For over two decades, research has shown that providing instructions and feedback to promote an external focus (i.e., mentally focusing on movement effects or outcome) leads to enhanced motor performance and learning, compared to an internal focus (i.e., mentally focusing on the muscles and joints, or movement kinematics). Notably, while a majority of the research has been on healthy young adults, the external focus benefit has also been found to extend to individuals recovering from musculoskeletal dysfunction. Despite the potential benefit of an external focus for rehabilitation, observational studies have revealed that physiotherapists provide their clients with more internal, than external, focus statements and have little awareness of the focus of attention literature. Consequently, the end goal of this doctoral research was to translate the focus of attention research findings into Canadian physiotherapy practice through the design, delivery and assessment of an educational workshop for practicing physiotherapists. With this in mind, the first step became to determine whether such a workshop was warranted by assessing the self-reported focus of attention provision by Canadian physiotherapists. Thus, in Study 1 a study-specific questionnaire, titled the "Therapists' Perceptions of Motor Learning Principles Questionnaire" (TPMLPQ), was designed and completed by 121 Canadian physiotherapists. Results showed an overall low relative frequency of self-reported external focus promotion (M = 31.3%, SD = 14.9), across six hypothetical rehabilitation scenarios. Markedly, descriptions of a functional reaching (M = 55.5 %, SD = 37.0) and pelvic floor task (M = 65.6%, SD = 32.9) resulted in a greater self-reported promotion of external, than internal, focus of attention. These results suggested that Canadian physiotherapists could benefit from an educational workshop on focus of attention, and that there was a potential task dependency for their focus of attention promotion. Study 2 employed virtual one-on-one interviews with eight Southern Ontario-based physiotherapists, all whom completed the TPMLPQ just prior to the interview. The first few questions gathered participants' perceptions on factors that influence physiotherapists' focus of attention use, as well as barriers to promoting an external focus and potential solutions to them. Coding of the interview data generated four themes related to factors that influenced focus of attention use: (1) physiotherapist experiences and characteristics, (2) client experiences and characteristics, (3) task characteristics and (4) focus of attention statement provision strategies. Moreover, the barriers to external focus promotion were organized into three themes: (1) educational experiences, (2) reinforcement of internal focus encouragement once in practice and (3) research aspects. All interviewed physiotherapists proposed continuing education on focus of attention as a solution to these barriers. Questions in the second half of the interview garnered input on how to get physiotherapists to attend a focus of attention workshop, and what activities to include before, during or after the workshop to promote physiotherapists to use more externally focusing statements in their practice. This information was used to inform the workshop design and delivery. In addition to the physiotherapists' input, I also considered previous research that has emphasized the importance of evidence-based training programs to be based on theoretical frameworks. In this regard, Bandura's social cognitive theory was selected as a theoretical foundation. Further, knowing that the target population for the workshop consisted of adults with higher education, Knowles' adult learning theory was also selected as a complimentary theoretical foundation. Additionally, the Kirkpatrick model for training evaluation was selected to guide the assessment of the workshop, due to its strong overlap with constructs from both theoretical frameworks adopted. A final contribution to the workshop design process was holding a virtual group session with four focus of attention researchers in order to gain input on workshop content. The final workshop product consisted of two parts: seven self-directed asynchronous website modules and a synchronous virtual group session. Ultimately, in Study 3, the workshop was delivered to fifteen Canadian physiotherapists. In addition to completing the two workshop components (asynchronous and synchronous), participants completed assessment packages at three time points: (1) one-week pre-synchronous workshop, (2) immediately post-synchronous workshop, and (3) one-week post-synchronous workshop. Analysis of the data revealed a chain of evidence supporting the merits of the workshop. Explicitly, physiotherapists reported high satisfaction (Mdn = 4.60), perceived relevance (Mdn = 4.83), and engagement in the workshop (Mdn = 4.83). Comparing one-week pre- to immediately post-workshop, analyses revealed significant improvements to physiotherapists' (1) scores on the knowledge assessment (pre M = 51.30%, SD = 22.30; post M = 84.30%, SD = 11.50; p < .001, d = 2.06) with an accompanying decrease in the uncertainty in their responses (pre M = 23.19%, SD = 18.05; post M = 1.16%, SD = 1.99; p < .001, d = 1.28), (2) relative frequency of externally focusing to total focus of attention statements created on the skill assessment (pre M = 18.23%, SD = 13.17; post M = 67.95%, SD = 25.13; p < .001, d = 2.11), (3) self-reported attitudes towards learning and practice of external focus promotion (pre M = 88.25, SD = 11.00; post M = 92.83, SD = 6.59; p = .024, d = 0.56) and self-efficacy (pre M = 59.50, SD = 22.36; post M = 85.72, SD = 7.95, p < .001, r = 0.86). Using descriptive statistics, physiotherapists reported that participating in the workshop allowed them to increase their encouragement of external focus adoption (M = 79.00, SD = 15.14). Thirteen of the physiotherapists reported that they believed that their use of externally focusing statements led to improvements in their clients' rehabilitation outcomes (n = 13; M = 68.08, SD = 22.13), while the other two physiotherapists noticed no difference. Finally, those 13 physiotherapists also reported a high intention to continue to provide external focus statements in their practice (M = 87.31, SD = 15.09). In the context of social cognitive theory, these findings suggest that the workshop was successful in strengthening the physiotherapists' behavioral capabilities, self-efficacy, and outcome expectations, suggesting that the behavior change self-reported by the physiotherapists (i.e., more external focus promotion) could extend beyond the short-term assessment period used here. The whole of this doctoral research acts as a powerful step on the pathway to translate focus of attention research into Canadian physiotherapy, and also provides a useful framework for future studies aiming to translate motor learning research into the field - in Canada or globally.

論文摘要 隨著資訊及運輸科技的日新月異，人與人之間的互動已不再受距離或空間影響，「地球村」的觀念已然成型，相對「人際傳播行為」也因為跨區域、跨國界而更加複雜及重要。例如錯誤的「人際傳播策略」搭上不同的文化背景，便引發了嚴重的911攻擊事件；而近來引起國內八卦風潮的「璩美鳳光碟事件」也是由於處理不當的人際關係所引起的，如果這兩個事件的當事人(或政府)可以在事前便清楚該問題並採取正確的「人際傳播策略」，則所有的災難可能早就「消弭於無形」之間了。 人際傳播重要的「認知、過濾」理論－隱性人格論(Implicit Personality Theory)，常被用於解釋人際互動間進展及是否持續接觸的重要理論之一，它牽涉到訊息蒐集、篩選、判斷等認知處理過程，同時也被引申到人際傳播的效果闡述上，經過多年來的論證已顯示此理論對於人際交往及傳播的影響層面是無庸置疑的，不過當面對被視為未來趨勢的虛擬網路世界時，隱性人格理論是否仍在網路交往過程中扮演一重要角色，抑或是會產生本質的改變，還是根本毫無影響，目前似乎沒有任何具體答案，因此如何將已精粹成形的人際傳播理論運用在網際網路中的人際傳播上，相信該是「人際傳播學」在21世紀開啟的此時最迫切的課題。 本研究嘗試從訊息處理過程AID(A)的不同階段切入，並採用深度訪談方式訪問數位IRC的重度使用者，探討他們在網路聊天室內對於交談對象的虛擬人際互動過程，進而了解在網路的交往過程中是否一如真實世界中一般，有「隱性人格理論」所描述的現象產生；或者另有其他角色及影響層面。 經本研究歸納深度訪談內容及訊息，顯示「隱性人格理論」在虛擬的網路世界中的確存在且有其不同層面的影響力，不僅在互動過程中該理論的現象發生得更早，並且牽涉到更多自我主觀的認知判斷，但相對真實世界而言，該判斷是比較脆弱且易變的，也間接顯示出網路人際關係與現實世界中的交往是有本質上的差異。 / THESIS ABSTRACT The interaction among people is no longer limited by distance or space according to the development of new technology for information and transportation. The concept of ‘Global Village’ has been formed and ‘interpersonal communication behavior’ is getting more and more complicated and important as it is among the regions and across boundaries. For instance, serious attacking event of ‘911’ was caused by incorrect ‘communication strategy’ and different cultural background; and the ‘Ms. Chu event’ was also caused by inappropriate interpersonal relationship. These great sufferings could be avoided if the people or governments involved in those two events could have clarified the problems and taken proper ‘communication strategies’ in advance. ‘Implicit Personality Theory’, an important theory of ‘recognition and filtering’ in interpersonal communication, is a theory that was commonly applied to explain the progress of interpersonal interaction and to confirm the continuous connection. It involves in the process of handling recognition on information collection, screening, and judgment, etc. Other than that, it is also extended to elaborate the effect of interpersonal communication. After years of expound and prove, it is obviously that this theory has been demonstrated a deep impact to interpersonal association and communication. However, when facing the so-called future trend of virtual cyber world, there is still no concrete solution whether ‘Implicit Personality Theory’ will play an important role in the cyber world? If there an essential change will be occurred, or even no any influence at all. Consequently, it is considered the most urgent issue in the opening of 21st century that how the maturely formed ‘interpersonal communication theory’ can be applied to interpersonal connection in the cyber world. This study tried to get in from the different phases of AIDA in the process of handling information, and from an in-depth interview of several heavy users of IRC to explore the process of virtual interpersonal interaction to the chatting partner in internet chat room and further to understand if the phenomenon as described in ‘Implicit Personality Theory’ will be occurred in the process of cyber association, just the same as that in the real world, or if there any other party and object will be impacted. It was demonstrated that ‘Implicit Personality Theory’ exists in virtual cyber world and impacts to different parts throughout the induction of the contents and information from the in-depth interviews. The phenomenon of this theory not only appeared earlier in the process of interaction, but also more involved in judgment of recognition from self subjective. However, for the real world, this kind of judgment is weaker and easier to change, and indirectly shows that there were essential differences between cyber interpersonal relationship and real world communication. / 目錄 目錄．．．．．．．．．．．．．．．．．．．．．．．．．．．．．I 表目錄．．．．．．．．．．．．．．．．．．．．．．．．．．．．II 圖目錄．．．．．．．．．．．．．．．．．．．．．．．．．．．．III 第一章 概論 第一節 研究動機．．．．．．．．．．．．．．．．．．．．． 1 第二節 研究目的．．．．．．．．．．．．．．．．．．．．． 3 第三節 研究問題．．．．．．．．．．．．．．．．．．．．． 4 第二章 文獻探討 第一節 人際傳播之定義．．．．．．．．．．．．．．．．．． 5 第二節 人際傳播的理論基礎．．．．．．．．．．．．．．．． 9 第三節 隱性人格理論．．．．．．．．．．．．．．．．．．．10 第四節 網際網路與人際傳播．．．．．．．．．．．．．．．．16 第五節 網路人際傳播．．．．．．．．．．．．．．．．．．．17 第六節 網路即時聊天．．．．．．．．．．．．．．．．．．．21 第三章 研究方法 第一節 研究架構－A-I-D模式．．．．．．．．．．．．．．． 27 第二節 研究方法．．．．．．．．．．．．．．．．．．．．．29 第三節 研究對象．．．．．．．．．．．．．．．．．．．．．31 一、 設定合格受訪者條件．．．．．．．．．．．．31 二、 受訪者選取．．．．．．．．．．．．．．．．33 第四節 研究設計．．．．．．．．．．．．．．．．．．．．．35 一、 研究工具．．．．．．．．．．．．．．．．．35 二、 進行程序．．．．．．．．．．．．．．．．．37 第四章 研究發現 第一節 研究對象共同特性 ．．．．．．．．．．．．．．．． 41 第二節 第一階段－“A”ttention注意 ．．．．．．．．．．．．． 42 一、 在IRC中．．．．．．．．．．．．．．．．．．42 二、 在真實世界中．．．．．．．．．．．．．．．．46 第三節 第二階段－”I”nterest興趣 ．．．．．．．．．．．．． 47 三、 在IRC中．．．．．．．．．．．．．．．．．．47 四、 在真實世界中．．．．．．．．．．．．．．．．55 第四節 第三階段－“D”esire欲望．．．．．．．．．．．．．．．56 一、 在IRC中．．．．．．．．．．．．．．．．．．57 二、 在真實世界中．．．．．．．．．．．．．．．．60 第五節 總整理．．．．．．．．．．．．．．．．．．．．．．．61 第五章 結論與建議 第一節 研究結論．．．．．．．．．．．．．．．．．．．．．．66 第二節 檢討與建議．．．．．．．．．．．．．．．．．．．．．69 參考文獻．．．．．．．．．．．．．．．．．．．．．．．．．．．． 72 附件一：1996∼2001年蕃薯藤網路使用行為大調查．．．．．．．． 78 附件二：一對一深度訪談過錄文稿．．．．．．．．．．．．．．． 83 附件三：受訪者背景與網路即時聊天室使用經驗簡介．．．．．．． 111 圖表目錄 圖目錄．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．II 圖2-1-1 傳播金字塔 5 圖2-1-2 5W公式 6 圖2-1-3 人際傳播的基本概念 8 圖2-3-1 交際關係的六個階段 13 圖2-5-1 微軟Out-look的e-mail 19 圖2-5-2 台北科技大學紅樓BBS資訊站 19 圖2-6-1 IRC多對多互動聊天畫面 22 圖2-6-2 IRC「悄悄話」一對一聊天房間 22 圖2-6-3 可針對特定對象，選擇擬人化動作 25 圖3-1-1 隱性人格理論的內向傳播過程 27 圖3-1-2 AIDA模式 28 圖3-1-3 研究架構 28 圖3-3-1：英國網路重度使用者定義圖示 32 表目錄．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．．III 表2-1-1 人際傳播理論 9 表2-5-1 網路人際傳播介面比較表 20 表3-2-1 質化研究與量化研究的取向觀點 29 表3-2-2 質化與量化研究的差異 29 表3-3-1 網路使用時數描述性統計結果 33 表3-3-2 網路上癮者與非上癮者網路使用時數t檢定 33 表3-3-3 受訪者簡介 34 表4-5-1 兩種場域「推測性格」行為不一致的受訪者 41 表4-5-2 兩種場域「意願受影響」行為的差異 41 表4-5-3 受訪者與陌生人接觸的差異化比較表 42