健康促進的理論與策略

一、課程簡介 I. Course Description 本課程以「理論 × 策略 × 數位創新 × 健康公平 × 實施轉譯」為主軸，從健康促進的歷史脈絡與經典健康行為理論出發，進入多層次與系統思維、需求評估、介入地圖、變革理論、實施科學、方案評值及可持續擴散。課程同時回應2025-2026國際趨勢，納入健康公平與社會、商業及環境決定因子，心理健康促進，氣候與韌性，健康素養與infodemic，數位健康、生成式AI治理、精準與個別化健康促進，以及參與式共創。 The course is organized around theory, strategy, digital innovation, health equity, and implementation translation. It progresses from the historical foundations and classic health behavior theories to multilevel and systems thinking, needs assessment, Intervention Mapping, Theory of Change, implementation science, evaluation, sustainability, and scale-up. It also addresses major 2025-2026 trends: health equity and social, commercial, and environmental determinants; mental health promotion; climate resilience; health literacy and infodemic management; digital health and generative AI governance; precision and personalized health promotion; and participatory co-design. 全班共同專題聚焦「護理照護情境中的健康介入」，以範疇性回顧及理論導向介入設計為方法，建立適用於急性照護、長期照護、社區／居家及輪班工作者的健康介入證據圖譜與研究架構。介入設計須完整處理種類、強度、時間、持續時間、暴露史、個人差異、安全、能源及環境影響。 The class-wide project focuses on healthy intervention in nursing care contexts. Using a scoping review and theory-guided intervention design, students develop an evidence map and research framework for acute care, long-term care, community/home care, and shift-working health professionals. Lighting is not reduced to a type; the work must address spectrum, intensity, timing, duration, exposure history, individual variation, glare, safety, energy use, and environmental impact. 二、教學目標 II. Course Objectives 1. 批判分析健康促進理論的發展、假設、適用情境與限制。 Critically analyze the development, assumptions, applicability, and limitations of health promotion theories. 2. 運用多層次理論、系統思維與因果路徑分析健康問題及其根本決定因子。 Use multilevel theories, systems thinking, and causal pathways to analyze health problems and their root determinants. 3. 整合需求評估、介入地圖、變革理論與設計思考，發展理論驅動的介入方案。 Integrate needs assessment, Intervention Mapping, Theory of Change, and design thinking to develop theory-driven interventions. 4. 運用實施科學與評值架構，評估介入的效果、可行性、公平性、可接受性、成本、永續性與擴散潛力。 Apply implementation and evaluation frameworks to assess effectiveness, feasibility, equity, acceptability, cost, sustainability, and scale-up potential. 5. 評析數位健康、AI、精準健康、健康素養與資訊過載介入的效益、偏差、倫理、隱私與治理。 Evaluate the benefits, bias, ethics, privacy, and governance of digital health, AI, precision health, health literacy, and infodemic interventions. 6. 將健康公平、文化回應性、心理健康、氣候韌性及商業決定因子納入健康促進策略。 Integrate health equity, cultural responsiveness, mental health, climate resilience, and commercial determinants into health promotion strategies. 7. 完成投稿導向的共同論文，以及與個人博士研究相連結的健康促進介入研究計畫或計畫論文。 Complete a publication-oriented collaborative manuscript and an intervention research proposal or protocol paper linked to individual doctoral work. 三、課程核心學習路徑 Core Learning Pathway 理論批判 Theory critique ↓ 根本決定因子與需求 Root determinants and needs ↓ 介入與共創設計 Intervention and co-design ↓ 實施與情境適配 Implementation and contextual fit ↓ 效果、公平與永續評值 Effectiveness, equity, and sustainability ↓ 論文與研究轉譯 Manuscript and research translation 四、五大課程模組 Five Course Modules 模組一：理論、系統與健康促進演進 Module 1: Theory, systems, and the evolution of health promotion 模組二：方案規劃、實施科學與評值 Module 2: Program planning, implementation science, and evaluation 模組三：公平、決定因子、心理健康與氣候韌性 Module 3: Equity, determinants, mental health, and climate resilience 模組四：數位健康、AI、精準化與人本共創 Module 4: Digital health, AI, personalization, and human-centered co-design 模組五：健康研究與學術轉譯 Module 5: Healthy research and scholarly translation

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• 博士層級講授、理論辯證與指定閱讀討論 Doctoral-level lectures, theoretical debate, and required-reading discussions • 案例導向的理論選擇、介入設計與評值工作坊 Case-based workshops on theory selection, intervention design, and evaluation • 護理照護場域的非研究性觀察與健康介入稽核 Non-research field observation and healthy intervention audit in nursing care contexts • 全班共同範疇性回顧、證據圖譜及論文寫作 Class-wide scoping review, evidence mapping, and manuscript development • 個人介入研究計畫發表、同儕審查與博士答辯 Individual intervention protocol presentation, peer review, and doctoral defense • 數位工具與生成式AI的透明、可查核與合倫理使用 Transparent, verifiable, and ethical use of digital tools and generative AI

一、英文閱讀、課堂討論與學術參與(15%) English readings, discussion, and scholarly engagement 二、 全班共同論文(35%) Class-wide collaborative manuscript 三、個人口頭發表與答辯(20%) Individual presentation and defense 四、個人期末／研究計畫 (30%) protocol paper／Final individual protocol paper/research proposal 30%

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一、核心教科書 Required Textbooks • Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2024). Health behavior: Theory, research, and practice (6th ed.). Jossey-Bass/Wiley. • Fernández, M. E., Markham, C. M., Ruiter, R. A. C., Crutzen, R., & Springer, A. E. (2026). Intervention mapping: Health promotion planning, implementation, and evaluation (5th ed.). Jossey-Bass/Wiley. • Reed, P. G., & Shearer, N. B. C. (2017). Nursing knowledge and theory innovation: Advancing the science of practice (2nd ed.). Springer Publishing Company. • Meleis, A. I. (2017). Theoretical nursing: Development and progress (6th ed.). Wolters Kluwer. • Risjord, M. (2010). Nursing knowledge: Science, practice, and philosophy. Wiley-Blackwell. 二、2025-2026核心政策與科學文件 Core 2025-2026 Policy and Scientific Documents • World Health Organization. (2025). A Global Health Strategy for 2025-2028: Fourteenth General Programme of Work. • World Health Organization. (2025). World Report on Social Determinants of Health Equity. • World Health Organization. (2025). Advancing the Responsible Use of Digital Technologies in Global Health: A Report of the WHO Science Council. • World Health Organization. (2025). Integrative Review of National Health Literacy Policy Blueprints as a Tool for Change Toward Health Literate Systems. • World Health Organization. (2026). WHA79.8: Precision Medicine - A Path Towards Targeted, Personalized and Equitable Care. • OECD. (2025). Mental Health Promotion and Prevention. • CIE. (2018). CIE S 026/E:2018: CIE System for Metrology of Optical Radiation for ipRGC-Influenced Responses to Light. • CIE. (2024). CIE PS 001:2024: Position Statement on Integrative Lighting - Recommending Proper Light at the Proper Time (3rd ed.). • CIE. (2026). CIE TN 016:2026: A Comprehensive Checklist for Reporting Light Characteristics in Laboratory-Based Human Studies Using Light as an Intervention (ENLIGHT). • Tricco, A. C., et al. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467-473. • Hoffmann, T. C., et al. (2014). Better Reporting of Interventions: Template for Intervention Description and Replication (TIDieR) Checklist and Guide. BMJ, 348, g1687. • Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O., & Lowery, J. (2022). The Updated Consolidated Framework for Implementation Research Based on User Feedback. Implementation Science, 17, 75.

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