From an ecological perspective, the Precede-Proceed model has been used to plan effective behavior change programs for over three decades.
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From an ecological perspective, the Precede-Proceed model has been used to plan effective behavior change programs for over three decades. It was originally developed as the Precede model, with the Proceed part concentrating on intervention and evaluation added later.
The PRECEDE acronym stands for Predisposing, Reinforcing, and Enabling Constructs in Educational and/or Environmental Diagnosis and Evaluation. While the PROCEED acronym represents Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development.
The following phases make up the Precede part:
Phase 1: Social Assessment
Phase 2: Epidemiological, Behavioral, and Environmental Assessment
- Phase 3: Educational and Ecological Assessment
- Phase 4: Administrative and Policy Assessment and Intervention Alignment
- The Proceed part of the model consists of:
- Phase 5: Implementation
Phase 6: Process evaluation
Phase 7: Impact evaluation
- Phase 8: Outcome evaluation
- The focus of the model is on the outcome rather than the activities. Using the eight phases, you will be asked to apply the Precede-Proceed model to a specific health topic and target population.
- Planning, implementing, and evaluating a successful intervention, with its many “moving parts,” requires planners to have a “framework” by which to track the critical aspects of the intervention. Intervention Mapping provides for a sort of scope and sequence timeline, with key decision points, so that decisions can be made efficiently and effectively at these key points of planning, implementation, and evaluation. Intervention Mapping allows planners to use theory constructs to assess needs and strengths of a population, and design initiatives to address (needs) or utilize (strengths) these in a systematic order. As with any event, the process requires specific planning, and in public health education, Intervention Mapping can be a meaningful tool.
- Both the Precede-Proceed model and Intervention Mapping will assist you in utilizing theory and effectively designing health interventions. Using theory and planning models as a basis for designing health interventions will result in more successful outcomes for target populations.
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