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.
