應用多媒體教材於青少年俱樂部濫用毒品反毒宣導之成效

Multimedia Teaching Materials for Prevention of Newly-risen Illicit Drugs Use among

10.6145/jme.200412_8(4).0006

顏正芳(Cheng-Fang Yen)；羅文君(Wen-Chun Lo)；孫榕檀(Jung-Tan Sun)

青少年 ； 俱樂部濫用毒品 ； 藥物濫用 ； 反毒宣導 ； Adolescents ； pub drugs ； drug abuse ； anti-drug program

Journal of Medical Education

8卷4期（2004 / 12 / 01）

414 - 423

繁體中文

The aims of this study were to develop a multimedia anti-drug program for adolescents to increase their knowledge about consequence of drug use, to strengthen commitment to deny drug use and to refine the skills of drug refusal. The content of the multimedia anti-drug programs includes five characteristics: (1) negative effects on health by drug use interpreted by a psychiatrist; (2) the judicial procedures about drug use explained by a judge; (3) the abstinence treatment accounted for by an official working in jails; (4) the environment of juvenile courts and detention centers introduced; and (5) effective skills of drug refusal demonstrated by actors in a drama. The students in 12 classes from one senior high school were randomly assigned to either a treatment group with the anti-drug program carried out (231 adolescents) or a control group without (214 adolescents). Effectiveness of the anti-drug programs was determined by the comparison of pre-and post-treatment measurements between the two groups. Significance differences were detected between the treatment and the control group, suggesting the anti-drug program favored the increased knowledge about the consequence of (3,4-Methy-lene Dioxymethamphetamine, MDMA), ketamine, marijuana and the dwindling tendency to use MDMA. Additionally, the anti-drug program was assessed by the treatment group as ”helpful” and ”very helpful” in terms of the knowledge about consequence of drug use, the commitment to deny drug use and the skills of drug refusal. Besides, more adolescents with previous smoking experience than non-users, after evaluating change from pre - to post-treatment, reported the increased knowledge about the consequence of ketamine and marijuana. However, the helpful for commitment to deny drug use was more reported by non-users. The above results indicated the anti-drug programs developed by the study are responsible for anti-drug behavior, commitment and skills of drug refusal among adolescents. (Full text in Chinese) 本研究之目的在於針對青少年開發多媒體反毒宣導教材，並檢視此教材能否達到提升學生對於俱樂部濫用毒品和使用後果的知識、增加拒絕使用的把握、提升拒絕他人邀約使用的技巧之目的。 本研究所發展之多媒體反毒宣導教材內容包括：(1)由精神科醫師介紹三類俱樂部濫用毒品可能對身心造成的不良影響；(2)邀請法官介紹使用俱樂部濫用毒品所觸犯的法律；(3)邀請監所工作人員介紹觀察勒戒進行流程；(4)實際拍攝法庭和接受觀察勒戒的環境；(5)由演員演出介紹如何拒絕他人邀約使用。本研究並邀請231位高中學生為觀看教材組，214位為未看教材組，兩組同時進行自填問卷前測，在觀看教材組觀看教材之後，兩組再次填寫問卷，進行兩組前後測的比較。結果發現：觀看教材組學生在觀看教材前後，其能成功拒絕使用毒品的把握，和對於三種俱樂部濫用毒品造成身心傷害知識的增加程度，皆比未看教材組學生顯著較高，而好奇嘗試使用搖頭丸傾向的減少亦較顯著。觀看教材組學生評分教材有助於提升使用毒品後果認識、拒絕使用決心和技巧，而過去有抽於經驗者，觀看教材前後對於愷他命和大麻造成身心傷害知識的增加程度顯著較未曾抽菸者較高，但對於教材提升拒絕使用毒品決心助益程度的評估則較未曾抽菸者較低。本研究所發展的多媒體反毒宣導教材能達到提升拒絕使用俱樂部濫用毒品的把握、增加對於俱樂部濫用毒品造成身心傷害知識和降低好奇嘗試使用搖頭丸傾向的目的。

The aims of this study were to develop a multimedia anti-drug program for adolescents to increase their knowledge about consequence of drug use, to strengthen commitment to deny drug use and to refine the skills of drug refusal. The content of the multimedia anti-drug programs includes five characteristics: (1) negative effects on health by drug use interpreted by a psychiatrist; (2) the judicial procedures about drug use explained by a judge; (3) the abstinence treatment accounted for by an official working in jails; (4) the environment of juvenile courts and detention centers introduced; and (5) effective skills of drug refusal demonstrated by actors in a drama. The students in 12 classes from one senior high school were randomly assigned to either a treatment group with the anti-drug program carried out (231 adolescents) or a control group without (214 adolescents). Effectiveness of the anti-drug programs was determined by the comparison of pre-and post-treatment measurements between the two groups. Significance differences were detected between the treatment and the control group, suggesting the anti-drug program favored the increased knowledge about the consequence of (3,4-Methy-lene Dioxymethamphetamine, MDMA), ketamine, marijuana and the dwindling tendency to use MDMA. Additionally, the anti-drug program was assessed by the treatment group as ”helpful” and ”very helpful” in terms of the knowledge about consequence of drug use, the commitment to deny drug use and the skills of drug refusal. Besides, more adolescents with previous smoking experience than non-users, after evaluating change from pre - to post-treatment, reported the increased knowledge about the consequence of ketamine and marijuana. However, the helpful for commitment to deny drug use was more reported by non-users. The above results indicated the anti-drug programs developed by the study are responsible for anti-drug behavior, commitment and skills of drug refusal among adolescents. (Full text in Chinese)

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