Chapter 1 Introduction 1.1 Background of the Study 1.2 Statement of the Problem 1.3 Research Objectives 1.4 Research Questions 1.5 Significance of the Study 1.6 Definitions of Terms 1.7 Scope of the Study Chapter 2 Literature Review 2.1 English for Specific Purposes 2.2 ESP Development 2.3 The Current Situation of the TCM English Course 2.4 Blended Instruction in Higher Education 2.5 Related Studies Chapter 3 Research Methodology 3.1 Research Design 3.2 Samples and Participants 3.3 Research Procedures 3.4 Research Instruments 3.5 Validity and Reliability of the Instruments 3.6 Data Analysis 3.7 Ethical Considerations Chapter 4 Results 4.1 The Development and Evaluation of the Blended-ESP Instructional Model 4.2 The Effectiveness of the Blended-ESP Model on Fos-tering University Students' English Language Proficiency 4.3 Attitudes and Perspectives on the Blended-ESP Instructional Model 4.4 Results of the Semi-structured Interview Chapter 5 Discussion and Conclusion 5.1 Conclusion 5.2 Discussion 5.3 Implication for Instruction Practice 5.4 Suggestion for Further Research References Appendix Appendix A The Blended ESP Instructional Model for the Traditional Chinese Medicine English Course Appendix B The Lesson Plans for the Traditional Chinese Medicine English Course Appendix C The Evaluation Form for the Blended-ESP Instructional Model Appendix D Pre-Test/Post-Test Appendix E The Questionnaire for Attitudes towards the Blended ESP Instructional Model Appendix F The Semi-structured Interview Questions Appendix G Rubric for Grading the Pre-Test and Post-Test Appendix H Students' Scores in the Pre-Test and Post-Test
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