PRECEDE-PROCEED- Due Week 5

You will choose a community-based health promotion topic based on an identified need (i.e. demand for primary and specialty care services exceeding available providers, behavioral health in adult or pediatric and jail populations, emergency department usage, childhood and adult oral health, etc.)

Construct your project from Phase 1 through Phase 4. When writing your paper, outline the paper using Level 1 headings for the Phase, then Level 2 headings for the topic of the health promotion topic.

The PRECEDE-PROCEED model is a comprehensive structure for assessing health needs for designing, implementing, and evaluating health promotion and other public health programs to meet those needs. PRECEDE provides the structure for planning a targeted and focused public health program. PROCEED provides the structure for implementing and evaluating the public health program.

PRECEDE stands for Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation. It involves assessing the following community factors:
- Social assessment: Determine the social problems and needs of a given population and identify desired results.
- Epidemiological assessment: Identify the health determinants of the identified problems and set priorities and goals.
- Ecological assessment: Analyze behavioral and environmental determinants that predispose, reinforce, and enable the behaviors and lifestyles are identified.
- Identify administrative and policy factors that influence implementation and match appropriate interventions that encourage desired and expected changes.
- Implementation of interventions.
PROCEED stands for Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development. It involves the identification of desired outcomes and program implementation:
- Implementation: Design intervention, assess availability of resources, and implement program.
- Process Evaluation: Determine if program is reaching the targeted population and achieving desired goals.
- Impact Evaluation: Evaluate the change in behavior.
- Outcome Evaluation: Identify if there is a decrease in the incidence or prevalence of the identified negative behavior or an increase in identified positive behavior.

Implementation Considerations

The PRECEDE-PROCEED model provides a structure that supports the planning and implementation of health promotion or disease prevention programs. This model has worked well for many health promotion topics, and can effectively support one-time interventions or long-running programs. Like the Community Readiness Model, PRECEDE-PROCEED invites participation from community members, and has the potential to increase community ownership of the program. When determining whether to use PRECEDE-PROCEED as a model for health promotion or disease prevention programs, it is important to consider whether all parts of the model are appropriate for the program and the resources available to support implementation. It is also important to remember that components of the plan may be adapted over time, as needed.

Click HERE for a PRECEDE-PROCEED resource page. Contains detailed information, examples, a checklist for implementation and a Power Point presentation of the main points.

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Phase 1: Social diagnosis – determine what the community wants and needs to improve its quality of life.

Phase 2: Epidemiological diagnosis – determine the health problems or other issues that affect the community’s quality of life. Include also the behavioral and environmental factors that must change in order to address these problems or issues. Behavioral factors include patterns of behavior that constitute lifestyles. In considering environmental factors, you should include the physical, social, political, and economic environments.

Phases 1 and 2 identify the goals of the intervention.

Phase 3: Educational and organizational diagnosis – determine what to do in order to change the behavioral and environmental factors in Phase 3, taking into account predisposing factors (knowledge, attitudes, beliefs, values, and confidence); enabling factors (availability of resources, accessibility of services, government laws and policies, issue-related skills), and reinforcing factors (largely the influence of significant others in the social environment).

Phase 4: Designing programs or interventions and the support for them through administrative and policy diagnosis – determine (and address) the internal administrative and internal and external policy factors that can affect the success of your intervention. The former include organizational structure, procedures, culture, and resources; the latter encompass both internal policies and funders’ requirements, oversight agency regulations, state or federal laws, or local ordinances, and unstated community policies.