高校生を対象とした統合失調症の疾患教育プログラムの適用性と有用性の検証 その1—ヘルスプロモーション活動の直接的成果から

A study on the applicability and the effectiveness of an education program on schizophrenia for high school students : Health literacy in mental health

要旨：ヘルスプロモーション活動の実践として統合失調症の予防と心の健康についての教育を高校1年生に行い，受講前後と卒業時の知識の習得状況から適用性と有用性について検討した．受講生423名の講義内容についての講義前後の比較，受講生844名の受講前と卒業時の知識の比較を行った．その結果，正答率は受講前よりも受講後，卒業時の方が有意に高く(p＜0.05)，知識習得の成果と高校生への適用が認められた．また，卒業時の受講生410名の意識調査の結果からは知識習得の重要性，発症リスクの平等性，早期受診等の認識が培われ，啓発活動，疾患予防に貢献できる可能性が示唆された．

　As a health promotion activity, an education program on schizophrenia was provided to first-year high school students, and its applicability and effectiveness was studied by examinations and questionnaires using the following steps: 1) Comparison between before the lecture and after the lecture of the knowledge of the 423 attendees (1st-year high school students) concerning the contents of the lecture; 2) Comparison between before the lecture and at the time of graduation from high school of the knowledge of the 844 attendees; 3) Analysis of the 410 attendees' perception at the time of graduation.

　As a result of these comparisons and analyses, we found that the rates of correct answers to our questions were significantly higher (p＜0.05) after the lecture and at the time of graduation. And those who attended the lecture indicated that this education program was applicable and effective in helping high school students obtain knowledge. It was also found in the analysis of the 410 attendees' perception at the time of graduation that the attendees developed an understanding about the importance of obtaining knowledge, the probability that anyone can develop schizophrenia, and the significance of early check-ups and detection.

　These findings illustrate a possibility that this education program is effective in providing students with knowledge, enhancing their awareness, and orienting them towards the prevention of the disease.