Precede-Proceed Model My
Precede-Proceed Model My
MODEL
PRECEDE-PROCEED
MODEL
Developed by Dr. Lawrence W. Green and colleagues.
- Provides a model for community assessment.
- PRECEDE - Stands for predisposing, reinforcing, and
enabling constructs in educational diagnosis and
evaluation, is used for community diagnosis.
- PROCEDE- acronym for policy, regulatory,
organizational contructs in educational and
environmental development, is a model for
implementing and evaluating health programs
based on PRECEDE.
Predisposing factors-Refer to people’s
characteristics that motivate them toward
health related behavior.
Enabling factors- refer to conditions in
people and the environment that facilitate
and impede health- related behavior.
Reinforcing factors- refer to the feedback
given by support persons or groups
resulting from the performance of the
health- related behavior.
* Figure 2.4 The PRECEDE- PROCEED Model for health
education planning and evaluation begins at the end of
the causal chain ( bottom left) with social diagnosis.
Subsequent steps correspond to the causal relationships
among factors linking health education to ultimate
health and social goals.
5. Administrative diagnosis
Interventions are matched with educational and
behavioral objectives rom steps 3 and 4, budgeted sequenced, and coordinated.
4. Educational diagnosis
These factors need to analyzed for each behavior.
3. Behavioral diagnosis
Each behavior is defined in terms of timing, frequency, quality, range, and
duration.
2. Epidemiological diagnosis
Defined by health professionals in terms of morbidity, mortality, fertility and, etc.
1. Social diagnosis
Defined by community in terms of unemployment, days lost from work or
school, family disruption, and other dimensions of their quality of life.
Health Education Components of
Community Health
Enabling
Enabling factors
factors Reinforcing
Reinforcing factors
factors
Predisposing
Predisposing factors
factors Skills
Skills Support
Support from
from family,
family,
Attitudes
Attitudes Availability
Availability peers,
peers, teachers,
teachers,
Beliefs
Beliefs Accessibility
Accessibility employers,
employers, health
health care
care
Values
Values Referrals
Referrals providers
providers
Behavioral
Behavioral Causes
Causes
Environmental
Health
Health Problem
Problem Factors
Social
Social Problem
Problem Non health Factors