This study attempted to investigate and describe the implementation and evaluation of meta-cognitive reading comprehension strategies taught in the context of the Success For All Reading Wings program. Five teachers of fourth and fifth grade classrooms, with limited experience in a Success For All Reading Wings program at a Northern California elementary school, were sampled on a Literacy Orientation Survey (LOS), a survey of their beliefs and practices in their teaching of reading, individually interviewed about reading instruction and practices, and observed instructing students in reading comprehension using two reading strategies: clarification and summarization. The findings of the study revealed that teaching style, beliefs and practices are determined through the Literacy Orientation Survey (LOS), as well as through teacher interviews and classroom observations. Direct instruction, modeling, cooperative learning, and reciprocal teaching were used. Students were observed using meta-cognitive reading strategies, particularly clarification and summarization. Also, students improved during the ten week study in the quality of their discussions of expository text, used more questions at a higher critical level of thinking, based on Bloom's taxonomy, and achieved higher comprehension test scores on reading selections as determined by district norm-referenced tests. Implications for teaching and research are presented.

本研究的目的在探討「交互教學法」對台灣國中生英文閱讀能力與後設認知之效益，並研究國中生對此教學的回應。參與本研究的學生為82名苗栗縣某公立高中的兩班九十五學年度九年級學生，實驗組施以12週交互教學法，控制組則為傳統老師講授方式，在教學活動前後，實驗組和控制組所有學生皆施以閱讀理解測驗（採自全民英檢初級閱讀測驗）及後設認知問卷，實驗組多加施以交互教學法回饋問卷。 本研究結果摘要如下： 1. 實驗組與控制組在閱讀理解測驗表現有顯著差異，亦即，交互教學法有效地增進學生閱讀理解表現。 2. 後設認知方面，實驗組在「閱讀信心」、「閱讀困難」和「閱讀能力強的人應具備的能力」三項後設認知能力表現顯著提高，在「有效閱讀策略」與「補救策略」二項之後設認知表現亦有明顯進步。 3. 交互教學法有助於增強學生對閱讀策略的觀念和用法，大部分受試者認為「摘要」與「預測」是最實用的閱讀策略。 4. 回饋問卷顯示，大部分實驗組學生對交互教學法持正面支持態度，並表示願意將所學之閱讀策略運用在未來的英語閱讀中。 根據上述結果，本研究建議國中英語教師可運用「交互教學法」增進學生英 語閱讀能力與後設認知能力，並提升學生學習英語的興趣。同時為了讓「交互教學法」發揮最大效用，教師應考慮學生在語言學習上之個別差異，以避免學生心理上的排斥與學習上的反效果。 / This study aimed to examine the effectiveness of reciprocal teaching in promoting EFL junior high school students’ reading comprehension and metacognitive awareness. In addition, students’ responses to reciprocal teaching were probed. Participants of this study included 82 ninth-graders from two intact classes in one public senior high school in Miaoli in the fall semester of 2006. The experimental group was engaged in reciprocal teaching and the control group was instructed in the traditional teacher-centered method. The reading comprehension test of GEPT at elementary level was used as the pretest and posttest to measure the participants’ reading ability before and after the instruction. Additionally, two questionnaires were adopted: one for investigating the effects of reciprocal teaching on students’ metacognitive awareness and the other for measuring the experimental group’s attitudes towards reciprocal teaching. After twelve weeks of experiment, the main results of this study can now be summarized as follows: 1. The participants’ reading comprehension ability improved significantly after the implementation of reciprocal teaching. 2. The participants’ metacognitive awareness was significantly higher especially in the categories of students’ reading confidence, students’ perceptions of reading difficulties, and students’ perceptions of a good reader. Students’ perceptions of repair strategies and effective strategies, though no significantly different , the participants did make progress in recognition of top-down and bottom-up strategies. 3. Reciprocal teaching helped the participants build up knowledge and use the instructed strategies. The strategies viewed by the participants as the most practical ones were “summarizing” and “predicting”. 4. According to the findings from the response questionnaire, the participants’ attitudes toward and responses to reciprocal teaching may be described as being supportive and positive. In addition, most of the participants expressed their willingness to employ the instructed strategies in their future English reading. The results suggest that reciprocal teaching can be a viable approach to help improve junior high school students’ reading comprehension ability and metacognitive awareness of English reading. Besides, students’ interest in learning can be stirred up. Yet, it should be noted that when conducting reciprocal teaching, teachers need to be taken into account students’ personal difference in language learning to avoid potential rejection.

This study examined the formative assessment practices of three teachers in English as a Second Language (ESL) classrooms using a sociocultural theoretical framework. The study was conducted in a postsecondary ESL setting at a large public university in the southeastern United States. Using an embedded mixed methods design, this study employed teacher interviews and classroom observations to address the overarching question: What individual and contextual factors are present in the formative assessment practices of participant ESL teachers? The study also explored the relationship between student metacognitive judgments of learning (JOL) and performance with the purpose of informing formative assessment practice. To this end, 51 students responded to pre and post surveys on their metacognitive beliefs and judgments of learning questionnaires prior to three unit tests. Summary reports of students’ JOL were provided to teachers for their review and use. Findings showed teachers in this ESL setting engaged in a variety of formative assessment techniques; successful implementation of their techniques were influenced by their instructional style and student attributes like attendance, class participation, and students’ academic or educational experiences. Findings also indicated the central role of assessments in this context that provided ample opportunity for formative assessment. Overall, findings point to the value of using a sociocultural theoretical lens to examine the nature of factors affecting teachers’ formative assessment practice. With regard to the use of metacognitive judgments of learning in formative assessment, findings showed a mixed relationship between student JOL and performance, and there was no change in students’ metacognitive beliefs about writing over the duration of the semester. Although teachers did not use the JOL information in their instruction, they attributed inaccuracies in judgments to students’ achievement level. These findings are limited by implementation issues and sample size. Further study is needed to understand the nature of postsecondary ESL students’ JOL in authentic assessment situations and their applicability in the formative assessment process.

In my final thesis I have dealt with the development of metacognitive strategies for primary school pupils in the Montessori environment. The aim of the first part of the thesis was to anchor the entire issue in the broader context of the current educational situation with respect to the requirements of The General educational program. In the second part of the thesis I described both - metacognitive strategies as well as key aspects of Montessori education. This characteristic I based on the analysis of the available literature. The final part of theory deals with the synthesis of both areas. This synthesis showes their harmonious connections and considerable complementarity. In this section I also revealed some problems that educators face in practice, and I tried to outline possible ways to address them - from my own experience of teaching practice. Empiric part of thesis uncovers the ways of introduction metacognitive strategies to education and presents few "examples of good practice.

La compréhension orale est une activité langagière complexe, redoutée par les élèves francophones, qui obtiennent de faibles résultats. Face à ces difficultés, les autorités éducatives encouragent les professeurs à utiliser les TICE (Technologies de l'Information et la Communication pour l'Enseignement), dont ils ne perçoivent pas toujours les plus-values. Partant de l'hypothèse que pour améliorer les compétences des élèves il faudrait entraîner ceux-ci en développant des stratégies d'apprentissage, en particulier métacognitives, cette étude a cherché comment intégrer le baladeur vidéo numérique pour entraîner à la compréhension orale. Elle fait état d'une expérimentation menée pendant quatre mois dans quatre classes de première en lycée général, chaque groupe travaillant selon un protocole différent, visant à tester l'effet de l'usage de baladeurs vidéo numériques et du développement explicite de stratégies de compréhension orale. On a cherché dans quelle mesure l'usage de l'outil numérique utilisé pouvait être porteur de motivation et constaté qu'il permettait aux élèves de s'investir davantage dans l'activité, mais sans que ceci améliore nécessairement l'apprentissage. Au travers des parcours créés sur les baladeurs, on a cherché à développer des stratégies cognitives et métacognitives, et observé que l'usage des élèves ne suivait pas toujours les usages prescrits, ainsi que des changements dans la classe en termes d'interactions. L'usage du baladeur et des stratégies développées a eu un impact sur les performances des élèves en termes de métacognition et perception, mais pas en termes de niveau de compréhension. Ces résultats amènent à s'interroger sur les manières de soutenir et entraîner les apprenants à la compréhension orale en anglais, et à aborder plus généralement la problématique des aides dans l'apprentissage des langues médiatisé par les technologies. / Listening is a complex language competence, dreadful to French students, whose results are low. In reaction to those difficulties, educational authorities encourage teachers to use digital tools whose advantages are not always clear for teachers. Assuming that students should be trained with learning strategies, particularly metacognitive strategies, this study tried to assess how digital video players could develop listening skills. It relates an experiment which took place in a French high school during a four-month period, with four groups working differently, in order to test the use of digital video players and of explicit listening strategies. The use of digital video players played a role in the motivation of students as it enabled them to be engaged in the activity, which did not necessarily mean they were learning more. Guided work on the video players aimed at developing cognitive and metacognitive strategies, and we observed the way students complied with the guidelines they had been given, as well as the changes introduced in the classroom in terms of interactions. The use of digital video players and strategies had an impact on the students' skills in terms of metacognition and perception, but not on the students' listening performance. Those results question the way listeners should be helped and trained when listening to English texts, and more broadly how to deal with the issue of technology-mediated language learning.

O presente trabalho é resultado de uma pesquisa-ação implementada no Ensino Fundamental em Palmas/TO. Baseada no paradigma interpretativista, esta investigação procura desempenhar um papel ativo no equacionamento do problema levantado, na execução, no acompanhamento e na avaliação das ações planejadas, como requer este modelo de pesquisa. O objetivo desta dissertação é analisar crítico-descritivamente a implementação do projeto de leitura ‘Hora da poesia’ em uma turma do 9° ano do EF no âmbito do Colégio Estadual Girassol de Tempo Integral Augusto dos Anjos. Como proposta de intervenção, o foco desse projeto era a formação de memórias, a promoção do ensino e aprendizagem pelo emprego das estratégias metacognitivas vocalização, visualização e conexão na leitura de poemas, de forma prazerosa e diferenciada, visando ademais à fruição do texto literário e a formação de leitores proficientes. Outrossim, a partir do desenvolvimento sistemático das atividades delineadas no projeto, visamos apresentar uma proposta didático-metodológica para a abordagem do texto poético na educação básica, visto que muitos professores de Língua Portuguesa e Leitura sentem dificuldade em realizar uma prática de leitura de poemas sob uma perspectiva mais prazerosa, diferenciada e envolvente. Elaboramos o projeto esperando contribuir com a prática docente, bem como refletir sobre a nossa atuação na esfera escolar, enquanto professor de Português e leitura. Esta pesquisa se justifica devido à constatação de que as práticas de leitura de poesia em sala de aula como também os índices de avaliação leitora não são satisfatórios, como mostram o PISA e o SAEB. Os principais dados da investigação foram gerados a partir de aplicação de questionário, filmagem de aula, e caderno de atividades dos alunos. Implementamos o projeto no segundo semestre de 2014, em 17h/a, junto a 31 colaboradores da turma 92.01. Como procedimentos didático-metodológicos no desenvolvimento das atividades nos valemos, dentre outros, de exposição dialogada, discussão grupal, seminário, performance leitora e produção de vídeos e de ilustração. Como fundamentação, discutimos os aspectos sociocognitivos da memória e da leitura, o letramento literário poético, os documentos oficiais norteadores da leitura de poema na sala de aula, buscando mostrar a atividade leitora de poesia como uma forma de criação de memórias, mobilizando, para tal, noções teóricas da semiótica (matrizes da linguagem e pensamento) e da ciência cognitiva (estratégias metacognitivas de leitura, aspectos sociais e neurocientíficos da leitura e da memória). Discutimos que o sistema nervoso central (especialmente as áreas occipto-temporal esquerdo, hipocampo, amígdala, regiões cerebrais responsáveis pela leitura e pela formação e armazenamento de memórias) se modifica através da aprendizagem, da leitura. Os resultados demonstram que trabalhar por estratégias, ler com uma finalidade em mente, favorece a aproximação do aluno com o texto literário, aumentando o gosto pelo texto poético, além de dinamizar a aula. Os resultados permitem-nos concluir que o ensino sistemático de estratégias metacognitivas de leitura pode desenvolver a compreensão das imagens poéticas e se constitui como uma alternativa metodológica para o ensino de leitura literária. / This work is the result of an action research implemented in the elementary school in Palmas/TO. Based on the interpretative paradigm, this research seeks to play an active role in solving the problem raised, implementation, monitoring and evaluation of planned actions, as required by this research model. The objective of this dissertation is to analyze critical-descriptively the implementation of the reading project 'Poetry Hour' in a class of 9th grade of EF in the scope of Colégio Girassol de Tempo Integral Augusto dos Anjos. As an intervention measure, the focus of this project was formation memories, the promotion of teaching and learning by the use of metacognitive strategies vocalization, display and connection in reading poems, in a pleasant and different way, aiming besides to the fruition of the literary text and formation proficient readers. Moreover, from the systematic development of activities outlined in the project, we aim to present a didactic and methodological proposal to the poetic text approach in basic education, since many Portuguese Language and Reading teachers find it difficult to conduct a practice of reading poems under a more pleasant prospect, differentiated and engaging. We developed the project waiting to contribute to the teaching practice and reflect on our performance in the school sphere, as a teacher of Portuguese and Reading. This research is justified due to the fact that the poetry reading practices in the classroom as well as the evaluation indices reader are not satisfactory, as shown by the PISA and the SAEB. The main data of the research were generated from a questionnaire, lesson of shooting, and the student activity book. We implemented the project in the second half of 2014, in 17h/a, along with 31 collaborators in the class 92.01. As a didactical and methodological procedures in the development of the activities we make use, among others, through dialogue exposure, group discussion, seminar, reader performance and video production and illustration. In support, we discuss sociocognitive aspects of memory and reading the literary poetic literacy, guiding the official documents of the poem read in the classroom, trying to show the poetry reader activity as a way of creating memories, mobilizing, for this , theoretical notions of semiotics (matrices of language and thought) and cognitive science (metacognitive strategies of reading, social and neuroscientific aspects of reading and memory). We discuss the central nervous system (especially occipto left temporal areas, hippocampus, amygdala, cerebral regions responsible for reading and the formation and storage memories) is modified by learning, reading. The results demonstrate that by working strategies, read with a purpose in mind, favors the approach of the student with the literary text, enhancing the taste for poetic text and streamline the class. The results allow us to conclude that the systematic teaching of reading metacognitive strategies can develop an understanding of the poetic images and is constituted as a methodological alternative to the reading literary teaching.

Made available in DSpace on 2016-04-28T20:58:07Z (GMT). No. of bitstreams: 1 Martha Angelica Sossai.pdf: 1111606 bytes, checksum: 2ea98701e98c15a13d2eddc68a15f944 (MD5) Previous issue date: 2009-12-16 / Secretaria da Educação do Estado de São Paulo / The present paper intends to analyze about reading comprehension s strategies that students used to practice before, during and after reading. It was realized through questionnaire and a structured interview, both were applied by direct contact. The aim of our study was to know and to study the student s testimony about reading comprehension s strategies applied in texts wrote on teaching and learning process. On this search, newcomers and conclusives students of Language Arts course from private College on São Paulo inland were interviewed based on the perspective of interactive reading. For this study, we observed, described and analyzed the student s testimony about reading comprehension s strategies with goal to know and to help the teacher practice on Higher Education. The population research was formed by forty-five Language Arts students, twenty newcomers and twenty-five conclusive students registered in 2008 on the L.A. course. With this paper we concluded that metacognitive reading strategies can be a way to solve the reading comprehension problem in Higher Education. We concluded with this study that the metacognitive reading strategies can be a path to the problem solve of reading comprehension in Higher Education / O presente trabalho aduz um estudo a respeito das estratégias de compreensão leitora utilizadas pelos alunos antes, durante e depois da leitura. Sua realização deu-se por meio de um questionário organizado com perguntas mistas e de uma entrevista semi-estruturada, sendo ambos aplicados por contato direto. O objetivo de nosso estudo foi conhecer e estudar o depoimento de alunos, ingressantes e concluintes, do curso de Letras, de uma Faculdade Particular do Interior Paulista, sobre as estratégias de Compreensão Leitora utilizadas/vivenciadas em textos escritos no processo de ensino e aprendizagem, com base na perspectiva interativa de leitura. Mais especificamente, a partir da caracterização dos sujeitos: identificamos, descrevemos e analisamos o depoimento dos alunos iniciantes e concluintes a respeito das estratégias de compreensão leitora com a finalidade de obter uma maior familiaridade com o assunto e subsidiar a atuação prática do professor no Ensino Superior. A população da pesquisa foi constituída por quarenta e cinco alunos, dos quais vinte eram iniciantes e vinte e cinco eram concluintes, matriculados em 2008, em um curso de Letras de uma Faculdade Particular do Interior Paulista. Concluímos, com este estudo, que as Estratégias Metacognitivas de Leitura podem ser um caminho para o problema da Compreensão Leitora no Ensino Superior

This study used a design based-research (DBR) methodology to examine how an Instructional Systematic Design (ISD) process such as ADDIE (Analysis, Design, Development, Implementation, Evaluation) can be employed to develop a web-based module to teach metacognitive learning strategies to students in higher education. The goal of the study was twofold: (a) to examine the use of a systematic ISD process, ADDIE, to develop a web-based module that would be considered valid and effective, and (b) to use the design-based research (DBR) methodology to create relevant outcomes for practitioners in the field of IT while adding to the body of IT research. As in other DBR studies, a large amount of qualitative data was collected. DBR studies usually call for a variety of data collection instrument. In this study, a total of two interviews and twelve questionnaires were used to gather data. The outcomes of the study suggested that using a systematic approach such as ADDIE to develop a valid and effective interactive web-based module was still viable. Additionally, although the outcomes from this study did not form a basis to propose a new ISD model, it highlighted five key activities that could be added to the ADDIE process to accommodate development of a quality interactive web-based product. The five activities are as follows: (1) to conduct a detailed front-end analysis, (2) to develop a prototype early in the process, (3) to integrate formative and summative evaluations, (4) to assimilate iterations of "design-evaluate-refine" cycles throughout the process, and (5) to accommodate flexibility within the process. Furthermore, using the DBR methodology yielded results that added to the body of IT research and it provided support of the use of this methodology within the instructional technology discipline.

Neben der Frage nach der leistungssteigernden Wirkung von sogenannten "Ich-kann"-Checklisten auf die Metakognitionsstrategien der Schülerinnen und Schüler, geht die Arbeit auch den Fragen nach, welche Schülerinnen und Schüler "Ich-kann"-Checklisten nutzen, in welcher Form und unter welchen Kontextmerkmalen sie am wirksamsten sind. Dabei handelt es sich um Listen mit festgelegten, fachlichen und überfachlichen Kompetenzen einer bzw. mehrerer Unterrichtseinheiten, die in Form von „Ich-kann“-Formulierungen für Schüler geschrieben sind und die Aufforderung einer Selbst- und Fremdeinschätzung beinhalten. Blickt man in die Veröffentlichungen der letzten Jahre zu diesem Thema und in die schulische Praxis, so ist eine deutliche Hinwendung zur Entwicklung und Arbeit mit „Ich-kann“-Checklisten und Kompetenzrastern zu erkennen. Umso erstaunlicher ist es, dass diesbezüglich so gut wie keine empirischen Untersuchungen vorliegen (vgl. Bastian & Merziger, 2007; Merziger, 2007). Basierend auf einer quantitativen Erhebung von 197 Gymnasialschülerinnen und -schülern in der 7. Jahrgangsstufe im Fach Deutsch wurde über einen Zeitraum von zwei Jahren diesen übergeordneten Fragen nachgegangen. Die Ergebnisse lassen die Aussagen zu, dass "Ich-kann"-Checklisten insbesondere für Jungen ein wirksames pädagogisches Instrument der Selbstregulation darstellen. So fördert die Arbeit mit "Ich-kann"-Checklisten nicht nur die Steuerung eigener Lernprozesse, sondern auch die Anstrengungsbereitschaft der Schülerinnen und Schüler, mehr für das Fach tun zu wollen. Eine während der Intervention erfolgte Selbsteinschätzung über den Leistungsstand mittels der "Ich-kann"-Checklisten fördert dabei den freiwilligen außerunterrichtlichen Gebrauch. / This paper examines the performance enhancing effect of so called “Can Do” checklists on the metacognitive strategies of 13 to 14 year old Gymnasium students. This study analyzes which students actually use “Can Do” checklists, in what form they apply them, and the specific circumstances in which they appear to be most effective. These checklists define fundamental, subject-specific, and interdisciplinary competencies that are formulated into written “Can Do” lessons that require both self-assessment and third-party assessment. The increasing development and application of “Can Do” checklists and performance metrics is clearly seen both in the recent scholarly papers that address this issue and in classroom practice. The fact that this trend is emerging despite the lack of empirical studies is particularly surprising (e.g. Bastian & Merzinger, 2007; Merzinger, 2007). These salient questions were examined through analysis of a two-year quantitative survey that monitored two consecutive classes of 197 Gymnasium students in their German class during their 7th academic year. The results of this study indicate that “Can Do” checklists are an effective pedagogical tool for self-evaluation especially for boys. Applying this methodology both fosters self management of the learning process and motivates the student to invest more effort into the subject. The benefits of continuous performance self-assessment using “Can Do” checklists also transfer voluntarily beyond the classroom.

資訊的進步讓學習者可透過多媒體進行動作學習，有偵測錯誤能力才能在無指導者的狀況下進行自我調整。本研究目的為探討多媒體教學影片講解順序對於學習者錯誤偵測能力的影響。研究對象為四年制大專學生，且無網球或其他持拍類運動背景60名 (男：33位；女：27位；年齡：22.0±1.0)。研究中預先設計A、B兩段網球正拍教學影片，A.先講解身體重心後講解球拍軌跡，以及B.先講解球拍軌跡後講解身體重心，實驗進行前參與者隨機觀看教學影片，建立認知基模，進行實驗時使用SMI 公司的RED遠距測量眼動儀，捕捉參與者偵測初學者網球正拍動作時的凝視軌跡，並以手機錄音的方式紀錄參與者口述偵測的錯誤，所得資料以獨立樣本t檢定處理分析 (α=.05)。結果顯示：1. 觀看不同順序的參與者凝視初學者正拍動作的視覺分配不同，其中手臂、軀幹的AOI達顯著差異；2. 分期階段的拉拍期手臂與軀幹的AOI達顯著差異；3. 擊球期與完成期則皆只有手臂AOI達顯著差異；4. 偵測錯誤結果上觀看A教學影片的參與者偵測較多錯誤，結果也達顯著差異。本研究結果發現不同順序教學影片對參與者偵測錯誤的視覺軌跡或能力皆有影響，建議未來網球正拍教學過程先給予身體重心的重點，將有利於學習者偵測錯誤能力提昇。 / The advent of information technology made learning motor skill through multimedia possible and error-detection ability is essential to self-regulate learning under no instructor condition. In order to study the effect of multimedia instructional video content sequence to the learner’s error-detection ability, this research used sixty (male:33; female:27; age: 22.0±1.0 yrs old) four-years university students with no tennis or racket sports experience as subjects. Two demonstration videos were designed: A: explain body Center of Gravity (CG) first follow by racket trajectory; B: explain racket trajectory first follow by body CG. Participants were randomly assigned to watch the videos to build-up their cognitive schema. The SMI RED remote eye tracker is used to capture participant’s gaze trajectory when watching the beginner’s Tennis forehand drive motion. A cellphone is used to record the participant’s dictation of detection of errors. Data gathered were analysed with independent t-test (α=.05). The results indicate that: 1. participants watching different video content sequence allocate their visual distribution differently, with the arm and truck AOI significantly different; 2. The AOI of arm and truck in backswing stage were significantly different; 3. In waving and follow through stage only the arm AOI exhibit significant difference. 4. In error-detection, watching the A instructional video group exhibit significant error-detection results. The results indicate instructional video content sequence affect the learner’s error-detection visual trajectory and ability. The author suggests that emphasize on body CG in tennis forehand drive instruction process can be favourable to the error-detection ability. / 第壹章 緒論 1 第一節 研究背景 1 第二節 研究目的 2 第三節 研究範圍與限制 2 第四節 操作性定義 3 第貳章 文獻探討 6 第一節 多媒體與學習理論 7 第二節 動作學習理論 14 第三節 眼動與運動相關研究 22 第四節 網球正拍動作 25 第五節 本章總結 27 第參章 研究方法 28 第一節 研究架構 28 第二節 研究對象 29 第三節 實驗時間與地點 29 第四節 教學影片與實驗素材 30 第五節 實驗儀器 32 第六節 場地布置 33 第七節 實驗步驟 34 第八節 收集資料與處理方法 40 第九節 統計分析方法 42 第十節 預備實驗 43 第肆章 結果與討論 45 第一節 凝視AOI區域分佈 46 第二節 偵測錯誤語音資料 51 第三節 偵測錯誤凝視順序 54 第四節 綜合討論 55 第伍章 結論與建議 58 第一節 結論 58 第二節 建議 58 參考文獻 60 附件一 正拍動作技術檢核表 67 附件二 人體研究倫理委員會通過證明 68 附件三 受試者同意書 69