PRECEDE PROCEED Model for Health Promotion

Summary

The Precede-Proceed Model, created by Lawrence Green, is a comprehensive framework for health promotion that emphasizes community engagement and systematic assessment before intervention implementation. It consists of two main phases: the Precede phase focuses on understanding community needs and the factors influencing health behaviors, while the Proceed phase involves executing and evaluating the intervention's effectiveness. By aligning health initiatives with the specific needs of the community and evaluating both process and outcomes, this model provides a structured approach to designing impactful health interventions.

Takeaways

• 😀 The PRECEDE-PROCEED model is a structured approach to health promotion developed by Lawrence Green.
• 😀 It emphasizes the importance of community involvement and understanding their needs before designing interventions.
• 😀 The model is divided into two main phases: PRECEDE (planning and assessment) and PROCEED (implementation and evaluation).
• 😀 Social assessment in the PRECEDE phase focuses on identifying quality of life issues in the community.
• 😀 Epidemiological assessment helps pinpoint specific health problems and the factors affecting them through research methods like surveys.
• 😀 Behavioral assessment examines the behaviors that hinder health and the environmental factors influencing those behaviors.
• 😀 Identifying predisposing, reinforcing, and enabling factors is crucial for understanding what influences health behaviors.
• 😀 The administrative and policy assessment phase evaluates the feasibility of interventions within existing political and organizational frameworks.
• 😀 The PROCEED phase involves the actual implementation of the intervention, ensuring it is carried out as planned.
• 😀 Evaluation is key in both phases, with process evaluation checking implementation fidelity and impact evaluation measuring behavior changes and outcomes.

Q & A

What is the main purpose of the Precede-Proceed model?

The Precede-Proceed model is designed to guide health promotion practitioners in developing effective interventions by assessing community needs and following a structured process for implementation and evaluation.

Who developed the Precede-Proceed model?

The Precede-Proceed model was developed by Lawrence Green, a notable figure in the field of health promotion.

What are the two main components of the Precede-Proceed model?

The model consists of two main components: Precede, which focuses on assessing and understanding community needs before implementing an intervention, and Proceed, which involves the implementation and evaluation of that intervention.

What does the first phase, social assessment, entail?

The social assessment phase focuses on identifying quality of life issues within the community, such as educational levels, income disparities, and access to physical activities.

What are predisposing, reinforcing, and enabling factors?

Predisposing factors are characteristics that influence behavior before it occurs (e.g., knowledge or attitudes). Reinforcing factors provide feedback that influences the continuation of behavior (e.g., praise or penalties). Enabling factors are resources or barriers that affect the capacity to engage in a behavior (e.g., access to facilities).

How does the model emphasize community involvement?

The Precede-Proceed model emphasizes community involvement by requiring practitioners to consult with community members to identify their needs, preferences, and barriers to health, ensuring that interventions are tailored to the community's specific context.

What is the significance of the 'Proceed' phase?

The Proceed phase is significant because it focuses on the actual implementation of the intervention and includes evaluating whether the intervention is being delivered as intended and if it is achieving the desired outcomes.

What types of evaluations are conducted in the Proceed phase?

The Proceed phase involves three types of evaluations: process evaluation (monitoring delivery), impact evaluation (assessing changes in behavior or environment), and outcome evaluation (evaluating broader effects on quality of life and community health).

How does the model suggest addressing barriers in the intervention process?

The model suggests assessing administrative and policy contexts to identify potential barriers and opportunities that could facilitate the intervention, ensuring alignment with the community's capabilities and existing systems.

What analogy is used to explain the Precede-Proceed model, and what does it signify?

The model is compared to building a house, signifying the importance of a structured process: assessing needs and planning (Precede) before actual construction and ensuring the house is built correctly and meets the owner's expectations (Proceed).