190 likes | 990 Views
PRECEDE Model. PRECEDE is composed of 5 phasesBegins with the final consequences and works backward to the causesFocuses on outcomes rather than inputsBegins at the end. PRECEDE. ?Takes into account the multiple factors which shape health status and helps the planner arrive at a highly focused su
E N D
1. PRECEDE Planning Model (Green & Kreuter, 1974)
2. PRECEDE Model PRECEDE is composed of 5 phases
Begins with the final consequences and works backward to the causes
Focuses on outcomes rather than inputs
Begins at the end
3. PRECEDE Takes into account the multiple factors which shape health status and helps the planner arrive at a highly focused subset of these factors as targets for intervention. It also generates specific objectives and criteria for evaluation.
4. Phase 1 Social Diagnosis Subjectively defines quality of life
Deals with the problems and priorities of the individuals and communities you are working with
Best to involve the population in defining the process
Reasons people fund programs
5. Phase 2 Epidemiological Diagnosis Identification of the specific health goals or problems that may contribute to the social problems in Phase 1
Morbidity, Mortality, Disability = Vital Indicators
Dimensions = Incidence, Prevalence, Distribution, Intensity, & Duration
6. Phase 3 Behavioral and Environmental Diagnosis Identifying the specific behavioral and environmental factors that could be linked to the health problems in Phase 2
7. Phase 4 Educational and Organizational Diagnosis Identifies and classifies 3 classes of factors influencing the behaviors identified in Phase 3
Made up of:
Predisposing Factors
Reinforcing Factors
Enabling Factors
8. Phase 4 Predisposing Factors Exist within the individual
Demographic variables
Knowledge
Attitudes
Beliefs
Life Experiences
9. Phase 4 Reinforcing Factors May provide reward or punishment
Peer pressure/influence
Social support
Significant others
Vicarious reinforcement
10. Phase 4 Enabling Factors May effect behavior directly or through environmental factors
Physical ability
Mental ability
Skills
Availability of resources
Accessibility of resources
Cost
11. Phase 5 Administrative and Policy Diagnosis Assessment of the organizational and administrative resources for the development and implementation of the program
Policy development
12. PROCEED Planning Model (Green & Kreuter, Early 80s)
13. PROCEED Essentially an elaboration and extension of the administrative diagnosis step of the PRECEDE which was the final and least developed link in the PRECEDE
Phase 6 Implementation
Phase 7 Process Evaluation
Phase 8 Impact Evaluation
Phase 9 Outcome Evaluation
14. Phase 7 Process Evaluation Utilized to assess:
Administrative activities
Personnel
Facilities
Equipment
Supplies
15. Phase 8 Impact Evaluation Immediately following the conclusion of the program
Assesses:
Knowledge
Attitudes
Intentions
Values
Beliefs
No behavior b/c step process
16. Phase 9 Outcome Evaluation Long Term
Assesses:
Productivity
Health care costs
Absenteeism
Behaviors