高齡化衍生而來的龐大照護壓力，迫使各界必須積極思考解決方案，以降低高齡化的照護威脅。過去已有許多研究證實運動可作為提升熟齡健康的介入方案，可有效延緩衰弱症與肌少症，進而延後長者邁入失能的時間點，且適用於不同健康階段的長者，最終可達到減少失能後醫療及長照資源的使用。本研究之目的在於透過促進熟齡進行運動訓練並維持運動訓練行為，幫助熟齡族群自發性投入運動訓練，同時提出完整服務模式供未來服務提供者參考，使「銀髮健身俱樂部」能有效複製。
本研究以使用者研究資料為基礎，針對「缺乏規律運動」、「運動強度不足」之已退休或屆齡退休之熟齡族群進行服務設計，發展出適用於熟齡族群之運動促進服務，促進其投入運動健身、養成規律運動習慣。採用深度訪談、參與式觀察、人物誌、雛型設計等方法，以雙鑽石模型為研究框架進行設計。研究發現熟齡在運動訓練的行為特徵，以及五大主要需求包括：(1) 運動觀念建立 (2) 提升訓練安全性 (3) 運動訓練建議 (4) 全齡友善運動場域 (5) 居家訓練方案。最終提出之銀髮健身俱樂部服務模式，服務範圍涵蓋核心訓練課程框架、促進運動投入服務及促進運動維持服務 (BERM護堤模式)，發展出相關的設計原則以及未來研究之建議，使熟齡族群在運動訓練上獲得更完整的服務體驗。

The huge care pressure arising from aging has forced all sectors to actively think about solutions to reduce the care threat of aging. In the past, many studies have demonstrated that exercise can be used as an intervention to improve the health of adults. It can effectively delay the onset of frailty and Sarcopenia, and then delay the onset of disability in the elderly. It can be applied to the elderly at different stages of health, and ultimately can reduce the use of post-disability medical care and long-term exposure resources. The purpose of this study is to help the elderly to voluntarily engage in exercise and put forward a complete service model for future service providers to reference, so that " The Elderly Fitness Club " can be effectively replicated.
Based on user research data, this study designed a service for retired or senior citizens with "lack of regular exercise" and "insufficient exercise intensity", and developed an exercise promotion service suitable for the senior citizens to encourage them to engage in physical fitness and develop regular exercise habits. Using in-depth interviews, participatory observation, character profiles, prototype designs, and other methods, the design is carried out with the double diamond model as the research framework.
The study found that the behavioral characteristics of the senior citizens in exercise training and five major needs include: (1) concept building, (2) safety improvement, (3) exercise training advice, (4) all-age friendly field area, and (5) home workouts training programs. Finally, the service model of the Elderly Fitness Club is proposed, which covers the core training curriculum framework, promotion of exercise input service, and promotion of exercise maintenance service (BERM model). The relevant design principles and suggestions for future research are developed so that the senior citizen can obtain a more complete service experience in exercise training.

中文摘要 ………………………………………………………………………… i
英文摘要 ………………………………………………………………………… ii
致謝詞 ………………………………………………………………………… iv
目錄 ………………………………………………………………………… v
圖目錄 ………………………………………………………………………… vi
表目錄 ………………………………………………………………………… vi
第一章 緒論……………………………………………………………… 1
第一節 研究背景……………………………………………………… 1
第二節 研究問題與目的………………………………………… 4
第三節 個案背景……………………………………………………… 6
第二章 文獻探討……………………………………………………… 8
第一節 運動行為理論……………………………………………… 8
第二節 熟齡與退休族群………………………………………… 12
第三節 老年人的運動障礙…………………………………… 13
第四節 服務設計……………………………………………………… 14
第三章 研究方法……………………………………………………… 17
第一節 研究架構……………………………………………………… 17
第二節 研究對象……………………………………………………… 18
第三節 資料蒐集……………………………………………………… 19
第四節 信效度分析………………………………………………… 22
第四章 研究結果……………………………………………………… 24
第一節 熟齡運動行為解析…………………………………… 24
第二節 人物誌…………………………………………………………… 31
第三節 需求洞察……………………………………………………… 33
第四節 銀髮健身俱樂部服務模式…………………… 40
第五章 結論與建議………………………………………………… 63
第一節 結論………………………………………………………………… 63
第二節 研究限制與未來建議……………………………… 64
參考文獻 …………………………………………………………………………… 66
附件一 意義字元涵義整理表……………………………… 70
附件二 新版身體活動準備度問卷PAR-Q+……… 77

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