A health promotion program for older adults (KABAN!): effects on health literacy, quality of life, and emotions
作者：Hua-I Hsu, Chih-Chi Liu, Stephanie Fu Yang & Hsueh-Chih Chen
ABSTRACT
The importance of an integrated health promotion program has been proposed in recent years. However, the traditional program with lectures might decrease the effectiveness of learning. A game-based learning program provides a supportive social environment and further increases the quality of life and positive emotions. The present study evaluates the effectiveness of the proposed game-based health promotion program, KABAN!, to enhance health literacy, positive emotions, and quality of life for older adults. The proposed intervention included physical exercises, nutritional knowledge, social interaction, cognitive training, and oral health care skills. All activities were designed based on the gamification principles and experiential learning theory. Both qualitative and quantitative data were collected from participants and instructors. A total of 221 older adults were randomly recruited (age: mean = 71.1, SD = 7.1) as participants. To gather feedback on program implementation, 22 experienced instructors were selected based on the criteria of leading five or more sessions. Health literacy, quality of life, and emotional states before and after participation were collected. The instructors were invited to provide constructive feedback through open-ended survey questions. Analyses revealed that health literacy levels, positive emotions, and quality of life significantly increased after participation, while negative emotions remained identical. Further investigation of qualitative data via the constant comparison method showed positive feedback on instructors’ perceived changes in participants. This study showed that participation in health promotion programs like KABAN! significantly enhanced older adults’ health literacy, quality of life, and positive emotions.
近年來，整合性健康促進方案逐漸受到重視。然而，以講授為主的傳統課程模式可能降低學習成效。遊戲化學習計畫能夠提供支持性的社會環境，並進一步提升生活品質與正向情緒。本研究旨在評估一項名為「咖棒」（ KABAN! ）的遊戲化健康促進方案在增進高齡者健康識能、正向情緒及生活品質方面的成效。
此介入內容涵蓋身體運動、營養知識、社會互動、認知訓練與口腔健康照護技能，所有活動均依據遊戲化原則與體驗學習理論設計。研究同時蒐集參與者與帶領者的質性與量化資料。共有 221 位高齡者隨機招募參與（平均年齡 = 71.1 歲，標準差 = 7.1）。為蒐集課程執行回饋，另依據帶領至少五場次之標準，挑選 22 位具經驗之講師參與。研究於介入前後測量高齡者之健康識能、生活品質與情緒狀態，並邀請講師透過開放式問卷提供具建設性的回饋。
分析結果顯示，高齡者的健康識能、正向情緒及生活品質在參與後均有顯著提升，而負向情緒則未出現顯著變化。進一步以持續比較法分析質性資料，講師普遍回饋參與者狀態呈現正向改變。本研究證實，參與如 「咖棒」（ KABAN! ）之遊戲化健康促進方案，能顯著增進高齡者之健康識能、生活品質與正向情緒。
To cite this article:
Hua-I Hsu, Chih-Chi Liu, Stephanie Fu Yang & Hsueh-Chih Chen (2022): A health promotion program for older adults (KABAN!): effects on health literacy, quality of life, and emotions, Educational Gerontology, DOI: 10.1080/03601277.2022.2147331 ( SSCI )
To link to this article：
https://doi.org/10.1080/03601277.2022.2147331
