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研究生: 蘇奕安
Su, Yi-An
論文名稱: 結合桌遊的營養教育對國小學童健康飲食知識、態度及行為之效果
Effect of Board Game-enhanced Nutrition Education on Knowledge,Attitude and Behavior of Healthy Eating among Elementary School Students
指導教授: 張鳳琴
Chang, Fong-Ching
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2020
畢業學年度: 108
語文別: 中文
論文頁數: 145
中文關鍵詞: 桌遊營養教育健康飲食國小素養
英文關鍵詞: board game, nutrition education, healthy eating, elementary school, literacy
DOI URL: http://doi.org/10.6345/NTNU202000284
論文種類: 學術論文
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  • 本研究旨在瞭解結合桌遊的營養教育介入對國小學童健康飲食知識、態度及行為之效果。以準實驗研究設計,選取108學年度新北市兩所國民小學六年級學童為受測學童,共計完成301份有效問卷,實驗組152人、對照組學童149人。結合「食物王國大冒險」桌遊設計素養導向的營養教育課程,實驗組接受結合桌遊的營養教育介入,在2個月期間入班教學共4堂(每堂40分鐘);對照組僅實施前後測問卷測量。利用廣義估計方程式(Generalized estimating equations)進行分析,評價結合桌遊的營養教育介入之效果。
    研究結果發現結合桌遊的營養教育介入後,能顯著提升學童健康飲食知識(如均衡飲食的組成、每日蔬果及乳品建議攝取量)、態度(如對蔬果的喜好)、自我效能(如會選擇食用蔬果及乳品)、生活技能(如做健康飲食的決定),在飲食行為方面,實驗組學童的含糖飲料攝取行為、油炸物攝取行為、零食及甜食攝取行為皆有顯著下降。受測學童表示在遊戲中學習健康飲食知識是有趣的。
    本研究建議學校推行結合桌遊的營養教育來提升健康飲食的行為實踐。並融入校本課程,透過跨領域的遊戲式教學,將學校營養教育擴大至校園社區,親師生一起養成健康飲食習慣。

    The present study aimed to understand the effect of board game-enhanced nutrition education on knowledge, attitude and behavior of healthy eating practice among elementary school students. A quasi-experimental design was utilized with 301 students from two elementary schools in New Taipei City in 2019, including 152 students in the experimental group and 149 students in the control group. Through the "Foodtopia" board game, a health literacy-oriented nutrition education course was designed and implemented. During the two-month period, the experimental group received 4 sessions of the board game-enhanced nutrition education (40 minutes each). In contrast, the control group was given only pre- and post-test survey. Generalized Estimating Equations method was used to evaluate the effect of the educational intervention.
    The results indicated that board game-enhanced nutrition education intervention significantly increased students’ healthy eating knowledge (i.e., balanced diet, daily intake of fruits, vegetables, and dairy), healthy eating attitude(i.e., preference towards fruits and vegetables), and healthy eating self-efficacy (i.e., make fruits, vegetables, and dairy choices), and the life skill (i.e., decision making towards healthy eating). The intervention also significantly reduced students’ intake of sugar-sweetened beverage, fried food, and unhealthy snacks and sweets. Participants expressed that the board game made learning healthy eating more fun.
    It was suggested that schools could support game-enhanced nutrition education to promote healthy eating practices more effectively. Interdisciplinary game-based nutrition education sessions could be integrated into school-based curriculum in the future to further promote healthy eating practices among teachers, parents and students in the school community.

    第一章 緒論 1 第一節 研究動機 1 第二節 研究目的 4 第三節 研究問題 5 第四節 研究假設 5 第五節 名詞解釋 6 第六節 研究限制 8 第二章 文獻探討 9 第一節 國小學童飲食問題及影響因素 9 第二節 國小學童的營養教育 19 第三節 遊戲式營養教育之研究 27 第三章 研究方法 39 第一節 研究設計 39 第二節 受測學童 40 第三節 研究架構 41 第四節 教學課程設計 42 第五節 研究工具 45 第六節 研究步驟與流程 50 第七節 資料處理與統計分析 51 第四章 研究結果 53 第一節 受測學童基本資料分布 53 第二節 教育介入對健康飲食知識影響 54 第三節 教育介入對健康飲食態度影響 60 第四節 教育介入對健康飲食自我效能影響 66 第五節 教育介入對健康飲食生活技能影響 72 第六節 教育介入對健康飲食行為影響 75 第七節 教育介入過程評量 80 第五章 討論 84 第一節 國小學童健康飲食知識 84 第二節 國小學童健康飲食態度 85 第三節 國小學童健康飲食自我效能 86 第四節 國小學童健康飲食生活技能 87 第五節 國小學童健康飲食行為 88 第六章 結論與建議 90 第一節 結論 90 第二節 建議 91 參考文獻 93 附錄一 桌遊「食物王國大冒險」遊戲規則 118 附錄二 問卷及教材專家審查名單 119 附錄三 國小學童健康飲食問卷 120 附錄四 營養教育教案 127 附錄五 課後親子共學單 138

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