| Summary: | 博士 === 國立臺灣師範大學 === 健康促進與衛生教育學系 === 105 === ABSTRACT
The purpose of this study was to create and evaluate the effectiveness of a high myopic complications preventive intervention program, based on Health Belief Mode, among high myopic freshmen. The study employed a true experimental design, based on the Health belief model and adult education special elements, at National Taiwan Normal University, Taipei, Taiwan. High myopia subjects (myopic spherical equivalence 6 D or more) were identified at routine freshmen physical examination program and were allocated randomly as experimental or control group if subject agree to join the study. Subjects in the experimental group were enrolled in the intervention program, while subjects in control group were not. Questionnaires were distributed at three time points and one-way analysis of covariance (one way-ANCOVA) was conducted.
The main research findings are as follows: (1) At the baseline, all of the recruited subjects revealed insufficient knowledge about high myopia complications and concepts of prevention. Their perceived susceptibility and severity in respect to high myopic complications were high, and their perceived benefits and barriers about preventive behavior were high in the same issues. Sources of “cues to action” for high myopia health education were limited. In addition, “self-efficacy” of prevention of high myopic complications was limited in conditioning reaction, “self-efficacy” of subjective preventive health behavior was poor. (2)Compared to the control group, high myopic freshmen in the experimental group performed better post-test in “knowledge”, “self-efficacy”, and “preventive health behavior” issues of high myopic complications prevention. While in the post post-test, experimental group performed better only in “self-efficacy” and part of “preventive health behavior” issues.
In conclusion, this study demonstrated that high myopic complications preventive intervention program had immediate effective with respect to promote high myopic complications preventive knowledge, self-efficacy, and preventive health behavior. Also this program was proved to have prolonged effect in self-efficacy and self-examination behavior. There are lack of information and instruction course about high myopic complications prevention in our college and community. This program could be adopted by school or local governmental departments for high myopic students or residents, in the purpose of self-management of health and “early diagnosis and early treatment” of high myopic complications.
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