stage of change, self-efficacy, standing long jump, sit ups, and 800-meter run as a physical activity. After doing these activities, students gain significant improvement in their stamina. But there is no significant results in the perceived benefits and barriers , social support, and sit-reach. When doing similar research in the future, one needs to overcome the obstacles and hindrances resulting from skills and methods. Moreover, one should make use of the strength of the small group to develop the right attitude of students toward physical fitness in order to improve their physical stamina.
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| 參考文獻 | 參考文獻
中文部份
方進隆 (1991)?健康體能的理論與實際?台北市：漢文。
方進隆 (1995)?體適能與全人健康?中華體育，9(3)，62-69。
方進隆 (2002)?青少年運動習慣之培養?學校體育，12(5)，13-17。
牛玉珍 (1997)?教師規律運動行為影響因素之研究-以交通大學教師為例?國立台灣師範大學體育學系碩士論文。
王世椿、余瑩英、李致美 (1998)?大專夜間部學生健康體能之研究?大專體育，37，69-74。
江承?、沈姍姍、林為森 (1999)?南部地區專科學生實施健康促進行為之探討?嘉南學報，25，129-138。
江擇群、林國瑞 (2001)?台北地區高中職學生參與休閒運動阻礙因素之研究?
北體學報，9，105-117。
伍連女 (1998)?台北市高職學生身高意象與運動行為之研究?國立台灣師範大學衛生教育學系碩士論文。
呂昌明 (2001)?身體活動自我報告量表之效度及信度的研究--以TriTrac-R3D三度空間加速器為效標?衛生教育學報，15，99-114。
林旭龍 (2000)?應用跨理論模式於大學女生身體活動之主客觀評價的研究?國立台灣師範大學衛生教育研究所博士論文。
林曉薇 (2002)?應用跨理論模式於台北市高中職學生規律運動行為之探討?國立陽明大學社區護理研究所碩士論文。
林麗鳳 （2004）?大學生運動行為改變之研究—跨理論模式之追縱應用?國立台灣師範大學衛生教育研究所博士論文。
卓俊伶、陳新燕 (1996)?動作示範中的結果獲知對動作表現與學習的影響?體育學報，22，329-338。
卓玉蓮 (2001)?應用跨理論模式促進國中學生身體活動:認知—行為教育介入?國立台灣師範大學體育系在職進修碩士論文。
洪翠嬰 (2003)?應用跨理論模式於大學女生運動行為之研究?高雄醫學大學護
理學研究所碩士論文。
姜逸?、呂槃、江永盛、黃雅文 (1988)?民眾的健康意識集中老年病之預防健康行為調查?衛生教育雜誌，9，67-81。
吳姿瑩、卓俊伶、馮木蘭 (2001)?青少年身體活動及其人際關係、認知變項及和當時行為競爭需求之關連分析-健康促進模式之應用?大專體育學刊，3(1)，39-51。
吳德玉 (2004)?規律運動訓練對心血管疾病危險群婦女危險因子及情緒狀態之影響?台北醫學大學護理學系碩士論文。
吳益佳 (2004)?身體活動對第二型糖尿病的健康促進效果?大專體育，71，117-182。
邱秀霞 (2002)?運動員性別類型及成就目標取向對其成敗歸因與情緒影響之研究?國立體育學院體育研究所碩士論文。
洪昇呈、袁愈光 (1995)?台灣與美國、日本高中生健康體能的比較研究?國立體育學院論叢，5(1)，199-226。
陳芮淇 (2001)?新竹市某高職學生運動行為及其影響因素?台灣師範大學體育學系研究所碩士論文。
許麗芳 (2002) ?某高職護校女生校園運動計畫介入效果之探討?高雄醫學大學護理學研究所碩士論文。
陳嫣芬 (2003)?運動行為因素與大專學生健康體適能相關性之研究?台灣體育運動與健康休閒發展趨勢研討會，440-448。
張宏亮 (1999)?運動與心理健康的正反效果?中華體育，4(2)，46-50。
張宏亮 (1999)?運動與健康?台北市：全壘打。
張彩秀 (1992)?中老年人運動型態、體適能及健康狀況之研究?國立陽明醫學院公共衛生研究所碩士論文。
高毓秀 (2001)?職場員工運動行為改變計劃之實驗研究—跨理論模式之應用?國立台灣師範大學衛生教育學系研究所博士論文。
教育部體育司 (1999)?台灣地區大專院校學生體適能常模研究。
教育部 (1998)?國民教育階段九年一貫課程總綱綱要?台北市：行政院教育部。
童淑琴 (1991)?工作場所健康促進計劃之實驗研究-以台電總公司體適能計劃為例?國立台灣師範大學衛生教育研究所碩士論文。
馮木蘭 (2002)?女性青少年身體活動狀況及其影響因素之探討-應用健康促進模式?國立台灣師範大學體育系在職進修碩士論文。
黃耀宗、季立康 (2003)?從行為改變的階段探討運動促進策略—跨理論模式的應用?國民體育季刊，32(2)，27-33。
黃淑貞、劉翠薇、洪文綺 (2002)?影響大學生運動習慣之社會心理因素研究?健康促進暨衛生教育雜誌，22，55-66。
黃淑貞、劉翠薇 (1999)?台北縣某商專學生運動行為及其影響因素之研究?學校衛生，34，1-32。
黃淑貞、劉翠薇、洪文綺、李秋娓 (2005)?青少女運動行為探討—焦點團體訪談之應用?衛生教育學報，23，39-68。
黃金柱 (1999)?我國青少年休閒現況、需求暨發展對策之研究?行政院體育委員會。
劉翠薇 (1995)?台北縣某商專學生運動行為及其影響因素之研究?國立台灣師範大學衛生教育研究所碩士論文。
蔡育佑 (2003)?運用跨理論模式於大專學生運動行為改變計劃之研究?北體學報，11，53-66。
盧俊宏 (2002)?規律運動、心理健康和生活品質?國民體育季刊，31(1)，60-73。
潘美玉 (1995) ?某公司中年白領階級男性規律運動習慣及其相關因素之研究?國立台灣大學護理學研究所碩士論文。
謝錦城 (1998)?運動、體適能與健康的認知?國民體育季刊，27:2=117，20-26。
魏米秀、陳建宏(2002)?大專學生運動行為相關因素研究—以某技術學院為例?
學校衛生，40，50-65。
蘇俊賢 (2002)?全適能生活型態健康觀?國民體育季刊，31:1=132，80-95。
鍾凱婷 (2000)?運動介入計劃對於大學生健康體能與相關變項之影響研究?台北醫學院公共衛生學研究所碩士論文。
鍾志強 (1999)?運動參與動機、運動自我效能與運動社會支持對大學生運動行為影響之研究?中華體育季刊，12(4)，18-23。
鐘敏華 (2005)?跨理論模式對高中女生身體活動參與及行為改變之介入成效研究?國立台北教育大學學報，18(2)，359-378。
行政院衛生署國民健康局 (2004)?健康體能指引手冊?台北市：行政院。
行政院衛生署國民健康局?1998 (cited 2004 Jane 20) Available from: http://www.bhp.doh.gov.tw/
行政院體育委員會?2001 (cited 2004 Jane 20) Available From： http://www.ncpfs.gov.tw/
教育部 (2003)?教師體適能指導手冊?台北市：教育部。
教育部體育司?焦點新聞。2006 (cited 2006 Maay 3) Available from: http://epaper.edu.tw/news/950414/950414d.htm?open
英文部分
Bandura A. Social foundation of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall;1986.
Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review 1977; 84:191-215.
Bandura A. Comments on the crusade against the causal efficacy of human thought Journal of Behavior Therapy Experimental Psychiatry 1995;26:179-90.
Barnekow-Bergkvist S. Adolescent determinants cardiovascular risk factors in adult men and women. Scandinavian Journal of Public Health 2001;29:208-2l7.
Berlin JA, Colditz GA. A meta-analysis of physicalactivity in the prevention of coronary heart disease. American Journal of Epidemiology 1990;132:612-627.
Bozoian S, Rejeski WJ, McAuley E. Self-efficacy influences feeling status associated with acute exercise. Journal of Sport & Exercise Psychology 1994;16: 326-333.
Casperson CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports1985;100:126-133.
Clark DO. Age, socioeconomic status, and exercise self-efficacy. Gerontologist 1996;36:157-164.
DiClemente CC, Prochaska JO, Gibertini M. Self- efficacy and the stages of self-change of smoking. Cognitive Therapy and Research1985;9:181-200.
Dishman RK, Sallis JF, Orenstein D. The determinants Of physical activity and exercise. Public Health Report 1985;100:158-171.
Dunn H. High level wellness. Arlington 1961;100: 181-200.
Dzewaltowski DA. Physical activity determinants: A social cognitive approach. Medicine & Science in Sports & Exercise 1994;26:1395-1399.
Eliakim A, Barstow TJ, Brasel JA, Ajie H, Paul Lw, Renslo R, Berman N, Cooper DM . Effect of exercise training on energy expenditure, muscle volume, and maximal oxygen uptake in female adolescents. Journal of Pediatrics1996;129: 537-543.
Ewart CK, Young DR, Hagberg JM. Effects of School-Based Aerobic Exercise on Blood Pressure in Adolescent Girls at Risk for Hypertension. American Journal of public Health 1998;88:949-951.
Gormer SR, Jenkins LS. Self-efficacy and activity level following cardiac surgery. Journal of Advanced Nursing 1990;15:1132-1138.
Harrell JS, McMurray RG, Gansky SA., Bangdiwala SI, Bradley CK. A public health vs. risk-based intervention to improve cardiovascular health in elementary school children: The Cardiovascular Health in Children Study American Journal of Public Health 1999;89:1529-1535.
Hofman A, Walter HJ. The association between physical fitness and cardiovascular disease risk factors in children in a five-year follow-up study. International Journal of Epidemiology 1989;18:830-835.
Janis IL, Mann L. Decision Making: A Psychological Analysis of Conflict, Choice, and Commitment. New York: Collier Macmillan; 1977.
Jones M, Nies MA. The relationship of perceived benefits and barriers to reported exercise in older African American women. Public Health Nursing 1996; 13:151-158.
Kingery PM. Self-efficacy and self-monitoring of selected exercise and eating behaviors of college students. Health Education 1990;21:26-29.
LaPorte RE, Montoye HJ, Caspersen CJ. Assessment of physical activity in epidemiologic research problems and prospects.Public Health Reports 1985;100: 131-146.
Lowther M, Mutrie N, Scott EM. Promoting Physical activity in a Socially and economically deprived community: A 12 month randomized Control trial of fitness assessment and exercise consultation. Journal of Sports Sciences 2002;20: 577-588.
Marcus BH, Banspach SW, Lefebvre RC, Rossi JS, Carleton RA, Abrams DB. Using the stages of change model to increase the adoption of physical participants. American Journal of Health Promotion 1992;6:424-429.
Marcus BH, Owen N. Motivational readiness, self-efficacy and decision-making for exercise. Journal of Applied Social Psychology 1992;22:3-16.
Marcus BH, Pinto BM, Simkin LR, Audrain JE, Taylor ER. Application of theoretical models to exercise behavior among employed women. Journal of Health Promotion 1994;9:49-55.
Marcus BH, Rossi JS, Selby VC, Niaura RS, Abrams DB.The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology 1992;11:386-395.
McAuley E, Courneya KS. Self-efficacy reladonships with affective and exertion responses to exercise. Journal of Applied Social Psychology 1992;22: 312-326.
McAuley E, Lox C, Duncan TE. Long-term maintenance of exercise, self-efficacy, and physiological change in older adults. Journal of Gerontology 1993;48:218-224.
Myers RS, Roth DL. Perceived benefits of and Barriers to exercise And stage of exercise adoption in young adults. Health Psychology 1997;16:277-283.
Nigg CR, Burbank PM, Padala C, Dufresne R, Rossi JS, Velicer WF, Laforge RR, Prochaska JO. Stages of change across ten health risk behaviors for older adults. The Gerontologist 1999;39:473-482.
Paffenbarger RS, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. The association of changes in physical activity level and other lifestyle characteristics with mortality among men. New England Journal of Medicine 1993;328:538-545.
Prochaska JO, DiClemente CC. Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory Research and Practice 1982; 19:276-288.
Prochaska JO, Johnson S, Lee P. The Handbook of Health Behavior Change(p. 98). New Yolk: Springer Publishing Company; 1998.
Prochaska JO, Marcus BH. The transtheoretical model:Applications to exercise. Advances in Exercise Adherence 1994;100:161-180.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. American Journal of Health Promotion 1997;12:38-48.
Powell KE, Dysinger W. Childhood participation in organized school sports and physical education as precursors of adult physical activity. Preventive Medicine 1987;3:276-281.
Reglin JS. Exercise and mental health: beneficial and detrimental effect. Sport Medicine 1990;9:323-329.
Rejectski WJ, Brawley LR, Schumaker SA. Physical activity and health-related quality of life. Exercise and Sport Sciences Reviews 1996;24:71-108.
Reynolds KD. Psychosocial predictors of physical activity in adolescents. Preventive Medicine 1990;19:541-551.
Rober N, Rod D. Physical activity and psychological benefit. International society of sport psychology position statement. Physician and Sport Medicine 1992;20:179-180.
Sallis JF, Haskell WL, Wood PD, Fortmann SP, Rogers T, Blair SN, Paffenbarger RS. Physical activity assessment methodology in the five-city project. American Journal of Epidemiology 1985;121:91-106.
Salli JF, Hoven MF, Hofstettrr CR, Barrington E. Explanation of vigor Physical Activity during two years using social learning variables. Social Science of Medicine 1992;34:25-32.
Sallis JF, Hovell MF, Hofstetter RC. Predictors of Adoption and Maintenance of Vigorous Physical Activity in Men and Women. Preventive Medicine 1992;21:237-251.
Sallis JF, Hovell MF. Social learning correlates of exercise self –efficacy:Early experience with physical activity. Social Science Medicine 1990;19:541-551.
Sallis JF, Patterson TL, Buono MJ, Nader P. Relation of cardiovascular fitness and physical activity to cardiovascular disease risk factors in children and adults. American Journal of Epidemiology 1989;127:933-941.
Sandvik L, Erikssen J, Thaulow E. Physical fitness as a predictor of mortality among healthy, middle-aged Norwegian men. New England Journal of Medicine 1993;328:533-537.
State ST, Chicago IL. Physical Activity and Cardiovascular Health. Journal of the American Medical Association 1996;276:241-246.
Stucky-Ropp RC, DiLorenzo TM. Determinants of exercisein children. Preventive Medicine 1993;22:880-889.
Sallis JF, Hovell MF, Hofstetter CR. Predictors of adoption and maintenance of vigorous physical activity in men and women. Preventive Medicine 1992;21:237-251.
Schuster C, Petosa R, Petosa S. Using social cognitive theory to predict intentional exercise on post-retirement adults. Journal of Health Education 1995; 26:14-24.
Steven NB, Harold WK, Ralph SP, Debra GC,Cooper MD, Larry WG. Physical Fitness and All-Cause Mortality-A Prospective Study of Healthy Men and Women. JAMA 1989; 262:2395-2402.
Steven NB, Harold WK, Ralph SP, Debra GC, Cooper MD, Larry WG. Comparison of Lifestyle and Structured Intervention to Increase Physical Activity and Cardiorespiratory Fitness. JAMA 1999;281:327-334.
Steven NB. McCloy Research Lecture: Physical Activity, Physical Fitness, and Health. Res Quart Exerc Sport 1993;270:365-376.
Taylor PA, Ward W. Women, high density lipoprotein cholesterol and exercise. Archives in Intemal Medicine 1993;153:1178-1184.
Taylor WC. Physical activity among African and Latino middle school girls: consistent belief, expectations, and experience across two sites. Women Health 1999;30:67-82.
Weitzel MH. A test of the health promotion model with blue collar workers. Nursing Research 1989;38:99-104.
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