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___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.


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.