Precede-Proceed Model

Green and Kreuter (1968-1974)

Developed the Precede-Proceed Model

Predisposing

Reinforcing and

Enabling

Constructs in

Educational/Environmental

Diagnosis and

Evaluation

What does PRECEDE stand for

Policy,

Regulatory, and

Organizational

Constructs in

Educational and

Environmental

Development

What does PROCEED stand for

Precede

Based on the premise that an educational diagnosis should precede an intervention plan. Criticised that it was too focused on implementation and too little on designing interventions to strategically meet the needs

Proceed

Added in 1991 to address the environmental factors as determinants to health and health behavior

Lifestyle (Environment)

Recognition of impact, behaviors are sometimes influenced outside the individual

1. Social Assessment

2. Epidemiological Assessment

3. Educational & Ecological Assessment

4. Administrative and Policy Assessment

Precede assessment task Phases

5. Implementation

6. Process Evaluation

7. Impact Evaluation

8. Outcome Evaluation

Proceed Evaluation task Phases

Social Assessment

Assessment in both objective and subjective terms of high-priority problems or aspirations for the common good, defined for a population by economic and social indicators and by individuals in terms of their quality of life. Defining the ultimate outcome. Describe the demographic characteristics of a population whose quality of life you would like to measure

Quality of Life Indicators

Subjectively defined problems and priorities of individuals and communities

Absenteeism, Achievement, Aesthetics, Alienation, Comfort, Crime, Crowding, Discrimination, Happiness, Hostility, Illegitimacy, Performance, Riots, Self-esteem, Unemployment, Votes, Welfare

Quality of Life Indicators

Epidemiological Assessment

Delineation of the extent, distribution, and causes of a health problem in a defined population

Disability

Discomfort

Fertility

Fitness

Morbidity

Mortality

Physiological risk factors

Vital Indicators of Health

Distribution

Duration

Functional level

Incidence

Intensity

Longevity

Prevalence

Dimensions of Health

Behavioral Assessment

Systematic analysis of the specific health-related actions that are linked to the identified health problems which most likely affect or could effect a health outcome

Compliance

Consumption patterns

Coping

Preventive actions

Self-care

Utilization

Indicators of Behavior

Frequency

Persistence

Promptness

Quality

Range

Dimensions of Behavior

Quadrant 1

More changeable and important. High priority for program focus

Quadrant 2

More Important but less changeable; Priority for innovative program, crucial for innovation

Quadrant 3

More changeable but less important; low priority except to demonstrate change for political purposes

Quadrant 4

Less changeable and less important. No program

Environmental Assessment

Systematic assessment of factors in the social and physical environment that interact with the behavior to produce health effects or quality of life outcomes

Economic

Physical

Services

Social

Indicators of Environment

Access

Affordability

Equity

Dimensions of Environment