Health Programming: Precede-Proceed Model
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Questions and Answers

What aspect of health-related behavior is linked to environmental factors according to the assessment phase?

  • Radon exposure
  • Access to healthcare services (correct)
  • Genetic predisposition
  • Personal motivation

    • In the context of health-related behavior, what could compliance indicate?

  • The level of community support
  • The effectiveness of genetic screening
  • The frequency of interventions (correct)
  • The accessibility of facilities

    • Which factor is considered a predisposing factor in health behaviors?

  • Beliefs and values (correct)
  • Access to nutrition programs
  • Environmental pollution
  • Genetic mutations

    • How can genetic factors influence health behavior according to the assessment?

    <p>By predicting susceptibility to diseases</p> Signup and view all the answers

    What categorization is often used in prioritization in health assessments?

    <p>Risk factors vs. protective factors</p> Signup and view all the answers

    Which dimension represents a potential risk factor in health assessments?

    <p>Poor diet</p> Signup and view all the answers

    What is the main purpose of identifying health-related factors in the assessment phase?

    <p>To develop educational interventions</p> Signup and view all the answers

    Which of the following is NOT part of the broad groupings in the educational and ecological assessment phase?

    <p>Community health resources</p> Signup and view all the answers

    What are enabling factors focused on in educational and ecological assessment?

    <p>Skills and resources</p> Signup and view all the answers

    What do reinforcing factors primarily influence in the context of behavior change?

    <p>Sustainability of behaviors</p> Signup and view all the answers

    Which phase of the PRECEDE-PROCEED model involves assessment of organizational capabilities for program intervention?

    <p>Phase 4</p> Signup and view all the answers

    What is a key activity during Phase 3 of the PRECEDE-PROCEED model?

    <p>Sorting and categorizing factors</p> Signup and view all the answers

    How does Phase 8 of the PRECEDE-PROCEED model contribute to the overall process?

    <p>It includes ongoing evaluation throughout all phases.</p> Signup and view all the answers

    What is emphasized in the final thoughts of the assessment framework?

    <p>Interdisciplinary collaboration</p> Signup and view all the answers

    Which set of factors makes possible a change according to the educational and ecological assessment model?

    <p>Enabling factors</p> Signup and view all the answers

    What type of feedback do reinforcing factors provide regarding behavior continuity?

    <p>Rewards and feedback</p> Signup and view all the answers

    What is the main purpose of the Precede-Proceed model in health programming?

    <p>To provide a structured approach for planning and implementation</p> Signup and view all the answers

    In Phase 1 of the Precede-Proceed model, what is a primary focus during the social assessment?

    <p>Assessing the quality of life</p> Signup and view all the answers

    Which of the following is a vital indicator considered in Phase 2 of the Precede-Proceed model?

    <p>Mortality rates</p> Signup and view all the answers

    During the social assessment, why is it important to involve the target population?

    <p>To accurately define community problems and priorities</p> Signup and view all the answers

    What is the primary task during the epidemiological assessment in Phase 2?

    <p>Matching findings from Phase 1 and Phase 2</p> Signup and view all the answers

    Which of the following best describes 'prevalence' in the context of the Precede-Proceed model?

    <p>The total number of existing cases at a given time</p> Signup and view all the answers

    How does the Precede-Proceed model suggest problem-solving during program planning?

    <p>By starting with desired ends and working back to causes</p> Signup and view all the answers

    Which of the following problems might be identified as an indicator of community quality of life during the social assessment phase?

    <p>Self-esteem issues within the community</p> Signup and view all the answers

    Environmental factors can be modified to improve health outcomes.

    <p>True</p> Signup and view all the answers

    Predisposing factors include only genetic components.

    <p>False</p> Signup and view all the answers

    Behavioral indicators such as compliance are used to assess health-related behaviors.

    <p>True</p> Signup and view all the answers

    The prioritization matrix is used to rank health-related issues based on their urgency and impact.

    <p>True</p> Signup and view all the answers

    Genetic predisposition has no relevance in the assessment of health-related behaviors.

    <p>False</p> Signup and view all the answers

    Ecological relationships refer specifically to interactions within an individual's behavior only.

    <p>False</p> Signup and view all the answers

    Counseling services can be considered an environmental indicator in health assessments.

    <p>True</p> Signup and view all the answers

    Attitudes and beliefs are considered dimensions of predisposing factors in health behavior.

    <p>True</p> Signup and view all the answers

    The Precede-Proceed model consists of a 6-step framework for health programming.

    <p>False</p> Signup and view all the answers

    Enabling factors are barriers created by society's forces or systems.

    <p>False</p> Signup and view all the answers

    In Phase 1 of the Precede-Proceed model, considerations of quality of life are not necessary.

    <p>False</p> Signup and view all the answers

    The term 'morbidity' is used as a vital indicator in the epidemiological assessment phase.

    <p>True</p> Signup and view all the answers

    Reinforcing factors include rewards and feedback that influence behavior continuation.

    <p>True</p> Signup and view all the answers

    Epidemiological assessment primarily focuses on matching information from Phase 3 with social assessments.

    <p>False</p> Signup and view all the answers

    The summary of Phase 3 focuses on sorting and categorizing factors via 2 classes: Predisposing and Enabling.

    <p>False</p> Signup and view all the answers

    The Precede-Proceed model suggests starting with desired ends and working backward to the original causes.

    <p>True</p> Signup and view all the answers

    Phase 4 involves assessing organizational capabilities and limitations for program intervention.

    <p>True</p> Signup and view all the answers

    Phases 5 to 8 in the PRECEDE-PROCEED model emphasize implementation without any evaluations.

    <p>False</p> Signup and view all the answers

    Social problems of a community are considered reliable indicators of its overall prosperity.

    <p>False</p> Signup and view all the answers

    Self-esteem is one of the indicators used to assess the quality of life in the social assessment phase.

    <p>True</p> Signup and view all the answers

    Reinforcing factors primarily influence changes in dietary habits through legislative measures only.

    <p>False</p> Signup and view all the answers

    The final thoughts in the assessment framework advocate for interdisciplinary work among professionals.

    <p>True</p> Signup and view all the answers

    Incidence refers to existing cases within a group at a designated time period.

    <p>False</p> Signup and view all the answers

    Phase 3 of the model is strictly focused on educational factors with no regard for ecological influences.

    <p>False</p> Signup and view all the answers

    Study Notes

    Precede-Proceed Model

    • 8-step framework for health programming
    • Pre-pro work done concurrently
    • Series of steps for planning, implementation, and evaluation of health programs
    • Thinking inductively then deductively (desired ends to causes)
    • Example: heart disease

    Phase 1: Social Assessment (& Situational Analysis)

    • Begin with considering quality of life
    • Involve targeted people; understand "why"
    • Acquire problems/priorities of individuals/communities
    • Social problems are a barometer of quality of life
    • Indicators include: absenteeism, aesthetics, crime, unemployment, and self-esteem

    Phase 2: Epidemiological Assessment

    • Essential for program planning
    • Match information from Phase 1 & 2 (e.g., sick building syndrome)
    • Link information to contributing factors for concerns/problems
    • Rank problems by importance and reality
    • Consider vital indicators (morbidity, fertility, mortality) and their dimensions (strength of problem/need)
    • Incidence: new cases in a group during a time period
    • Prevalence: existing cases in a group at a certain time period
    • Identify specific health-related behaviors, environmental, and genetic factors linked to chosen health problems
    • Environmental factors: outside person, cannot be modified
    • Consider environmental, behavioral, and genetic indicators and dimensions
      • Environmental: counseling services (indicator) and accessibility (dimension)
      • Behavioral: compliance (indicator) and frequency (dimension)
      • Genetics: breast cancer (indicator: genetic predisposition) and poor diet (dimension: risk factor) interaction
    • Prioritization-ranking & matrix (more/less changeable, more/less important)
      • Quadrant 1: High priority for program focus
      • Quadrant 2: Priority for innovative program; evaluation crucial
      • Quadrant 3: Low priority except to demonstrate change for political purposes
      • Quadrant 4: No program

    Phase 3: Educational & Ecological Assessment

    • Based on research on health and social behavior, and ecological relationships between environment and behavior
    • Hundreds of factors influence health behavior
    • Precede groups factors according factors to educational and ecological approaches
    • 3 broad groupings
        1. Predisposing Factors: knowledge, attitudes, beliefs, values, perceptions, genetics, and experiences
        1. Enabling Factors: skills, resources, barriers, created by society forces or systems, factors that make possible a change
        1. Reinforcing Factors: rewards & feedback, encourage/discourage behavior continuation, lifestyles influencing environment (consumer demand, cumulative actions, political advocacy)
    • Sorting/categorizing factors using 3 classes
    • Prioritizing for intervention
    • Decision based on importance, evidence of change, and cost

    Phase 4: Admin & Policy Assessment (& Intervention Alignment)

    • Assess organizational and administrative capabilities
    • Assess resources for program intervention
    • Assess limitations

    Phases 5-8: Implementation & Evaluations

    • Develop PROCEED portion
    • Evaluation is integral throughout implementation, not just at the end

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    Precede-Proceed Model (HS 2250) PDF

    Description

    Explore the Precede-Proceed model in health programming, focusing on its 8-step framework for effective planning, implementation, and evaluation. This quiz emphasizes the importance of social assessment and epidemiological assessment in identifying and prioritizing health issues within communities.

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