1.童恒新特聘教授

• 論文題目：A Web-based resilience-enhancing program to improve resilience, physical activity, and well-being in geriatric population: Randomized controlled trial
• 期刊：Journal of Medical Internet Research
• 作者：通訊作者－童恒新
• 論文摘要：

Background: Resilience is a protective factor in healthy aging, helping to maintain and recover physical and mental functions. The Resilience in Illness Model has proven effective in fostering resilience and well-being. Physical activity is crucial for older adults' independence and well-being, even as aging causes a progressive decline. Additionally, older adults face challenges such as spousal loss and physical disability, making preventive intervention strategies necessary.
Objective: This study aims to develop and evaluate a web-based program to enhance resilience, physical activity, and well-being among community-dwelling older adults. Additionally, we aim to gather feedback on the program's strengths and limitations.
Methods: A 4-week resilience-enhancing program was created, incorporating role-play and talk-in-interaction and focusing on 3 key skills: coping, control belief, and manageability. The program included scenarios such as becoming widowed and suffering a stroke, designed to engage older adults. A pilot test preceded the intervention. As a result of the COVID-19 pandemic, the program shifted from in-person to web-based sessions. A single-blind, parallel-group, randomized controlled trial was conducted. Participants aged over 65 years were recruited offline and randomly assigned to either an intervention or control group. A certified resilience practitioner delivered the program. Outcomes in resilience, physical activity, and well-being were self-assessed at baseline (T0), 4 weeks (T1), and 12 weeks (T2) after the program. A mixed methods approach was used to evaluate feedback.
Results: A web-based participatory program enhancing 3 skills-coping, control belief, and manageability for resilience-was well developed. Among 96 participants, 63 were randomized into the intervention group (n=31) and the control group (n=32). The mean age in the intervention group was 69.27 (SD 3.08) years and 74.84 (SD 6.23) years in the control group. Significant between-group differences at baseline were found in age (t45.6=-4.53, P<.001) and physical activity at baseline (t61=2.92, P=.005). No statistically significant between-group differences over time were observed in resilience (SE 7.49, 95% CI -10.74 to 18.61, P=.60), physical activity (SE 15.18, 95% CI -24.74 to 34.74, P=.74), and well-being (SE 3.74, 95% CI -2.68 to 11.98, P=.21) after controlling for baseline differences. The dropout rate was lower in the intervention group (2/31, 6%) compared with the control group (5/32, 16%). Moreover, 77% (24/31) of participants in the intervention group completed the entire program. Program feedback from the participants indicated high satisfaction with the web-based format and mentorship support.
Conclusions: This study demonstrated that a web-based resilience-enhancing program is appropriate, acceptable, feasible, and engaging for community-dwelling older adults. The program garnered enthusiasm for its potential to optimize resilience, physical activity, and well-being, with mentorship playing a crucial role in its success. Future studies should aim to refine program content, engagement, and delivery methods to effectively promote healthy aging in this population.

2.陳紀雯教授

• 論文題目：Examining the emotional healing process through bibliotherapy in adolescents with cancer: A qualitative descriptive study
• 期刊：European Journal of Oncology Nursing
• 作者：共同通訊作者－陳紀雯
• 論文摘要：

本研究旨在探討互動式書目療法對罹患癌症青少年情緒療癒過程的影響，基於情緒療癒的三階段過程——認同、淨化與領悟。研究對象為14名10至19歲在過去兩年內被診斷或復發為白血病或骨肉瘤的青少年。參與者接受了兩次以《The Rabbit Listened》和《You Are Special》為素材的互動式書目療法，並透過半結構式訪談收集資料進行內容分析。結果顯示，《The Rabbit Listened》包含六個主題，《You Are Special》則有八個主題。青少年主要經歷了認同階段，與故事中的角色產生共鳴，並回憶自身經歷；隨後，他們經歷了淨化歷程，釋放負面情緒並促進正向情感，並獲得關於陪伴、傾聽與他人批判的領悟。本研究驗證三階段情緒療癒過程在跨領域書目療法中的適用性，並顯示癌症青少年的情緒變化、關注重點與應對策略，為健康照護提供了一個能夠改善與患者溝通和照護的參考架構。