Understanding the Precede-Proceed Model for Health Behavior Analysis
This chapter delves into the Precede-Proceed Model Framework, focusing on Predisposing, Reinforcing, and Enabling Factors as determinants of health behavior. Learn how to apply this framework in behavioral case analysis to analyze health behavior problems effectively.
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PRECEDE PROCEDE THEORY Health Behavior CHAPTER 4 1
DESCRIPTION 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 Health Behavior CHAPTER 4 2
OBJECTIVES 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 Health Behavior CHAPTER 4 3
INTRODUCTION PRECEDE (Predisposing, Reinforcing, Enabling, Construct in Educational / Environmental Diagnosis and Evaluation PROCEED (Policy, Regulatory and Organizational Construct in Educational and Environmental Development) Health Behavior CHAPTER 4 4
Relationship between Health Promotion Health Education and Public Health 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 Health Behavior CHAPTER 4 5
Relationship between Health Promotion Health Education and Public Health 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. Health Behavior CHAPTER 4 6
PRECEDE 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. Health Behavior CHAPTER 4 7
PROCEED Showing the stages of policy and implementation process and evaluation Health Behavior CHAPTER 4 8
PRECEDE & PROCEED Stage of serial process of planning, implementation & evaluation. Health Behavior CHAPTER 4 9
Phase 5 Administrative and Policy diagnosis Phase 4 Educational and Organizational diagnosis Phase 3 Behavioral and Environmental diagnosis Phase 2 Epidemiological diagnosis Phase 1 Social diagnosis Predisposing Predisposing Factor Factor HEALTH PROMOTION Health Health Education Education Reinforcing Reinforcing Factor Factor Behaviour Behaviour And And Lifestyle Lifestyle Policy Policy Regulation Regulation organization organization Quality Quality Of life Of life Health Health Enabling Enabling Factor Factor Environment Environment Phase 6 Implementation Phase 7 Process Phase 8 Impact Phase 9 Outcome Health Behavior CHAPTER 4 10 The Precede The Precede- -Proceed model for health promotion planning and evaluation Proceed model for health promotion planning and evaluation
Behaviour Behaviour Quality of Quality of life life Health Health Environment Environment Vital Indicators : -Disability -Discomfort -Fertility -Fitness -Morbidity -Mortality -Physiological risk factors Dimensions : -Distribution -Duration -Functional level -Incidence -Intensity -Longevity -Prevalence Social indicators -Absenteeism -Achievement -Aesthetics -Alienation -Comfort -Crime -Crowding -Discrimination -Happiness -Hostility -Illegitimacy -Performance -Riots -Self-esteem -Unemployment -Welfare Behavioral Indicators : -Compliance -Consumption pattern -Coping -Preventive action -Self-care -Utilization Environmental Indicators : -Economic -Physical -Services -Social Dimensions : -Access -Affordability -Equity Dimensions: -Frequency -Persistence -Promptness -Quality -Range Health Behavior CHAPTER 4 11
Predisposing Factors: -Knowledge -Attitudes -Beliefs -Values -Perception Direct Communication To public, Patients, Employees, etc Indirect Communicat. Through staff Training, Supervision, Consultation feedback Reinforcing Factors: - Attitudes and behavior of health personnel and other, peers, parents, employers, etc Health education Component of health Promotion program Behavior (Actions) of individuals, groups, or communities Enabling factors: -Availability of resources -Accessibility -Referrals -rules and laws -Skills Health Behavior CHAPTER 4 Environmental factors Policy Regulation organization Training Community organization 12
Predisposing Factors: - Knowledge - Beliefs - Values - Attitudes - Confidence -Capacity Genetics Enabling factors: -Availability of health resources -Accessibility of Health resources -Community/government laws, priority and commitment to health -Health related skills Specific Behavior by Individuals or by organizations Health Reinforcing Factors: - Family - Peers - Teachers - Employers - Health providers - Community leaders - Decision makers Environment (conditions of Living) Health Behavior CHAPTER 4 13 Behavioral determinants of health and disease : Lawrence W. Green & Robert A Hiatt; 2011
Example 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) Health Behavior CHAPTER 4 14
Do the application of this model to your case ! Health Behavior CHAPTER 4 15
Reference Green, W. Lawrence. Health Promotion Planning an Educational & Environmental Approach. Second edition. Mayfield Publishing Company. 1991 Health Behavior CHAPTER 4 16
