| Summary: | 碩士 === 國立臺灣師範大學 === 衛生教育研究所 === 92 === Abstract
The purpose of the subject is to discuss the influence of “Health Consultation Handbook” on health consulting attitude, health consulting skill and health consulting self-efficacy for medical school students. Also the study reveals the acceptance of the handbook for the medical school students.
The study includes pre/post questionnaires of effectiveness evaluation of the program and the subjects of study consists the 4th-year medical school students in Nation Taiwan University, Yang Ming University, Chang Gung University and Fu Jen Catholic University. The group of participants is divided into two groups--the control and experimental group. The experimental group takes health consulting handbook intervention for one week while the control group remains in their original status. The information collected from this experiment is to be analyzed by pair-test, Chi-square test, one-way ANOVA and one-way ANCOVA. The findings are listed as follows:
1. After the intervention of the “Health Consultation Handbook”, the students in experimental group apparently get higher scores in the post-test than in the pre-test on “attitudes about offering health consultation” and “evaluation of outcomes of offering health consultation”. Obviously the difference is significant.
2. After the intervention of the “Health Consultation Handbook”, the students in experimental group apparently get higher scores in the post-test than in the pre-test on “doctor-patient communication skills” and “motivational interviewing skills”. Obviously the difference is significant.
3. After the intervention of the “Health Consultation Handbook”, the students in experimental group apparently get higher scores in the post-test than in the pre-test on “self-efficacy for offering health consultation” and “self-efficacy for offering The five A’s construct”. Obviously the difference is significant.
4. While controlling the pre questionnaire, the students in the experimental group get higher scores than those in the control group on “attitudes about offering health consultation” and “evaluation of outcomes of offering health consultation”. Obviously the difference is significant.
5. While controlling the pre questionnaire, the students in the experimental group get higher scores than those in the control group on “doctor-patient communication skills” and “motivational interviewing skills”. Obviously the difference is significant.
6. While controlling the pre questionnaire, the students in the experimental group get higher scores than those in the control group on “self-efficacy for offering health consultation” and “self-efficacy for offering The five A’s construct”. Obviously the difference is significant.
7. Approximately 87% of these medial school students indicated that the “Health Consultation Handbook” could really be contributive to positive health consulting attitude. About 78% of the students indicated that “Health Consultation Handbook” leads to more improvements in health consulting skill and health education. About 60% of students indicated that they have more confidence in health consultation and health education. Furthermore, almost 90% of the students are willing to do the instructions in the “Health Consultation Handbook”.
Briefly speaking, the abilities of heath consultation could be greatly enhanced through the intervention of the “Health Consultation Handbook”. Therefore in the future education of health consultation, we suggest that a handbook like this should be used as a media to conduct medical school students and physicians about the health consulting skill more effectively.
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