臺灣老年人口82年便超過7％，進入高齡化社會，而後受到戰後嬰兒潮世代陸續成為65歲以上老年人口影響，臺灣老年人口自100年起加速成長，直至107年3月，65歲以上老年人口占總人口比率達14.05％，正式邁入高齡社會。本研究之研究目的是一、成效評估；二、過程評估；三、影響評估；四、研究結果將對獨立倡導關懷人與機構未來工作與發展給予建言。本研究係屬評估研究，採取量化與質性之研究，即運用績效評估客觀地來測量受服務者及主觀的觀察受服務者之改變情形。整體的團體在兩中心的服務成效，說明了MMSE量表分數即使在團體介入期間，雖有相當的改善，然而從後追的測量情形來看，效果則未明顯。唯有孤寂感量表的分數，會因為團體活動的介入而在初期前後測中，有顯著性的成效，而且在一個月後的後測中，呈現出持續性改善的效果，顯示倡導團體活動的服務有成效且有長期的助益。研究建議：一、持續加強倡導關懷之團體活動；二、提升倡導關懷關係之建立；三、區隔倡導關懷服務與志工與家屬關懷之差異，突顯其服務之特殊性。 The percentage of elderly people has been more than 7 per cent of total population, which means that Taiwan has entered the aging society since 1993. The affection of aging baby booming population even made it grow dramatically after 2011. It became 14.05 per cent at March, 2018 which implied that Taiwan has entered the aged society. The purposes of this research are: 1. Effectiveness evaluation; 2. Process evaluation; 3. Impact evaluation; 4. Research results and suggestions will be proposed to the related institutions. This research is an evaluation research. It adopts the quantitative and qualitative studies, which adopts performance evaluation to measure recipients objectively and observe recipients subjectively who join group activities before and after services. Research results: The service effectiveness of the groups in the two centers shows that even during the group intervention period, the MMSE scale scores have improved, but the effect is not significant after the follow-up measurement. Only the scores of the Sense of Loneliness do show significant effects in the initial pre- and post-test due to the intervention of the group activities. After one month later, two follow-up measurement show significant effects, it means that the effects of improvement are really carry over. Research recommendations: 1. The group activities of Independent advocacy should be strengthen consistantly; 2. The independent advocacy and care relationships should be established and Improved; 3. For those volunteers and their families members, they should be distinct from the advocates in order to keep on the professional services.
