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Chapter 2. Some Other Models for Promoting Community Health ... >
Section 2. PRECEDE/PROCEED >
PRECEDE/PROCEED |
Tools & Checklists | Contributed by Lawrence W. Green and Phil Rabinowitz Edited by Bill Berkowitz and Lawrence W. Green |
Checklist
Here you will find a checklist outlining the important points of the section.
What is PRECEDE-PROCEED?
__ PRECEDE-PROCEED is a community-oriented, participatory model for creating successful community health promotion interventions.
PRECEDE has four phases:
__ Phase 1: Social diagnosis
__ Phase 2: Epidemiological diagnosis, including behavioral and environmental diagnosis
__ Phase 3: Educational and organizational diagnosis
__ Phase 4: Administrative and policy diagnosis
PROCEED has four phases:
__ Phase 5: Implementation
__ Phase 6: Process evaluation
__ Phase 7: Impact evaluation
__ Phase 8: Outcome evaluation
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.
__ Health and other issues must be looked at in the context of the community.
__ Health and other issues are essentially quality-of-life issues.
__ Health is itself a constellation of factors that add up to a healthy life for individuals and communities.
Why use PRECEDE-PROCEED?
You use PRECEDE-PROCEED because:
__ A logic model provides a procedural structure for constructing an intervention.
__ A logic model provides a framework for critical analysis.
__ PRECEDE-PROCEED is participatory, thus assuring community involvement.
__ Community involvement leads to community buy-in.
__ PRECEDE-PROCEED incorporates a multi-level evaluation, which means you have the chance to constantly monitor and adjust your evaluation.
__ The model allows leeway to adapt the content and methods of the intervention to your particular needs and circumstances.
How do you use PRECEDE-PROCEED?
__ In Phase 1, you ask the community what it wants and needs to improve its quality of life.
__ In Phase 2, you identify the health behaviors and lifestyles and/or environmental factors that most clearly influence the outcome the community seeks that must be changed to affect the issues, and determine which of them are most likely to be changeable.
__ In Phases 1 and 2, you create the objectives for your intervention.
__ In Phase 3, you identify the predisposing, enabling, and reinforcing factors that act as supports for or barriers to changing the behaviors and environmental factors you identified in Phase 2.
__ In Phases 3 and 4, you plan the intervention.
__ In Phase 4, you identify (and adjust where necessary) the internal administrative issues and internal and external policy issues that can affect the successful conduct of the intervention.
__ Those administrative and policy concerns include generating the funding and other resources for the intervention.
__ In Phase 5, you carry out the intervention.
__ In Phase 6, you evaluate the process of the intervention - i.e., you determine whether the intervention is proceeding according to plan, and adjust accordingly.
__ In Phase 7, you evaluate whether the intervention is having the intended impact on the behavioral and environmental factors it's aimed at, and adjust accordingly.