The Precede-Proceed Model Notes PDF

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Understanding the application and implementation of the precede-proceed model...

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PRECEDE-PROCEED MODEL Notes

The Precede-Proceed Model Purpose of implementing health programs: enhance quality of life and health status by doing what is necessary to prevent or inhibit illness and injury May operate at one of three stages of prevention: 

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Primary o Hygiene and health enhancement o Health protection through environmental controls Secondary o Early detection and treatment of known risk factors Tertiary o Therapy to prevent recurrence

Must acknowledge intractable factors of genetic predisposition, aging or environment Provides planners with a simple but effective way to carry out the sifting and sorting process. Those that remain from the sieving process will:  

Have the greatest influence on health and quality of life Most amenable to modification

PRECEDE    

Series of planned assessments that generate information that will be used to guide decisions Involves a considerable amount of sifting and sorting Evaluation is in the form of quantitative and qualitative information about quality of life and health status indicators All four phases may be viewed as formative evaluation which serve to set baseline information for later evaluations

PROCEED   

Strategic implementation of multiple actions based on what was learned from the assessments Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development Evaluation is summative in which it uses the information from baseline to formulate course of action and shifting resources

Models work in tandem PHASES OF PRECEDE-PROCEED MODEL: Step 1: Social Assessment Step 2: Epidemiological Assessment Step 3: Educational and Ecological Assessment Step 4: Administrative & Policy Assessment and Intervention Alignment

PRECEDE-PROCEED MODEL Notes Step 5: Implementation Step 6: Process Evaluation Step 7: Impact Evaluation Step 8: Outcome Evaluation Phase One: Social Assessment and Situational Analysis Commitment to engagement of the population of interest and insights into the cultural and social circumstances unique to that population. An assessment of general hopes and problems of concern to the target population Phase Two: Epidemiological Assessment Identify the specific health goals or problems that may contribute to or interact with the social goals or problems Identification of etiological factors or determinants of health in genetics, behavior patterns and environment of the population Phase Three: Ecological and Educational Assessment Task is to assess the relative importance and changeability of behaviors and the environment for the program Sort, categorizes and select predisposing, enabling, and reinforcing factors that seem to have direct impact on change 

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Predisposing o Base on which all other determinants may have their effect o Level of commitment o Predicted by self-efficacy o Highest correlations: interest in health, knowledge of benefits o Need to be reassessed periodically o Includes a person’s knowledge, attitudes, beliefs, values and perceptions that account for change Reinforcing o Motivation is necessary but not sufficient o Social forces that reward or punish behaviors determine success of a program o Organizational climate o Confidentiality o Produces lifestyles (enduring patterns of behavior) which influence the environment Enabling o Key enabling factors: accessibility and convenience o Environmental encompass enabling factors o Skills, resources or barriers that can help or hinder the desired change in behavior or environment

PRECEDE-PROCEED MODEL Notes Phases Four, Five and Six: Intervention Alignment, Administrative and Policy Assessment, and Implementation Assessment is designed to answer:  

What program components and interventions are needed to affect the changes specified in previous phases? Does this program have the policy, organizational, and administrative capabilities and resources to make this program a reality?

Provide practical illustration of why planners need a good conceptualization of the precedproceed model before planning...