不同人口密度地區國中生全民健保教育成效之研究：以桌遊教學為介入策略

A Comparative Study on the Effectiveness of Board Game–Based Teaching in National Health Insurance Education Among Junior High School Students in Regions with Different Population Densities

本研究旨在探討透過桌遊教學融入「全民健保教育」對於不同人口密度地區國中生的學習成效。研究對象為全台13縣市31所國中，共2,433名國中生，採單組前後測實驗設計。研究工具為「歡樂大富翁桌遊」教學模組，並搭配自編學習問卷，涵蓋全民健保知識、態度與自我效能三大構面。問卷於教學介入前後施測，以配對t檢定及廣義估計方程式（GEE）分析進行統計。研究顯示，桌遊教學能顯著提升學生在知識、態度與自我效能三個面向的分數。不同人口密度地區間比較結果顯示，低人口密度地區學生在知識面向進步幅度最大；中人口密度地區學生在態度與自我效能面向進步最為顯著；高人口密度地區學生亦有進步，但幅度相對較小。桌遊教學具高度教育應用價值，能兼顧趣味與知識傳遞，並有效提升國中生對全民健保制度之理解與珍惜態度，此策略可縮減因人口密度差異所造成的教育落差。

This study aimed to investigate the effectiveness of incorporating board game–based teaching into National Health Insurance (NHI) edu¬cation among junior high school students in regions with varying popula¬tion densities, and to compare differences across regions. A total of 2,433 students from 31 junior high schools across 13 counties and cities in Tai¬wan participated in this study, which adopted a one-group pretest–post¬test design. The instructional tool was the board game module Happy Monopoly, accompanied by a self-developed learning questionnaire cov¬ering three dimensions: NHI knowledge, attitudes, and Self Efficacy. The questionnaire was administered before and after the intervention, and data were analyzed using paired t-test and Generalized Estimating Equa¬tions (GEE). The results showed that board game teaching significantly improved students’scores in all three dimensions. Further analysis re¬vealed that students in low-density areas achieved the greatest improve¬ment in knowledge, while students in medium-density areas demonstrat¬ed the most significant progress in attitudes and Self Efficacy. Although students in high-density areas also showed improvement, the extent was comparatively smaller. Overall, board game teaching demonstrated strong educational value, effectively combining entertainment with knowledge transmission, and enhancing students’understanding and appreciation of the NHI system. This strategy may help reduce educational disparities arising from differences in population density.