Table of Contents >
   Part A. Models for Promoting Community Health and Develop... >
      Chapter 2. Some Other Models for Promoting Community Health ... >
         Section 2. PRECEDE/PROCEED >
             Tools & Checklists - A checklist that summarizes the major points contained in the section. >

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.

__ In Phase 8, you evaluate whether the intervention's effects are in turn producing the outcome(s) the community identified in Phase 1, and adjust accordingly.