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Health Behavior Change Test 1: Precede-Proceed Model
N/A
23
Health Care
Undergraduate 3
02/18/2014

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Term
What kind of model?
Definition
Planning model
Term
What is it used for?
Definition
Used for planning interventions
Not to be used to predict or explain
Provides a framework for identifying strategies to address factors linked to outcomes of interest
Provides a guide through a process
Starts at the end and works backwards
Term
View on health behavior
Definition
Influenced by both individual and environmental forces

2 parts
Educational diagnosis (PRECEDE)
Ecological diagnosis (PROCEED)
Term
Acronym for Precede
Definition
Predisposing
Reinforcing
Enabling
Constructs in
Educational /
Environmental
Diagnosis and
Evaluation
Term
Acronym for Proceed
Definition
Policy
Regulatory and
Organizational
Constructs in
Educational and
Environmental
Development
Term
9 steps
Definition
Address educational & ecological issues
Social Assessment
Epidemiological Assessment
Behavioral & Environmental Assessment
Educational & Ecological Assessment
Administrative & Policy Assessment
Address implementation & evaluation
Implementation
Process Evaluation
Impact Evaluation
Outcome Evaluation
Term
4 limitations
Definition
-Way too comprehensive for it to be applied in a reasonable time period at a setting
-Requires heavy financial and human resource input to become functional
-Mixture of several theories
-Comparative studies lacking
Term
Social assessment
Definition
-Community’s perceived & actual needs
-ID quality of life concerns
-Multiple data collection activities used
-Helps to understand where the community stands
Term
Epidemiological Assessment
Definition
-ID specific health problems contributing or interacting w/ quality of life concerns of community
-Original data collection or secondary data analysis
-Prioritize the health needs
-Establish program goals & objectives
Term
ID specific health problems contributing or interacting w/ quality of life concerns of community
Definition
ID causative factors (genetics, behaviors, environment)
Term
Original data collection or secondary data analysis
Definition
Hospital records
Death records
Clinics
Health Department
School nurses
Term
Behavioral & Environmental Assessment
Definition
-Identifying Internal & External factors affecting individual’s health
-Allows you to map out the factors
Term
How to identify internal/external factors
Definition
Literature review
Apply theories
Term
Educational & Ecological Assessment
Definition
-Identify antecedent & reinforcing factors that must already exist
-Help to initiate & sustain change
Term
Educational & Ecological Assessment is shaped by several factors
Definition
Predisposing factors
Enabling factors
Reinforcing factors
Term
Predisposing factors
Definition
Motivate or provide reason to change
Knowledge, attitudes, cultural beliefs, readiness to change
Already exists
Term
Enabling factors
Definition
Enable person to act on the predispositions
Available resources, supportive policies, assistance, & services
Term
Reinforcing factors
Definition
After a behavior has been initiated
Encourage repetition or continuation of behavior
Continuing rewards or incentives
Social support, praise, reassurance, symptom of relief
Term
Administrative & Policy Assessment (4)
Definition
-Interventions using information gathered in the previous steps
-ID barriers that can influence program
-Analyzing the availability of needed resources
-Develop and ID organizational policies & regulations that could affect the program implementation
Term
Implementation
Definition
-Preparation of evaluation procedures should begin before implementation
-Once goals, objectives, and actions are determined, put the plan into action
Term
Process Evaluation
Definition
-Is the program being carried out according to plan?
-Is the program being received as planned?
-How is the attitude of recipients of program? +/-?
-If not, what changes can be made now and what changes can be made later?
Term
Impact evaluation
Definition
-Assesses the immediate effect of program on target behaviors.
-What changes are being made in the factors influencing the likelihood that behavioral & environmental change will occur?
Term
Outcome evaluation
Definition
Has the intervention affected the health and quality of life indicators?
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