使用IT介入健康管理計畫促成社群競賽、同儕支援，提高健康指引遵從度

Abstract

關於健康管理指引遵從度的研究在近年來越來越重要，因患有慢性疾病的人 在人口比例中越佔越大，這是一個全球性的健康問題。 雖然適當的鍛鍊和飲食控制及生活習慣的培養，被認定為能有效的提防慢性 疾病，但是健康指引的遵從度事實上並不高，在這篇研究中，我們推出一個在線 的智能社群競賽平台來幫助人們改善他們的生活方式，朝向為健康著想的方向。 過去的研究顯示，同儕支持在提升指引的遵從度的效率上扮演重要的角色，而正 確的目標設定和競賽要素也扮演另外一個重要的角色。以漸進目標的團隊為基礎 的競賽機制，充分利用在這個平台上以幫助使用者實現健康的生活方式。比較現 有的社群網站，只提供給尋找相似的病人功能和聊天室，這個以團隊競賽為基礎 的平台，不僅提供同儕支持，也提供改善自身習慣的目標，並且以人工智能引導 使用者改變自身的生活習慣。根據社會認知理論和馬斯洛需求理論，滿足用戶需 求的集體自尊需求和歸屬感需求，並激勵行為的改變。同時也應用解構式計劃行 為理論來探討使用者是否願意接受使用此系統。 本研究透過讓使用者實際使用此系統，並與對照組比較過後，得出了以下結 論：第一，使用者願意接受使用此系統，第二，使用者在使用此系統後生活習慣 確實有所改善。

The research of health care compliance becomes important since people with chronic diseases now dominate a large population worldwide with health problems. Although proper exercise and diet control are known to be effective in preventing chronic diseases, compliance rate is rarely high due to delayed benefits. In this article we use an online and intelligent social gaming platform to help people improve their life styles for the sake of health. Literature reviews show that peer supporting plays one of the important roles in compliance effectiveness, while proper goal setting and gaming elements may play another role of motivating people in compliance. Incremental team-based gaming mechanism is leveraged on the platform to help people to achieve the healthy life style. Comparing to existing social networking websites, which provide only patient-like-me filtering and chat rooms, the team-based gaming mechanism offers not only peer supporting but also gaming with progressive goals, intelligently programmed by artificial intelligence. According to social cognitive theory and Maslow need-hierarchy theory, the proposed mechanism will fulfill user’s needs of collective self-esteems, and motivate behavior change. This Research also apply the Decomposed Theory of Planned Behavior to find the users will accept this platform or not. This study let users to actually use this system, and after comparison the result with the control group , we have this conclusion : First , the user is willing to accept this platform. Second , the users who use this platform have change their lifestyle and behavior significantly.