Apply the Theory of Planned Behavior to Study the Home-Based Reabement Services

• Main Authors: YANG, YU-CHE, 楊育哲
• Other Authors: HUANG, KUO-CHUNG
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/acegps

博士 === 南華大學 === 企業管理學系管理科學碩博士班 === 107 === 　　The birth rate in Taiwan is declining year by year, and the overall population structure is rapidly aging. In order to meet the long-term caring demands of the physical challenged who are easily influenced by the aged society and to realize the policy goal of aging in place, the Executive Yuan has approved and promote the “long-term care ten-year plan” (2007-2016) in 2006 and the “Long-term Ten-Year Plan 2.0” (2017-2026) in 2017 respectively. The home-based reablement service can improve the quality of life of the disabled and achieve the goal of aging in place, which is a very important part of the Long-term Ten Year Plan 2.0. The purpose of this study is based on the theory of planned behavior to explore the intention of medical personnel to participate in home-based reablement service and the intention of the people with disability to accept home-based reablement service. In this study, purposive sampling was employed and the questionnaires were distributed to collect opinions of medical personnel who participated home-based reablement services in Yunlin County, Chiayi City and Chiayi County. A total of 101 valid samples were collected. Empirical results reveal that the social responsibility, attitude, subjective norm and perceived behavioral control of medical personnel are respectively positive effect on their intention. Among these four variables, perceived behavioral control has the greatest impact on intention. The following rankings are for attitude, social responsibility and subjective norm. Attitude has a partial mediation effect on social responsibility to intention and subjective norm to intention. Perceived behavioral control has a partial mediation effect on subjective norm to intention. In the discussion about the intent of the residents with disability to accept home-based reablement services, the study was conducted with secondary sample data. The sample data was obtained from the home-based reablement service database provided by the Chiayi Occupational Therapist Association. 198 valid data were collected. The results of the data analysis show that the intent of the people with disability to accept the home-based reablement service will be positively influenced by their attitude, subjective norm and perceived behavioral control. In particular, the attitude of the people has the greatest impact on their intention. The following rankings are for perceived behavioral control and subjective norm. Attitude and perceived behavioral control of the people have a partial mediating effect on subjective norm to intention. 　　The results of the study show that through giving public recognition of the medical personnel by the public sector and positive reports by media or mass media, the public sector can establish a long-term professional development counseling team that can be a strong backing for medical personnel, both strengthening pre-employment training and encouraging the full-time service of medical personnel through policy formulation can help to enhance the intent of medical personnel to participate in home-based reablement service. In addition, in order to enable more people with disabilities to regain their ability to participate in activities, not to limit themselves to the home due to environmental, physiological and psychological reasons anymore, return to the life mode before disability, because of the intervention of the home-based reablement service. The public sector can report many successful stories by mass media, build the long-term care mutual aid units in the village, improve accessibility facilities of the community and integrate the social welfare groups and actively assist the people with disabilities in economically disadvantaged status who are unable to obtain social welfare benefits due to certain factors to obtain the reasonable subsidies. All policy above can improve the intention of the people with disabilities to accept the home-based reablement service.