摘要
目的评估手机短信、手机微信、传统面对面授课和传统发放宣传材料4种不同方法对高中生健康素养干预的效果,为制定更加有效的学生健康素养提升措施提供依据。方法在北京市1个城区和1个郊区各选择4所学校,每所学校选择高中一年级的4个班,其中2个班作为干预组,另2个班作为对照组。4种干预方法分别为手机短信、手机微信、传统面对面授课和传统宣传材料的健康素养干预,干预时间为1个月;对照组不做特殊干预。采用"2012年全国居民健康素养监测调查问卷",分别在干预前和干预后对干预组和对照组进行问卷调查,比较干预前后效果。同时,在干预后对部分学生进行专题小组访谈。结果干预后每种干预方法在干预组健康素养提高的分值均高于对照组。短信干预组前后均分差值为2.66,短信对照组前后均分差值为1.74,微信干预组前后均分差值为4.98,微信对照组前后均分差值为0.77;传统授课法前后均分差值为11.89,传统授课对照组前后均分差值为3.83;传统宣传材料干预组前后均分差值为0.28,传统宣传材料对照组前后均分差值为-1.56。手机微信组(P=0.00)和传统面对面授课组(P=0.00)的干预效果好于对照组,而手机短信组(P=0.46)和传统材料干预组(P=0.29)与对照组差异无统计学意义。4种方法的成本效果比较从高到低依次是手机微信法、传统面对面授课法、手机短信法和传统发放宣传材料法。结论在新媒体时代应用微信进行健康干预具有较好的直接效果和较高的成本效果。
Objective To evaluate the effect of four kinds of health literacy intervention including mobile SMS, Wechat, traditional education lessons, and traditional education materials among high school students and to provide basis for making more effective health literacy strategies. Methods Four schools were selected from 2 districts of Beijing, and 4 classes from each school were included. In each school, 2 classes received intervention activities by mobile SMS, Wechat, traditional education lessons, and traditional education materials separately, and the other two classes were control group. An anonymous questionnaire survey was conducted to explore the change of health literacy between the intervention group and control group in each of 4 different intervention methods. Focus-group interviews were conducted when the intervention activities was completed. Results Significant differences were found between the intervention group and the control group in Wechat and traditional education lesson methods. No significant differences were shown between the intervention and control groups in SMS and traditional material methods. The difference of aver- age score before and after in SMS intervention group SMS control group, wechat intervention group, Wechat control group, traditional education lessons intervention and control group, traditional material group, intervention and control group was 2.66, 1.74, 4.98, 0.77, 11.89, 3.83, 0.28, - 1.56, respectively. The cost-effectiveness analysis showed the effects decreased as follows ： Wechat, traditional education lessons, mobile SMS, and traditional material orderly. Conclusion The results suggest that social media in- cluding Wechat is effective in health education among high school students.
出处
《中国学校卫生》
CAS
北大核心
2015年第7期1022-1024,1028,共4页
Chinese Journal of School Health
基金
北京市人力资源与社会保障局2013年度留学人员择优资助项目(0000130206613282)
关键词
健康教育
干预性研究
学生
结果评价(卫生保健)
Health education
Intervention studies
Students
Outcome assessment （ health care ）
