本研究目的在介紹與糖類攝取風險相關的模型，這有益於改善我們的飲食習慣。研究報告指出，隨著西方飲食習慣的影響，最近台灣地區的民眾糖攝取量不斷增加，並且對於體能活動和健康自制力方面也逐漸下滑，進而使肥胖和慢性病的趨勢逐漸增加。這些強調了個人對於糖攝取控制的重要性。本研究運用健康信念模型Health Belief Model（HBM）設計一個健康促進課程於Facebook的社團中，除了評估其效用外，更是探究健康信念模型中的感知易感性，感知嚴重性，感知收益，感知障礙和其他因素如健康知識，社會支持，自我效能和態度等對健康行為之影響。本研究透過結構式的問卷調查，收集各變項的資料，以作後續量化的分析。課程時間為期三周，參加者為100人。該減糖課程包括六個調查問卷，八個動畫和十一個多媒體資源的教學活動。研究結果顯示，用戶在完成網路減糖課程後，其自我效能，健康知識，態度及健康行為皆有顯著的提升，代表此健康促進計劃的成效。此外感知障礙對自我效能，態度，整體健康行為和糖食攝入行為有直接影響。而個人感知的情緒支持對自我效能也有直接影響，且自我效能和態度對整體健康行為亦有相關，進而影響個人健康飲食的行為。此外研究結果也顯示，自我效能會直接改變對糖攝取及食物選擇的行為。此研究結果將有助於人們了解，如何透過社群網絡有效傳播健康營養教育以減少對糖類攝取，並且提出如何成功地為公眾設計健康多媒體營養教育課程相關建議。

With the impact of western dietary habits, research shows increasing sugar consumption along with decreasing physical activity and health control in Taiwan recently. As a result, it increases the trend of obesity and chronic diseases, which emphasizes the importance to control an individual’s sugar intake. This study is based on the Health Belief Model (HBM) and tried to add other key factors such as health knowledge, social support, self-efficacy, and attitude to investigate people’s sugar reduction behavior and its relationships with those important variables within a Facebook health educational intervention group. This study consists two main aims 1) to investigate whether the specially designed health intervention is effective on the Facebook group 2) to find out what are the most important determinants of people’s healthy behavior. Data were collected using questionnaires including demographic information and the variables mentioned above on the social network group (Facebook) to 100 participants. The three-week health intervention program consists of six questionnaires, eight animations, and eleven teaching activities using web multimedia resources. According to the study results, the main outcome variables (health knowledge, self-efficacy, attitude, and overall healthy behavior) have been increased after the intervention. Thus the specially designed nutrition education program on Facebook group is effective. The results also showed that perceived barriers, emotional support, self-efficacy, and attitude are significant determinants on overall healthy behavior. Thus, the mentioned variables should be focused more, which makes a more effective contribution when designing a new curriculum in the future. Moreover, the proposed Extended Health Belief Model could provide a better prediction in people’s behavior of less sugary food consumption (healthy behaviors). Therefore, the study results will be beneficial to people regarding how social networking nutrition education program and its variables can be used in teaching and learning to reduce sugar consumption, and how to design a health and multimedia nutrition education program for the learners and public efficiently. Finally, suggestions are made based on the results for administrators and future researchers.

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