智慧型手機程式應用於改善兒童及家庭健康結果並促進健康生活型態改變

吳佳東

doi:10.6342/NTU201702444

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智慧型手机程式应用於改善儿童及家庭健康结果并促进健康生活型态改变

A Smart Phone Application in Improving Healthy Lifestyle and Health Outcomes for Children and Family

吴佳东 , 硕士　　导师：赖飞罴　　

英文 DOI： 10.6342/NTU201702444

智慧型手机应用程式；家庭；儿童；健康生活型态；混合方法研究；随机对照试验； smart phone applications ； family ； child ； healthy lifestyles ； mixed methods research ； randomized controlled trials

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摘要 │ 参考文献 (44) │ 国际计量

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Family is a primary agent in the promotion of healthy behaviors and lifestyles for children, family-based health promotion and lifestyle modification will be beneficial to live healthily in childhood and prevent from chronic condition in adulthood. As e-health technology has been widely applied in the prevention and management of health problem, smart phone applications offer a potentially powerful approach for behavioral change. As the limited research on the smart phone application to modify healthy lifestyles for parents and children, this research aims to: (1) develop a family-centered school-based KidsHealth Smart Phone Apps Intervention (KiSPAI) to improve healthy lifestyles for school-age children; (2) validate the clinical feasibility and generalization of KiSPAI; (3) evaluate the effectiveness of the KiSPAI in improving the healthy behaviors and outcomes for school-age children with specific diseases.
Research subjects were recruited from the selected elementary schools and a university hospital in Taipei. Children aged 9-12, with permission of parents or legal guardian are eligible to participate in the study. The 8-week KiSPAI was conducted by parent-child self-assessments, home visits, online discussion and feedbacks, the components consist of healthy eating, regular physical activity, decrease sedentary behaviors and preserve good sleep quality, which were conducted by smart eating system, Fitbit Charge2 to monitor physical activity and sleep quality. Data of the outcome measures are collected at the time of randomization (T1) and further 4 waves at 3-month follow-up (T2-T4). Outcome measures include healthy lifestyle behaviors: food and beverage intake, physical activity, sedentary behaviors and adequate sleep. The health outcomes are body composition measured by body mass index, waist circumferences, body fat and health status. 
This KiSPAI smart phone platform can provide dynamic feedback to the school-age asthma children to deliver healthy behavior change, the program development and implementation can be a reference for the e-Health action plan for children with other chronic health conditions to foster their healthy lifestyle behaviors and health outcomes.

参考文献 ( 44 ) 〈TOP〉

[1] Hebden, L., Balestracci, K., McGeechan, K., Denney-Wilson, E., Harris, M., Bauman, A., & Allman-Farinelli, M. (2013). 'TXT2BFiT' a mobile phone-based healthy lifestyle program for preventing unhealthy weight gain in young adults: study protocol for a randomized controlled trial. Trials, 14, 75. doi: 10.1186/1745-6215-14-75
连结：
[2] Nickels, A., & Dimov, V. (2012). Innovations in technology: social media and mobile technology in the care of adolescents with asthma. Curr Allergy Asthma Rep, 12(6), 607-612. doi: 10.1007/s11882-012-0299-7
连结：
[3] A. Direito, Dale, L. P., Shields, E., Dobson, R., Whittaker, R., Maddison, R., "Do physical activity and dietary smartphone applications incorporate evidence-based behaviour change techniques?," BMC Public Health, vol. 14, p. 646, 2014.
连结：
[4] L. G. Glynn, P. S. Hayes, M. Casey, F. Glynn, A. Alvarez-Iglesias, J. Newell, O. L. G, D. Heaney, M. O'Donnell, and A. W. Murphy, "Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial," Br J Gen Pract, vol. 64, pp. e384-91, Jul 2014.
连结：
[5] A. P. Cotter, N. Durant, A. A. Agne, and A. L. Cherrington, "Internet interventions to support lifestyle modification for diabetes management: a systematic review of the evidence," J Diabetes Complications, vol. 28, pp. 243-51, Mar-Apr 2014.
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引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。