本研究將資訊科技的優勢融入體位控制方案，從強化減重動機的方向來思考如何讓學生有效且持續的參與體重控制。研究是以國立臺北教育大學於104年起為推行全國大專校院推廣健康促進學校計畫所發展的「健康減重平台」為雛型，並參酌小學生的使用習慣來進行平台優化，從老師與學生的回饋中來找出理想體位控制平台應該有的元素，並探討減重平台功能設計與強化減重動機的關係。
研究對象乃邀請45位體位過重的國小四到六年級學生參與體位控制的方案共2個月，將其隨機分至三個激勵方式組別，在研究期程中，變換不同的記錄方式，同時在記錄方式變換的時候施以七點量表的減重動機問卷，資料處理採用spss25套裝統計軟體進行描述性統計、t檢定、單因子變異數分析以及混和二因子變異數分析，同時在研究結束之後用質性訪談的方式來了解減重平台對學生實際減重動機與成果的影響。
研究結果顯示，在四到六年級之國小肥胖學童中，在不同的背景變項之中，除了肥胖程度外，不同的性別與年齡在使用減重平台上其減重動機並無顯著差異。此外，激勵組別與記錄方式對減重動機並無交互作用存在，其中，每日一次的記錄方式最能提升減重動機。而透過健康減重平台的使用與協助，確實能夠提升肥胖學童在過程中的減重動機，也促使BMI下降，身體數值恢復到更優質的水準。

This research integrates the advantages of technology into weight control programs, and considers how to enable elementary students to participate in weight control plan effectively and continuously from the view of strengthening weight loss motivation.
The research tool is based on the "Healthy Weight Loss Platform" from National Taipei University of Education in 2015 which was developed for the promotion of health for college students. We consulted with the school’s nutritionists, nurses, and health team leaders to understand the relationship between the design of weight loss platform’s function and the motivation of losing weight in elementary school students. After evaluating the feedback from teachers and students to find out what elements the weight loss platform should have, we developed a new platform for elementary school students according to the habit of using.
A total of 45 overweight elementary school students were invited to participate in this study for 2 months. They were randomly divided into three different incentive strategy groups. Additionally, each group was applied two different recording methods during the research period. Each method was applied for one month. A weight loss motivation questionnaire with a seven-point scale was applied right before the exchange of recording methods and at the end of the reseach period. Data processing was performed using SPSS 25 suite of statistical software for descriptive statistics, t test, single factor variation analysis and mixed two-factor variance analysis. Additionally, qualitative interviews were used to further understand the impact of weight loss platforms on students' motivation.
The results of the study showed that among obese school children in grades 4-6, regardless of the degree of obesity, there was no significant difference between weight loss motivation for different genders and ages when using the weight loss platform.
Additionally, the daily recording method can improve the weight loss motivation but there is no interaction between the incentive strategies and the recording methods on weight loss motivation.
In sum, the healthy weight loss platform proves to be helpful to increase the weight loss motivation of obese elementary school students in the process, and also causes the weight loss and the decrease of BMI.

Balasubramanian, K., Jaykumar, V., & Fukey, L. N. (2014). A study on “student preference towards the use of Edmodo as a learning platform to create responsible learning environment.” Social and Behavioral Sciences, 144, 416–422.
Bandura, A., & Schunk, D. H. (1981). Cultivating competence, self-efficacy, and intrinsic interest through proximal self-motivation. Journal of Personality and Social Psychology, 41(3), 586-598. doi:10.1037/0022-3514.41.3.586
Bennett, G. G., Herring, S. J., Puleo, E., Stein, E. K., Emmons, K. M., & Gillman, M. W. (2009). Web-based weight loss in primary care: A randomized controlled trial. Obesity, 18(2), 308-313. doi:10.1038/oby.2009.242
Chiu, M., Chang, S., Chang, Y., Chu, H., Chen, C. C., Hsiao, F., & Ko, J. (2009). Playful bottle. Proceedings of the 11th international conference on Ubiquitous computing. doi:10.1145/1620545.1620574]
Chou, L., & Chen, M. (2017). Influencing factors of the body mass index of elementary students in southern Taiwan. International Journal of Environmental Research and Public Health, 14(3), 220. doi:10.3390/ijerph14030220
Chu, N. (2005). Prevalence of obesity in Taiwan. Obesity Reviews, 6(4), 271-274. doi:10.1111/j.1467-789x.2005.00175.x
Centers for Disease Control and Prevention. (2018). Defining childhood obesity: BMI for children and teens.
Deci, E. L., & Ryan, R. M. (2012). Self-determination theoryIn PAM Van Lange, AW Kruglanski, & ET Higgins (Eds.), Handbook of theories of social psychology: Vol. 1.
Edell, B. H., Edington, S., Herd, B., O'Brien, R. M., & Witkin, G. (1987). Self-efficacy and self-motivation as predictors of weight loss. Addictive Behaviors, 12(1), 63-66.
Fruh, S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long‐term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3-S14.
Gerber, B. S., Stolley, M. R., Thompson, A. L., Sharp, L. K., & Fitzgibbon, M. L. (2009). Mobile phone text messaging to promote healthy behaviors and weight loss maintenance: a feasibility study. Health informatics journal, 15(1), 17-25.
Giesbers, B., Rienties, B., Tempelaar, D., & Gijselaers, W. (2013). Investigating the relations between motivation, tool use, participation, and performance in an e-learning course using web-videoconferencing. Computers in Human Behavior, 29(1), 285-292.
Harvey-Berino, J., Pope, L., Gold, B. C., Leonard, H., & Belliveau, C. (2012). Undergrad and overweight: an online behavioral weight management program for college students. Journal of nutrition education and behavior, 44(6), 604-608.
Jeffery, R. W., Epstein, L. H., Wilson, G. T., Drewnowski, A., Stunkard, A. J., & Wing, R. R. (2000). Long-term maintenance of weight loss: Current status. Health psychology, 19(1S), 5.
Lee, E. Y., & Yoon, K. H. (2018). Epidemic obesity in children and adolescents: Risk factors and prevention. Frontiers of medicine, 12(6), 658-666.
Liu, S., & Willoughby, J. F. (2018). Do fitness apps need text reminders? An experiment testing goal-setting text message reminders to promote self-monitoring. Journal of health communication, 23(4), 379-386.
McWhorter, J. W., Wallmann, H. W., & Alpert, P. T. (2003). The obese child: Motivation as a tool for exercise. Journal of Pediatric Health Care, 17(1), 11-17.
Meng, J. (2016). Your health buddies matter: preferential selection and social influence on weight management in an online health social network. Health communication, 31(12), 1460-1471.
Napolitano, M. A., Hayes, S., Bennett, G. G., Ives, A. K., & Foster, G. D. (2013). Using Facebook and text messaging to deliver a weight loss program to college students. Obesity, 21(1), 25-31.
Nguyen, Q., Huptych, M., & Rienties, B. (2018, March). Linking students' timing of engagement to learning design and academic performance. In Proceedings of the 8th international conference on learning analytics and knowledge (pp. 141-150).
World Health Organization. (2000). The Asia-Pacific perspective: Redefining obesity and its treatment.
World Health Organization. (2016). Report of the commission on ending childhood obesity. World Health Organization.
Reina, A. M., Monsma, E. V., Dumas, M. D., & Gay, J. L. (2019). Body image and weight management among Hispanic American adolescents: differences by sport type. Journal of adolescence, 74, 229-239.
Haug, E., Rasmussen, M., Samdal, O., Iannotti, R., Kelly, C., Borraccino, A., & Ercan, O. (2009). Overweight in school-aged children and its relationship with demographic and lifestyle factors: results from the WHO-Collaborative Health Behaviour in School-aged Children (HBSC) study. International journal of public health, 54(2), 167-179.
Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Publications.
Schunk, D. H. (1995). Self-efficacy, motivation, and performance. Journal of applied sport psychology, 7(2), 112-137.
Silva, M. N., Markland, D., Carraca, E. V., Vieira, P. N., Coutinho, S. R., Minderico, C. S., ... & Teixeira, P. J. (2011). Exercise autonomous motivation predicts 3-yr weight loss in women. Medicine & Science in Sports & Exercise, 43(4), 728-737.
Solbrig, L., Jones, R., Kavanagh, D., May, J., Parkin, T., & Andrade, J. (2017). People trying to lose weight dislike calorie counting apps and want motivational support to help them achieve their goals. Internet interventions, 7, 23-31.
Tate, D. F., Wing, R. R., & Winett, R. A. (2001). Using Internet technology to deliver a behavioral weight loss program. Jama, 285(9), 1172-1177.
Webber, K. H., Tate, D. F., Ward, D. S., & Bowling, J. M. (2010). Motivation and its relationship to adherence to self-monitoring and weight loss in a 16-week Internet behavioral weight loss intervention. Journal of nutrition education and behavior, 42(3), 161-167.
West, D. S., Gorin, A. A., Subak, L. L., Foster, G., Bragg, C., Hecht, J., ... & Wing, R. R. (2011). A motivation-focused weight loss maintenance program is an effective alternative to a skill-based approach. International journal of obesity, 35(2), 259-269.
Williams, G. C., Grow, V. M., Freedman, Z. R., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of personality and social psychology, 70(1), 115.
王俞揮（2010）。遊戲式學習中虛擬貨幣對小學生學習成效之研究（未出版之碩士論文）。樹德科技大學，高雄市。
王姿云（2016）。身體意象與體重控制行為意圖之相關研究─以高雄市鹽埕國中為實證分析（未出版之碩士論文）。樹德科技大學，高雄市。
呂昀霖、李丞勛、陳靜誼、張家銘、許哲銘（2016）。以健康概念與科技接受模式探討大學生健康管理APP 使用行為。華醫學報，44，38-54。
吳青容、張育玲、郭雅玲（2014）。精神科日間病房病人肥胖之改善方案。醫院雙月刊，47，19-29。
李炯三、李紹綸、林裕誠、梁組嘉（2016）。體積粗估重量熱量之生活型態記錄。「臺灣網際網路研討會」發表之論文，高雄國際會議中心。
李建志（2006）。建構與評估支援減重行為療法之網際網路平台（未出版之碩士論文）。臺北醫學大學，台北市。
李雁君（2009）。台灣西部地區國小學童體型與身體意象對視覺形象比例審美喜好之影響（未出版之碩士論文）。臺灣師範大學，台北市。
李靜芳（2014）。青少年身體意象、健康體位與減重行為之相關探討：以金門地區為例（未出版之碩士論文）。國立臺北教育大學，台北市。
兒童福利聯盟（2018）。2018年兒童福祉調查報告。民109年6月28日。取自：https://www.children.org.tw/research/detail/67/1440
林光中（2005）。遠距醫療及遠距教學的應用—線上學習之減重計劃（未出版之碩士論文）。臺北醫學大學，台北市。
林岑怡（2004）。有氧舞蹈參與者身體自我概念, 參與動機及健身運動承諾對運動參與行為之影響（未出版之碩士論文）。國立體育大學，桃園市。
林秋慧（2004）。肥胖兒童的減重動機與體型意識-學校減重班經驗（未出版之碩士論文）。臺灣師範大學，台北市。
林錦生、陳聲卒、余振興、程文琪、洪淵庭（2010）。減重班計畫執行的成效初探-以軍中營區比較爲例。中華職業醫學雜誌，17，59-66。
林翰宏、陳彥仰、吳春輝、洪一平、孫維仁 (2018)。促進成人運動生活型態：線上社群平台與紙本日記之比較。台灣醫學，6，586-592。
柯青榆（2018）。新北市某行政區國小六年級學童身體意象與體重控制行為之研究（未出版之碩士論文）。臺灣師範大學，台北市。
范舒婷（2013）。台北市中正區國小五年級學童體重控制行為之相關因素研究（未出版之碩士論文）。臺灣師範大學，台北市。
洪聖惠（2006）。減重數位學習系統對肥胖國中生減重成效之探討（未出版之碩士論文）。國立臺灣大學，台北市。
祝年豐（2004）。台灣國小學童營養健康狀況調查 2001-2002 台灣國小學童肥胖及其相關合併流行病學。民109年3月20日。取自：https://consumer.fda.gov.tw/Pages/List. aspx?nodeID=289
教育部體育署（2016）。學生體適能精進計畫。民109年4月3日。取自：https://www.sa.gov.tw/PageContent?n=1197
陳奎伯、顏思瑜（2008）。教育心理學—為行動而反思。台北市：雙葉書局。
陳環辰、曾治乾、黃禎貞、葉國樑（2012）。嘉義市某國中女生體重控制行為意圖之研究。健康促進暨衛生教育雜誌，34，1-15。
彭文貞（2006）。苗栗市國小中高年級學童體型意識相關因素研究及其對節制飲食行為之影響（未出版之碩士論文）。中山醫學大學，高雄市。
童鈺雯（2016）。臺北市國小高年級學童飲食行為及其相關因素之研究（未出版之碩士論文）。臺灣師範大學，台北市。
詹欣隆（2012）。運用資訊科技於健康管理之成效探討-以某健檢中心體重管理門診為例（未出版之碩士論文）。國立臺灣大學，台北市。
詹智超（2017）。行動應用程式的持續使用行為之研究（未出版之碩士論文）。國立中央大學，桃園市。
廖倩誼（2011）。臺北市國小高年級學童體重控制行為相關因素之研究（未出版之碩士論文）。臺灣師範大學，台北市。
劉詩瑜、董芳武（2019）。遊戲化閱讀平台激勵青少年閱讀行為、動機與滿意度之研究。工業設計，139，43-48。
衛生福利部國民健康署（2016）。兒童與青少年生長身體質量指數(BMI)建議值。民109年3月20日。取自： https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=166&pid=9547
衛生福利部國民健康署（2018）。融入健康體位教學。民109年3月20日。取自： https://www.hpa.gov.tw/File/Attach/9937/File_9362.pdf
盧幸茹（2013）。嘉義縣國小學童健康體位影響因素之探討（未出版之碩士論文文）。長庚科技大學，桃園市。
賴毓伶（2016）。以 Q 方法探討學校營養師對國小過重或肥胖學生之減重信念（未出版之碩士論文）。臺灣師範大學，台北市。
魏嘉慶、周倩（2006）。中學生健康減重網路學習素材發展與評估。台灣家庭醫學雜誌，16，123-133。