Precede proceed

It involves assessing the following community factors: Determine the social problems and needs of a given population and identify desired results. Identify the health determinants of the identified problems and set priorities and goals. Analyze behavioral and environmental determinants that predispose, reinforce, and enable the behaviors and lifestyles are identified.

Precede proceed

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While actual applications of the model often tend to be top-down, it is likely to work better if the community has significant input and decision-making power from the beginning. How does a particular issue create a barrier to the desired outcome?

What else do these issues affect, besides the desired outcome? Which are the issues with the most drastic effects? An industry responsible for pollution that actually or potentially causes health problems may also be the local economic mainstay. Even if the industry has the best of intentions, it may be unable to afford to clean up its operation.

The town may be faced with the choice of either losing the jobs and tax base that the industry provides, or continuing to live with a health hazard. This kind of situation is by no means universal In others, you may be trying to affect factors that have just as great an impact on the outcome, but seem further removed from it — e.

Phases 1 and 2 are where you develop the long-term goals for your intervention. They tell you what your ultimate desired outcome should be, and what the issue s or associated factors may be that Precede proceed it. Most of the factors influencing the issues or outcomes can be classified as behavioral, lifestyle, or environmental.

The behavior referred to here is a specific, observable, often measurable — and usually customary — action. Some behaviors put people or communities at more or less risk for health or other problems. Needle-sharing is a behavior that puts heroin addicts at high risk for hepatitis and AIDS.

Consistent studying usually lessens the risk of school failure for a student. If littering is a common individual behavior, it may have community consequences that range from the aesthetic piles of trash creating an unattractive scene to health breeding of mosquitoes in garbage-strewn lots, water pollution, etc.

A lifestyle is a collection of related behaviors that go together to form a pattern of living. Some lifestyles may put people and communities at risk of health and other problems.

Precede proceed

An example of a high-risk lifestyle that is often mentioned in the popular media is one that includes very little exercise, a diet high in calories and saturated fats, and lots of stress. Such a lifestyle can lead to heart attack, stroke, cardiovascular disease, and other problems associated with obesity, including diabetes.

The environment of a particular issue or problem can refer to the natural, physical environment — the character and condition of the water, air, open space, plants, and wildlife, as well as the design and condition of built-up areas.

But it can also refer to the social environment influence of family and peers; community attitudes about gender roles, race, childrearing, work, etc. In general, behaviors, lifestyles, and environmental factors are what an intervention sets out to change.

The changes in these areas in turn affect the crucial issues, and lead to the achievement of the final outcome that was identified in Phase 1 of the model. So how do you choose which behaviors, lifestyles, or environmental factors to focus on? What are people doing — or what are the factors in the environment — that lead to, maintain, or prevent the issue or condition you want to change?

The criteria for choosing a particular target for your intervention are: A classic example of community change through behavior change is that of reducing the incidence of lung cancer and heart disease in a community by convincing smokers to change their behavior — i.

Fewer smokers mean less secondhand smoke, less time lost from work because of smoke breaks and smoking-related illnesses, fewer low-birth-weight babies, fewer children with asthma and other respiratory ailments, and lower health insurance costs. Examining the factors that influence behavior, lifestyle, and responses to environment.A brief introduction to the health promotion planning model, PRECEDE PROCEDE.

PRECEDE-PROCEED rests on the following premises: ___Since behavior change is by and large voluntary, health promotion (and, by extension, the promotion of other community benefits) is more likely to be effective if it's participatory.


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The PRECEDE-PROCEED planning model is being used to design and evaluate an oral health strategy for adults with IDD. The PRECEDE component involves assessing social, epidemiological, behavioral, environmental, educational, and ecological factors that informed the development of an intervention with underlying social cognitive theory assumptions.

The Precede-Proceed Model of health program planning and evaluation builds on more than 40 years of work by Dr. Lawrence W. Green and colleagues at Berkeley, Johns Hopkins, the U.S. Public Health Service, the University . PRECEDE-PROCEED rests on the following premises: ___Since behavior change is by and large voluntary, health promotion (and, by extension, the promotion of other community benefits) is more likely to be effective if it's participatory. A brief introduction to the health promotion planning model, PRECEDE PROCEDE.

Health Education Journal 75(6) The Precede–Proceed model for health programme planning and evaluation is widely taught and used in Anglophone health promotion practice, with well over published applications.


Precede vs. proceed To precede is to go before, to be in front of, or to preface. Proceed, by far the more common of the two words, means to go forward, to continue, or to carry on.

PRECEDE-PROCEED Model - Rural Health Promotion and Disease Prevention Toolkit