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研究生： 艾弗曼
Koa, Apryadno Jose Al Freadman
論文名稱： 發展與預試一文化適應方案以促進印度尼西亞穆斯林女大學生身體活動
The Development and Preliminary Assessment of a Culturally Adapted Program to Promote Physical Activity for Muslim Female College Students in Indonesia
指導教授： 王琪珍
Wang, Chi-Jane
學位類別： 碩士
Master
系所名稱： 醫學院 - 護理學系
Department of Nursing
論文出版年： 2019
畢業學年度： 107
語文別： 英文
論文頁數： 112
外文關鍵詞： Physical activity intervention, Feasibility study, Muslim female, Cultural adaptation, Heuristics framework, cross-culture research.
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    • Background: Muslim female college students had higher prevalence of inactive physical activity than male had. Due to a lack of appropriate gym class for female students and Islamic dress code, they had barriers to participate in physical exercise of societies encounters. Physical exercise might be further compromised by competing demands on time due to academics to college female students. Therefore, how to develop a feasible physical activity promotion program for university students and its strategy are issues to worthy study
    Purpose: The purpose of this study was to explore, identify barriers, analysis types of physical activity, in older to develop a culturally appropriate physical activity program and verify the feasibility of the physical activity promoting program for Muslim female collage students.
    Methods: An action research was applied in this pilot study. Focus group and expert committee panel were used to collect data and to determine or to reveal the data analysis and the program design. A four-stage cultural adaptation framework was applied to determine the barriers to physical activity and to develop an evidence-based physical activity (PA) program for Muslim female college students in STIKES Panakkukang Makassar of Indonesia.
    Results: Through four-step by Heuristics framework, the findings revealed that barriers are common barrier and social-cultural barrier. Common barrier (e.g., lake of motivation, doing a PA by mood-oriented, lack of knowledge, prioritizing personal obligation for stud, lack of family support, lack of peer accompany, study scheduled too full, curriculum without pa course, students clubs without PA options, lack of facilities for PA, space insufficiency for PA, and weather influence), Social-culture (e.g., instructor limited for intimate contact, segregation with men when did a PA, influence by Ramadan fasting, concern people’s gossip for different dressing when did a PA, religion dressing limited the PA option and to avoid exposing the body parts limited for PA). The second findings related to type of PA most of the favour to dancing, running, play badminton and walking. In order traditional dance were develop to promoting PA among Muslim female college students and the feasibility of the program are affective to promote their PA among the population.
    Conclusion: The pilot study was through Heuristics framework to develop a feasible strategy creating an Indonesia traditional dance club to promote Muslim female college students in engaging in physical activity. The key aspects when designing culture and gender-specific dance interventions and active engagement in planning and implementation of the program, a supportive environment, same gender and culturally attuned dance instructor, easy access, and minimal to no cost.

    ACKNOWLEDGEMENT i ABSTRACT ii TABLE OF CONTENTS iv LIST OF TABLES vii LIST OF FIGURES viii CHAPTER ONE INTRODUCTION 1 1.1. Background 1 1.2. Purpose 3 CHAPTER TWO LITERATURE REVIEW 4 2.1. Physical Activity 4 2.1.1. Definition of Physical Activity 4 2.1.2. Patterns of Physical Activity 4 2.1.3. Prevalence of Physical Activity 5 2.1.4. The Physical Activity of University Students 6 2.2. Barriers of Participating Physical Activity for Muslim Female 7 2.3. Heuristic Framework for Social Cultural Adaptation and PA Intervention 11 2.4. Culturally Adapted Approaches of Physical Activity Intervention 17 2.5. Promoting Physical Activity for Collage Students: Strategies and Theories 23 CHAPTER THREE RESEARCH DESIGN AND METHODOLOGY 30 3.1 Study Design 30 3.1.1. The Theoretical Framework in This Study 30 3.1.2. Study Participants 30 3.1.3. The Stage of Conducting the Culturally related PA Program 31 3.2 Ethical Consideration 34 3.3 Data Collection Procedure 34 3.4 Data Analysis 35 CHAPTER FOUR RESULTHS 37 4.1. The Stage of Conducting the Culturally Related PA Program 37 4.1.1. Stage 1 Information Gathering 37 4.1.2. Stage 2 Preliminary Adaptation Design 53 4.1.3. Stage 3 Preliminary Adaptation Test 57 4.1.4. Stage 4 Adaptation Refinement 61 CHAPTER FIVE DISCUSSION 65 5.1. Barriers of Physical Activity for Muslim Collage Students 65 5.2. Developing Physical Activity Program Through Cultural Adaptation for Muslim Female Collage Students 70 5.3. Study Limitation 72 CHAPTER SIX CONCLUSION 73 6.1. Conclusion 73 6.2. Recommendation 74 REFERENCES 76 APPENDICES 80 Appendix I: Informed Consent Letter in Bahasa Indonesia 80 Appendix II: Informed Consent Letter in English Version 82 Appendix III: Demographic Data in Bahasa Indonesia 84 Appendix IV: Focus Group Discussion Guidance 86 Appendix V: Participants Information English Version 91 Appendix VI: Kusioner Aktivitas Fisik 98 Appendix VII: Setting Room Focus Group Discussion 100 Appendix VIII: Questionnaire for Stratification 101 Appendix IX: Participants Information 103 Appendix X: Delphi Survey Questionnaire 105 Appendix XI: Documentation 107 Appendix XII: Letter of Ethical Clearance 108 Appendix 4.1.2 Literature Review for Barriers Physical Activity 110

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