The Precede-Proceed Model of health program planning and evaluation builds on more than 40 years of work by Dr. Lawrence W. Green and colleagues at. Evaluation: PRECEDE-PROCEED. Evolution and Application of the Model. Lawrence W. Green. Judith M. Ottoson. 10es ans journees de sante Missing: modelo ‎| ‎Must include: ‎modelo. modelo PRECEDE-PROCEED. Perfil de salud de los estudiantes de enfermería: diagnóstico epidemiológico a partir del modelo PRECEDE-PROCEED.


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This may require not only educational interventions, but modelo precede proceed additional strategies such as influencing the behaviors of a school's food service managers.

Phase 3 — educational and ecological diagnosis[ edit ] Once the behavioral and environmental factors are identified and interventions selected, planners can start to work on selecting factors that, if modified, will most likely result in behavior change, as well as sustain it.

These factors are classified as 1 predisposing, 2 enabling, and 3 reinforcing factors. Enabling factors are those modelo precede proceed of the environment that facilitate action and any skill or resource required to attain specific behavior.


Reinforcing factors are rewards or punishments following or anticipated as a consequence of a behavior. Some of the reinforcing factors include social support, peer support, etc.

Application of the PRECEDE-PROCEED Planning Model in Designing an Oral Health Strategy

Phase 4 — administrative and policy diagnosis[ edit ] This phase focuses on the administrative and organizational concerns that must be addressed prior to program implementation. This includes assessment of resources, development and allocation of budgets, looking at organizational barriers, and coordination of the program with modelo precede proceed departments, including external organizations and modelo precede proceed community.

Policy diagnosis assesses the compatibility of program goals and objectives with those of the organization and its administration. New open access online Journal of Participatory Medicine.


Schwarzer's Health Action Process Approach HAPA 2021 uses social cognitive constructs, including outcome expectancies and self-efficacy as well as planned actions, in predicting behavior change.

This approach provides a framework for prediction of behavior and reflects the assumed causal mechanisms of behavior change HAPA has been used to describe, explain, and predict changes in health behaviors in a variety of settings 21 including oral health Although an eight-phase planning model as modelo precede proceed in the literature is being used, we have tweaked the PROCEED component phase 5 to include pilot testing for revising the original strategy before implementing and evaluating the intended processes, impact, and outcomes of the intervention.

Soliciting input modelo precede proceed key informants of the community actively involved with the population of interest is important modelo precede proceed all phases of assessment.


In total, interview data were collected from modelo precede proceed IDD and dental care persons. Each of these participants engaged in an informal discussion that posed questions central to the assessment of phases A content analysis of the literature and discussions produced the results presented later.

Phase 2 - Epidemiological, Behavioral, and Environmental Assessment We searched the literature and asked questions of the selected community leaders and healthcare staff noted above about what problems or issues affect the oral health-related quality of life for persons with IDD?

modelo precede proceed


This phase determined epidemiological, behavioral, and environmental factors that may well have an impact on the oral health and quality of life of individuals with IDD. This phase contributed to the identification of the factors that an oral health strategy needs to impact mediating outcomes in order to achieve the primary outcomes.

Phase 3 - Educational modelo precede proceed Ecological Assessment This phase determined factors that, if modified, would be most likely to result in behavior change and to sustain this change process. These factors are generally classified as predisposing, enabling, and reinforcing factors Change theory ies for designing the intervention after this assessment includes individual, interpersonal, and community theories.

Individual-level theories are best used to address predisposing factors, while interpersonal-level theories, such as social cognitive theory, address reinforcing factors well; community-level theories are most appropriate for addressing enabling factors.

Phase 4 - Intervention Alignment and Administrative and Policy Assessment Phase 4a - Intervention Alignment This phase matched appropriate strategies and interventions with the projected changes and outcomes identified in phases Using assessment results from phasesthe oral health strategy presented in the modelo precede proceed section emerged as our intervention of choice.

Phase 4b - Administrative and Policy Assessment In this phase, resources, organizational barriers and facilitators, and policies that were needed for the strategy or intervention implementation and sustainability were identified The organizational and environmental systems that could affect the desired outcomes enabling factors were taken into account.

The administrative diagnosis assessed resources, policies, budgetary needs, and organizational situations that could hinder or facilitate the development and implementation of the strategy or program The policy diagnosis assessed the compatibility of the oral health strategy with those of the organizations providing services to individuals with IDD.

These results and lessons learned are important to revising both the pilot oral health strategy and its evaluation for an efficacy study. To modelo precede proceed end, we have provided a description of our inprogress pilot study in the results section of this article.

Phase 6 - Implementation This phase presents a description of the implementation of the oral health modelo precede proceed in an efficacy study. Key roles in the implementation phase are highlighted.

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