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PRECEDE – PROCEDE THEORY · 2016. 5. 25. · The Precede-Proceed model for health promotion...
Transcript of PRECEDE – PROCEDE THEORY · 2016. 5. 25. · The Precede-Proceed model for health promotion...
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PRECEDE – PROCEDE THEORY
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• This chapter will discuss The Precede-Proceed Model Framework, understanding Predisposing, Reinforcing and Enabling Factors as determinants of health behavior, and how to use the frame in the behavior case analysis
DESCRIPTION
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General
• The student able to analyze the health behavior problem with precede-proceed model.
Specific
• Student can explain The Precede-Proceed Model Framework
• Student understand Predisposing, Reinforcing and Enabling Factors as determinants of health behavior.
• Student can use the frame in the behavior case analysis
OBJECTIVES
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• PRECEDE (Predisposing, Reinforcing, Enabling, Construct in Educational / Environmental Diagnosis and Evaluation
• PROCEED (Policy, Regulatory and Organizational Construct in Educational and Environmental Development)
INTRODUCTION
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• Health Education : voluntary behavior change and the scope directly on healthy behaviors
• Health Promotion : combination of education and environmental support for the behavior with the specific conditions
Relationship between Health Promotion –Health Education and Public Health
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• Health Promotion : enable people able to control the causes of health
• Health Education is aimed at individual or communal voluntary action to obtain health or as make decision in health and good things in their community.
Relationship between Health Promotion –Health Education and Public Health
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• Looking at some of the factors that shape health status and help health promotor/educator focused on building a target for intervention.
• Provide specific objectives and evaluation criteria.
PRECEDE
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• Showing the stages of policy and implementation process and evaluation
PROCEED
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• Stage of serial process of planning, implementation & evaluation.
PRECEDE & PROCEED
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HEALTH
PROMOTION
Predisposing
Factor
Reinforcing
Factor
Enabling
Factor
Behaviour
And
Lifestyle
Environment
Health Quality
Of life
The Precede-Proceed model for health promotion planning and evaluation
Phase 1
Social
diagnosis
Phase 2
Epidemiological
diagnosis
Phase 3
Behavioral and
Environmental
diagnosis
Phase 4
Educational and
Organizational
diagnosis
Phase 5
Administrative and
Policy diagnosis
Phase 6 Implementation Phase 7 Process Phase 8 Impact Phase 9 Outcome
Health
Education
Policy
Regulation
organization
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Behaviour
Environment
Health Quality of
life
Social indicators
-Absenteeism
-Achievement
-Aesthetics
-Alienation
-Comfort
-Crime
-Crowding
-Discrimination
-Happiness
-Hostility
-Illegitimacy
-Performance
-Riots
-Self-esteem
-Unemployment
-Welfare
Vital Indicators :
-Disability
-Discomfort
-Fertility
-Fitness
-Morbidity
-Mortality
-Physiological risk
factors
Dimensions :
-Distribution
-Duration
-Functional level
-Incidence
-Intensity
-Longevity
-Prevalence
Environmental
Indicators :
-Economic
-Physical
-Services
-Social
Dimensions :
-Access
-Affordability
-Equity
Behavioral
Indicators :
-Compliance
-Consumption pattern
-Coping
-Preventive action
-Self-care
-Utilization
Dimensions:
-Frequency
-Persistence
-Promptness
-Quality
-Range 11Health Behavior CHAPTER 4
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Behavior(Actions)
of individuals,groups, or
communities
Environmentalfactors
PredisposingFactors:-Knowledge-Attitudes-Beliefs-Values-Perception
Reinforcing Factors:- Attitudes and
behavior of health personnel and other, peers, parents, employers, etc
Enabling factors:-Availability ofresources
-Accessibility-Referrals-rules and laws-Skills
Health educationComponentof healthPromotionprogram
PolicyRegulationorganization
Direct
Communication
To public,
Patients,
Employees, etc
Indirect
Communicat.
Through staff
Training,
Supervision,
Consultation
feedback
Training
Community
organization
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Specific Behavior byIndividuals
or by organizations
Environment(conditions of
Living)
Predisposing Factors:- Knowledge- Beliefs- Values- Attitudes- Confidence-Capacity
Reinforcing Factors:- Family- Peers- Teachers- Employers- Health providers- Community leaders- Decision makers
Enabling factors:-Availability of health resources-Accessibility of Health resources-Community/government laws, priority and
commitment to health-Health related skills
Genetics
Health
Behavioral determinants of health and disease : Lawrence W. Green & Robert A Hiatt; 2011
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• I know “3M” is the most effective way of deciding the DHF transmission (knowledge)
• I agree to do “3M” (attitude)I disagree because of inconvenient “3M” (attitude) tend to practice
• I did a “3M” (practice)
Example…
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Do the application of this model to your case !
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Reference
• Green, W. Lawrence. Health Promotion Planning an Educational & Environmental Approach. Second edition. Mayfield Publishing Company. 1991
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