为发展本土化自我导向学习卫生教育策略，本研究针对目前国内进行自我导向学习面临的困难，发展出「集体学习式的自我导向学习」型式，并采准实验设计，立意选取北市六个地区，由其成年民众自由报名参与本为期二年的高血压防治知识自我导向学习实验研究，以多元回归分析具有完整资料的127位研究对象追踪验证其效果，研究结果发现，(1)「小团体学习式」和「集体学习式」的自我导向学习对于研究对象高血压防治知识、自我导向学习倾向的增进都有显著的立即效果、短期效果、长期效果。

The purpose of this study was to examine the effectiveness of two types self-directed learning. The quasi-experimentation design was used in this research. The results were: l.The effectiveness of self-directed learning approach were good. (1) The immediately effect, short-term effect and long-term effect in hypertension knowledge were significant. (2) The immediately effect, short-term effect and long-term effect in self-directed learning readiness towards hypertension were significant. 2. The two types of self-directed learning approach had the same effectiveness in hypertension knowledge in immediately effect and short-term effect. 3. The long-term effect in hypertension knowledge change was more obvi-ous in small group self-directed learning approach than collective self-directed learning approach.