Loading...
|
Please use this identifier to cite or link to this item:
https://nccur.lib.nccu.edu.tw/handle/140.119/131307
|
| Title: | 透過遊戲化觀點設計行動應用服務提升家庭照顧者之自我照顧動機
Increasing Motivation for Self-Care of Family Caregivers with Mobile Services: A Gamification Perspective |
| Authors: | 李昀臻
Lee, Yun-Zhen |
| Contributors: | 廖峻鋒
陳宜秀
Liao, Chun-Feng
Chen, Yi-hsiu
李昀臻
Lee, Yun-Zhen |
| Keywords: | 遊戲化設計
家庭照顧者
自我照顧
行動應用服務
gamification
family caregiver
self-care
mobile services |
| Date: | 2020 |
| Issue Date: | 2020-08-03 18:34:19 (UTC+8) |
| Abstract: | 臺灣社會深受華人傳統家庭倫理觀念影響，使家庭照顧者自願或被迫無償地擔負照顧家中失能長輩的工作，長期缺乏自我照顧，致使其身心俱疲。本研究欲探討：如何利用遊戲化設計引發並維持自我照顧行為動機，引導家庭照顧者提升對自身需求的關注，懂得適時抽離照顧職責、爭取自我照顧的空間，進而提升生活品質。
本研究為質性研究，採深度訪談法，以家庭照顧者與照顧者福利研究專家學者為研究對象。實作LINE聊天機器人Carelendar作原型工具，實現遊戲化設計概念，而後徵集四位家庭照顧者測試原型。最後整理分析使用者經驗，提出服務改善建議，供予未來規劃家庭照顧者支持性服務措施與遊戲化設計專案參考。
研究結果顯示：家庭照顧者確有時間不屬於自己、被家人綁住的困擾，然而在滿足自身需求與被照顧者需求取捨之間，往往選擇犧牲自己，導致自我照顧缺失；經由Carelendar提醒，除了讓家庭照顧者較頻繁地想到應多照顧自己，也使其感覺到自己備受關心，有助於紓解負面情緒。
本研究發現，遊戲化策略中最廣泛被使用的機制，如徽章、等級、點數等成就系統，並不適合用來提升家庭照顧者的自我照顧動機，因為照顧者的成就感更多是來自被照顧者的健康狀況有所改善。透過虛擬角色製造生動的互動，能製造期待，增加照顧者使用Carelendar的動機，而頻繁地接收到督促其自我照顧的訊息。增加有意義的選擇，或更自訂階段性目標，能增加使用Carelendar的樂趣，但迫於時間資源有限，不見得能真正付諸行動。
本研究認為使用遊戲化的行動應用服務介入家庭照顧問題情境，能夠作為心理支持性服務的一環，紓解家庭照顧者的負面情緒，透過互動深化其自我照顧意向，重新打造更好的照顧體驗。
Deeply Influenced by Chinese social tradition, it is common in Taiwan that family caregivers assist their aging family members confronted with declining functional abilities without payments, while their own psychological pressures and physical burdens that the caregivers experienced being ignored.
The purpose of this research is to design a mobile service, Carelendar, to increase motivation for self-care of the family caregivers from a gamification perspective. This research adopts in-depth interviews and targets family caregivers and experts to define the needs of the users and designed a prototype for field testing. A diary study is carried out to evaluate the user experience (UX) of the prototype.
The results indicate that Carelendar can remind the family caregivers to casually consider their own needs and do self-care activities during an extremely busy time. Although it’s defined from a gamification strategy, the most popular game mechanisms, that’s points, levels, and badges, aren’t good choices in this situation. On the other hand, meaningful gamification, such as story-telling, interaction, and choices make Carelendar a caring friend who keep the family caregivers company whenever and wherever, and that empowers them, finally leading to a better quality of life as they strike a balance between caregiving and living their own life.
This study suggests that gamification is an effective design strategy while not all game mechanisms works for increasing motivation and changing behavior if the designers have a profound understanding of the user and context. In this way, the designers can utilize the most suitable game mechanisms at the right time. |
| Reference: | Adelman, R. D., Tmanova, L. L., Delgado, D., Dion, S., & Lachs, M. S. (2014). Caregiver burden: A clinical review. JAMA, 311(10), 1052-1060. https://doi.org/10.1001/jama.2014.304
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37(2), 122–147. doi: https://doi.org/10.1037/0003-066X.37.2.122
Bernard, H. R. (2002). Research methods in anthropology: Qualitative and quantitative methods. AltaMira Press.
Boyce, C., & Neale, P. (2006). Conducting In-Depth Interviews: A Guide for Designing and Conducting In-Depth Interviews for Evaluation Input. In Monitoring and Evaluation 2 (p. 16). Pathfinder International.
Brodaty, H., & Donkin, M. (2009). Family caregivers of people with dementia. Clinical Research, 11(2), 12.
Carney, T. F. (1990). Collaborative Inquiry Methodology. Division for Instructional Development, University of Windsor.
Cheng, S.-T., Lam, L. C. W., Kwok, T., Ng, N. S. S., & Fung, A. W. T. (2013). Self-efficacy Is Associated With Less Burden and More Gains From Behavioral Problems of Alzheimer’s Disease in Hong Kong Chinese Caregivers. The Gerontologist, 53(1), 71-80. doi: https://doi.org/10.1093/geront/gns062
Colombo, F., Llena-Nozal, A., Mercier, J., & Tjadens, F. (2011). Help Wanted? doi: https://doi.org/10.1787/9789264097759-en
Cook-Cottone, C. P., & Guyker, W. M. (2018). Mindful Self-Care Scale [Data set]. American Psychological Association. doi: https://doi.org/10.1037/t66058-000
Csikszentmihalyi, M. (1990). Flow: The Psychology of Optimal Experience.
Dahlbäck, N., Jönsson, A., & Ahrenberg, L. (1993). Wizard of Oz studies—Why and how. Knowledge-Based Systems, 6(4), 258–266. doi: https://doi.org/10.1016/0950-7051(93)90017-N
Davidhizar, R. (1992). Understanding powerlessness in family member caregivers of the chronically ill. Geriatric Nursing, 13(2), 66–69. doi: https://doi.org/10.1016/S0197-4572(05)80110-7
Deci, E., & Ryan, R. (1991). A Motivational Approach to Self—Integration in Personality. Nebraska Symposium on Motivation, 38, 237–288.
Deterding, S., Dixon, D., Khaled, R., & Nacke, L. (2011). From game design elements to gamefulness: Defining “gamification.” 9-15. https://doi.org/10.1145/2181037.2181040
Deterding, S., Sicart, M., Nacke, L., O’Hara, K., & Dixon, D. (2011). Gamification. Using game-design elements in non-gaming contexts. Proceedings of the 2011 Annual Conference Extended Abstracts on Human Factors in Computing Systems - CHI EA ’11, 2425. doi: https://doi.org/10.1145/1979742.1979575
Duval, S., & Wicklund, R. A. (1972). A theory of objective self awareness. Academic Press.
Etters, L., Goodall, D., & Harrison, B. E. (2008). Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Academy of Nurse Practitioners, 20(8), 423–428. doi: https://doi.org/10.1111/j.1745-7599.2008.00342.x
Ewais, S., & Alluhaidan, A. (2015, August 12). Classification of Stress Management mHealth Apps Based on Octalysis Framework. Twenty-first Americas Conference on Information Systems, Puerto Rico.
Flaherty, K. (2016, June 5). Diary Studies: Understanding Long-Term User Behavior and Experiences. Nielsen Norman Group: UX Training, Consulting, & Research. https://www.nngroup.com/articles/diary-studies/
Fogg, B. (2009). A behavior model for persuasive design. 40. doi: https://doi.org/10.1145/1541948.1541999
Gallant, M. P., & Connell, C. M. (1997). Predictors of Decreased Self-Care among Spouse Caregivers of Older Adults with Dementing Illnesses. Journal of Aging and Health, 9(3), 373–395. doi: https://doi.org/10.1177/089826439700900306
Hamari, J., & Eranti, V. (2011). Framework for Designing and Evaluating Game Achievements. 115.
Hamari, J., & Koivisto, J. (2013). Social motivations to use gamification: An empirical study of gamifying exercise. Proceedings of the 21st European Conference on Information Systems. ECIS 2013, Utrecht, Netherlands.
Hamari, J., Koivisto, J., & Sarsa, H. (2014). Does Gamification Work? -- A Literature Review of Empirical Studies on Gamification. 2014 47th Hawaii International Conference on System Sciences, 3025–3034. doi: https://doi.org/10.1109/HICSS.2014.377
Hammersley, M., & Atkinson, P. (1995). Ethnography: Principles in practice. Psychology Press; /z-wcorg/.
Killeen, M. (1989). Health promotion practices of family caregivers. Health Values, 13(4), 3–10.
Knowles, M. S. (1980). The modern practice of adult education: From pedagogy to andragogy. Association Press.
Koster, R. (2013). Theory of Fun for Game Design (2nd ed.). O’Reilly Media.
LaPiere, R. T. (1934). Attitudes vs. Actions. Social Forces, 13(2), 230–237. doi: https://doi.org/10.2307/2570339
Laubheimer, P. (2016, December 4). Wireflows: A UX Deliverable for Workflows and Apps. Nielsen Norman Group: UX Training, Consulting, & Research. https://www.nngroup.com/articles/wireflows/
Marczewski, A. (2013). Gamification: A Simple Introduction & a Bit More.
Maslow, A. H. (1943). A theory of Human Motivation. Psyhological Review. Psychological Review, 1, 943.
Moggridge, B. (2006). Designing Interactions. The MIT Press.
Nathan, P., Pellegrini, A. D., & Burghardt, G. M. (2012). Defining and Recognizing Play. Oxford University Press. https://www.oxfordhandbooks.com/view/10.1093/oxfordhb/9780195393002.001.0001/oxfordhb-9780195393002-e-002
Nicholson, S. (2012, January 1). A User-Centered Theoretical Framework for Meaningful Gamification. Games+Learning+Society 8.0, Madison.
Nicholson, S. (2015). A RECIPE for Meaningful Gamification. In T. Reiners & L. C. Wood (Eds.), Gamification in Education and Business (pp. 1–20). Springer International Publishing. doi: https://doi.org/10.1007/978-3-319-10208-5_1
Norman, D. A. (2007). Emotional design: Why we love (or hate) everyday things. Basic Books.
Orem, D. E., Taylor, S. G., & Renpenning, K. McLaughlin. (2001). Nursing: Concepts of practice. Mosby.
Rosas, R., Nussbaum, M., Cumsille, P., Marianov, V., Correa, M., Flores, P., Grau, V., Lagos, F., Lopez, X., Lopez, V., Rodriguez, P., & Salinas, M. (2003). Beyond Nintendo: Design and assessment of educational video games for first and second grade students. Computers and Education, 40(1), 71–94. doi: https://doi.org/10.1016/S0360-1315(02)00099-4
Rosenberg, M. J., & Hovland, C. I. (1960). Cognitive, affective, and behavioral components of attitudes. In Milton J. Rosenberg (Ed.), Attitude organization and change: An analysis of consistency among attitude components: Vol. Yale studies in attitude and communication (pp. 1–14). Yale University Press.
Ryan, R. M., & Deci, E. L. (2000). Intrinsic and Extrinsic Motivations: Classic Definitions and New Directions. Contemporary Educational Psychology, 25(1), 54–67. doi: https://doi.org/10.1006/ceps.1999.1020
Schacht, M., & Schacht, S. (2012). Start the Game: Increasing User Experience of Enterprise Systems Following a Gamification Mechanism (pp. 181–199). doi: https://doi.org/10.1007/978-3-642-31371-4_11
Schulz, R., & Beach, S. R. (1999). Caregiving as a risk factor for mortality: The Caregiver Health Effects Study. JAMA, 282(23), 2215–2219. doi: https://doi.org/10.1001/jama.282.23.2215
Stickdorn, Marc., & Schneider, Jakob. (2010). This is service design thinking: Basics—Tools—Cases. BIS Publishers.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory, 2nd ed. Sage Publications, Inc.
Wendel, S. (2013). Designing for Behavior Change: Applying Psychology and Behavioral Economics. O’Reilly Media.
Wiet, S. G. (2005). Future of caring for an aging population: Trends, technology, and caregiving. In Studies in Health Technology and Informatics (Vol. 118, pp. 220–230). Scopus.
World Health Organization. (2009). Self-care in the Context of Primary Health Care: Report of the Regional Consultation.
Yeh, K.-H., & Bedford, O. (2003). A test of the Dual Filial Piety model. Asian Journal of Social Psychology, 6(3), 215–228. doi: https://doi.org/10.1046/j.1467-839X.2003.00122.x
劉惠瑚、陳玉敏（2004）。自我照顧之概念分析。慈濟護理雜誌，3(1)，8-13。doi: https://doi.org/10.6974/TCNJb.200403.0008
呂寶靜、陳景寧（1997）。女性家屬照顧者的處境與福利建構。載於劉毓秀 （主編），女性國家照顧工作。台北市：女書文化事業有限公司。
王鼎鈞（譯）（2017）。遊戲化實戰全書（原作者：周郁凱）。台北市：時報出版。
張芬芬（2010）。質性資料分析的五步驟：在抽象階梯上爬升。初等教育學刊，35，87-120。
徐亞瑛（1996）。茁根理論之介紹－以“臺灣地區殘病老人家庭照護品質”研究為例。護理研究，4(3)，263–272。 doi: https://doi.org/10.7081/NR.199609.0263
王增勇（2011）。家庭照顧者做為一種改革長期照顧的社會運動。台灣社會研究季刊，85，397-414。 https://doi.org/10.29816/TARQSS.201112.0013
王庭萱（2018年6月6日）。日誌研究的執行經驗分享。取自 https://www.facebook.com/notes/userxper-%E6%82%A0%E8%AD%98%E6%95%B8%E4%BD%8D/%E6%97%A5%E8%AA%8C%E7%A0%94%E7%A9%B6%E7%9A%84%E5%9F%B7%E8%A1%8C%E7%B6%93%E9%A9%97%E5%88%86%E4%BA%AB-tips-for-conducting-diary-studies/1646992175399518/
萬文隆（2004）。深度訪談在質性研究中的應用。生活科技教育月刊，37，17-23。
胡幼慧（2009）。質性研究：理論、方法及本土女性研究實例。巨流圖書。
蕭瑞麟（2018）。不用數字的研究：質性研究的思辯脈絡。五南圖書。
衛生福利部. (2018). 中華民國106年老人狀況調查報告.
邱啟潤、許淑敏、吳淑如（2003）。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊，5(1)，12-25。doi: https://doi.org/10.6563/TJHS.2003.5(1).3
邱啟潤、許淑敏、吳瓊滿（2002）。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊，4(4)，273-290。doi: https://doi.org/10.6563/TJHS.2002.4(4).1
中華民國家庭照顧者關懷總會（2011）。長期照護保險給付制度—家庭照顧者一般性教育訓練課程計畫。（編號：99N6317），未出版。
陳向明（2002）。社會科學質的研究。五南圖書。
陳昺麟（2001）。社會科學質化研究之紮根理論實施程序及實例之介紹。勤益學報，19，327-342。
陳正芬（2013）。我國長期照顧體系欠缺的一角：照顧者支持服務。社區發展季刊，141，203-213。
黃志忠（2014）。居家服務使用對老人家庭照顧者照顧負荷之緩衝性影響研究。社會政策與社會工作學刊，18(1)，1-43。 doi: https://doi.org/10.6785/SPSW.201406_18(1).0001 |
| Description: | 碩士
國立政治大學
數位內容碩士學位學程
107462005 |
| Source URI: | http://thesis.lib.nccu.edu.tw/record/#G0107462005 |
| Data Type: | thesis |
| DOI: | 10.6814/NCCU202000928 |
| Appears in Collections: | [數位內容碩士學位學程] 學位論文
|
Files in This Item:
| File |
Description |
Size | Format | |
|---|
| 200501.pdf | | 12429Kb | Adobe PDF2 | 531 | View/Open |
|
All items in 政大典藏 are protected by copyright, with all rights reserved.
|
