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研究生: 陳冠吟
Chen, Guan-Yin
論文名稱: 初探社區連結者特徵-量表編制與心理計量特性檢驗
The Characteristics of Community Connectors-A Preliminary Examination of Psychometric Properties of the Community Connector Characteristics Scale (CCCS)
指導教授: 楊啟正
Yang, Chi-Cheng
口試委員: 徐晏萱
吳逸帆
學位類別: 碩士
Master
系所名稱: 理學院 - 心理學系
Department of Psychology
論文出版年: 2026
畢業學年度: 114
語文別: 中文
論文頁數: 72
中文關鍵詞: 健康狀態不平等社區健康照護社區連結者量表編制
外文關鍵詞: Health inequalities, Community health care, Community connector, Scale development
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  • 背景:過去研究指出個人可能因其本身、所屬群體或健康照護提供體系的多重因素限制獲得健康照護的機會,進而造成健康狀態不平等。納入社區成員參與健康照護服務已被視為一項有助於解決獲得健康照護機會不平等的策略;而社區成員扮演社區連結者的角色,可擔任連結健康照護服務與目標服務對象的橋樑,同時在社區成員間創造社會支持網絡,促進資源流動以回應社區的需求。然而過去研究在辨識與招募社區連結者經常遭遇時間與人力成本過高以及招募標準不明確的困境。有鑑於此,本研究參考過去文獻對參與健康照護服務社區成員之描述編製「社區連結者特徵量表(Community Connector Characteristics Scale, CCCS)」,並檢驗其心理計量特性。

    方法:本研究參與者分為社區連結者組與一般住民組,社區連結者組由研究者透過里辦公室人員進行招募,共招收 14 名參與者;一般住民組則分別於地方網路社團發布線上問卷以及在社區公共區域發放紙本問卷,共招募 80 名參與者。作答資料回收後進行項目分析、信度分析、效度檢驗(包含內容效度、建構效度、因素分析及效標關聯效度),並進一步藉由共變數分析瞭解社區連結者組與一般住民組之量表分數差異。

    結果:CCCS具良好的心理計量特性。全量表內部一致性達 .94,三個因素「社區認同」、「社區關係」與「利他共好」亦具備高度之內部同質性(α = .88 ~ .92)。探索性因素分析支持量表結構,累積解釋變異量達 62%,具良好的建構效度。CCCS各個因素與外部效標,社區意識問項和五大人格量表的不同分量表分別具有中度的關聯性,顯示CCCS具良好的效標關聯效度。受試者之組間比較顯示社區連結者在量表總分、社區認同和社區關係因素之得分顯著高於一般住民組,支持量表具區辨社區連結者之潛力。

    結論:本研究初步建構並驗證CCCS,結果顯示量表具備良好的信效度,能有效反映社區連結者特徵。整體而言,CCCS有潛力於社區中辨識社區連結者,有助於健康專業人員深化與社區之合作,未來可建立跨年齡與區域之量表常模和切截分數,以強化在實務工作中之應用性和理論價值。


    Background: Previous studies have indicated that individuals’ access to healthcare may be constrained by multiple factors at the individual, group, and healthcare system levels, resulting in health inequalities. Engaging community members in healthcare services has been recognized as a strategy for addressing unequal access to healthcare. Community members can serve as community connectors, acting as bridges between healthcare services and target populations, while fostering social support networks and facilitating the flow of resources within communities to address local needs. However, previous studies have frequently encountered challenges in identifying and recruiting community connectors due to high time and labor costs as well as unclear recruitment criteria. Therefore, the present study developed the Community Connector Characteristics Scale (CCCS) based on descriptions of community members involved in healthcare services reported in previous literature and examined its psychometric properties.

    Methods: Participants were divided into a community connector group and a general resident group. The community connector group consisted of 14 participants who were recruited by the researcher through village office staff. The general resident group consisted of 80 participants who were recruited through online questionnaires distributed via local community groups and paper-and-pencil questionnaires distributed in community public areas. After data collection, item analysis, reliability testing, and validity examinations (including content validity, construct validity, factor analysis, and criterion-related validity) were conducted. Analysis of covariance was further performed to examine differences in scale scores between the community connector group and the general resident group.

    Results: The CCCS demonstrated satisfactory psychometric properties. The overall scale showed excellent internal consistency (α = .94), and the three factors:Community Identity and Commitment, Community Relationships, and Altruism and Collective Well-being, also demonstrated high internal homogeneity (α = .88 ~ .92). Exploratory factor analysis supported the proposed factor structure, with a cumulative explained variance of 62%, indicating good construct validity. Moderate correlations were found between the CCCS factors and external criteria, including measures of sense of community and Big Five Inventory-15, supporting the criterion-related validity of the scale. Group comparisons revealed that community connectors scored significantly higher than general residents on the total CCCS score, as well as on the Community Identity and Commitment and Community Relationships factors, suggesting the scale's potential to distinguish community connectors from general community members.

    Conclusions: This study preliminarily developed and validated the CCCS. The findings indicate that the scale demonstrates satisfactory reliability and validity and is capable of effectively capturing characteristics of community connectors. Overall, the CCCS shows potential as a tool for identifying community connectors within communities, thereby facilitating deeper collaboration between health professionals and community members. Future research may establish normative data and cutoff scores across different age groups and geographic regions to further strengthen the scale’s practical applicability and theoretical value.

    第 一 章 緒論 1
    健康狀態不平等與社區參與 1
    社區成員參與健康服務之角色 3
    社區連結者之特徵 6
    研究目的 8
    第 二 章 方法 10
    參與者 10
    研究工具 11
    研究程序 13
    分析方法 14
    第 三 章 結果 15
    CCCS項目分析 15
    CCCS題項與總分相關與內部一致性分析 17
    CCCS探索性因素分析 19
    題目篩選與因素命名 26
    刪題後之題項與總分相關與內部一致性分析 34
    效標關聯效度分析 35
    社區連結者組與一般住民組基本資料變項之比較 38
    社區連結者組與一般住民組CCCS總分比較 41
    社區連結者與一般住民組在CCCS各因素之分數差異 42
    第 四 章 討論 46
    CCCS題目建置 47
    信度與效度評估之整體表現 49
    CCCS於不同組別參與者與基本資料變項之差異分析 53
    研究限制 58
    未來研究方向 59
    第 五 章 結論 61
    附錄一 基本資料表 62
    附錄二 社區連結者特徵量表(Community Connector Characteristics Scale, CCCS) 63
    附錄三 社區意識量表 65
    附錄四 中文版簡式五大人格量表(Big Five Inventory, BFI-15) 66
    參考文獻 68

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