以飲食桌遊向社區老人宣導均衡飲食概念的經驗
黃慧莉、王柏勝、林秀碧
10.6283/JOCSG.202212_10(4).244
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中文摘要 測試佳喜桌遊教材對社區老人均衡飲食概念的影響與分享帶領經驗。採單組前後測研究設計，以方便取樣共徵求27位南區社區關懷據點老人。介入為期兩週，每周1小時卡牌遊戲。在活動介入前後施予問卷填答，後測時以兩題半結構式訪談題目收集老人對此桌遊的收穫、想法及建議。共有19位平均年齡為78.58的老人完成參與兩次健康飲食桌遊，並完成前後測均衡飲食知識問卷及個別訪談。前後測健康飲食知識高低分的人數分佈達顯著差異，後測得分高者達15人。為進一步瞭解兩地老人對桌遊的成效差異，以市區、郊區兩組老人進行無母數的Mann Whitney U test，考驗兩組的後測分數的中位數之差異，結果發現市區的知識得分稍高於郊區，但未達顯著差異。質性結果呈現好玩、益身、長智、發覺限制與活動建議。本桌遊初步測試發現用於社區關懷據點老人，能增長飲食的知識，帶給老人樂趣，察覺有益身心及現實生活的限制。另外，研究者提出帶領飲食桌遊時需留意連結老人生活經驗，問卷設計成簡答題，引導他們先說出再記下答案的對錯。最後發現，郊區老人需要多些人力並且長輩熟識者來帶領活動，市區的老人經由一次解說後，可自行玩牌。綜而言之，此卡牌值得推廣於更多的社區老人使用，在志工人力充足情況下，將此桌遊融入在C級巷弄站，以持續拓廣多元健康促進服務項目，強化未來民眾均衡健康飲食的概念。
關鍵字：均衡飲食、卡牌、社區老人
文章建立時間：2022-12-02
引用格式(APA)：
黃慧莉、王柏勝、林秀碧(2022)。 以飲食桌遊向社區老人宣導均衡飲食概念的經驗。
福祉科技與服務管理學刊， 10(4)， 244-256。
Creating a balanced diet activity using a board game for older adult communities: A preliminary investigation
Huei-lih Hwang, Po-Sheng Wang, Hsiu-pi Lin
English Abstract This study showed an innovative balanced-diet board game suitable for older people and tested its effectiveness on health in a community composed of older adults. A single group of pre-and-post testing studies was designed to test the innovative board game. Purposive sampling was adopted with 27 older people from two community care stations (one at rural area, another at urban area) in the Southern district of Taiwan. A two-week 1-hour intervention per week was conducted. A total of 19 older people with an average age of 78.58 attended the activity and completed the pre-and-post test questionnaire. The difference in total mean scores between the pre-and-post tests was significantly different (3.37 points,SD= 2.79, t= 5.25, p<.001) with a power of 0.89 and an Eta square of 0.53. In order to further understand the difference in the effectiveness of board games among the elderly in the two areas we conducted study, Boots-trapping method was conducted. It was found that the knowledge score of the urban area was higher than that of the rural area of 2.03 points (SD= 0.875). The eta square of 0.576 indicates that 57.6% of the total variance can be accounted for by different intervention. It means that the explanatory power of the group for the diet knowledge is significantly correlated. This innovative card game is a helpful tool for older adults in learning about different food groups, which helps them reflect on what needs to be improved in their daily diet. The preliminary test has shown that the board game can improve the concept and awareness of a balanced diet for older people in community care stations, especially those in the cultural district. In the future, this game can be promoted to other older communities. Additionally, it can be applied to test its effectiveness on people with mild disabilities and dementia at day care centers in order to have a broader educational outreach on the practice of healthy brains and a balanced diet.Keywords：balanced diet, table cards, older adults’ community